Plastic surgeons as hand surgery specialists: determinant factors of public’s perceptions

DENADAI, RAFAEL; ARAUJO, KAMILA CHRISTINE; PINHO, ANDRE SILVEIRA; SAMARTINE JUNIOR, HUGO; DENADAI, ALEX; RAPOSO-DO-AMARAL, CASSIO EDUARDO

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Brasil

Revista Brasileira de Cirurgia Plástica

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Brasil

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Original Article • Rev. Bras. Cir. Plást. 32 (1) • Jan-Mar 2017 • https://doi.org/10.5935/2177-1235.2017RBCP0015 copy

Plastic surgeons as hand surgery specialists: determinant factors of public’s perceptions

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Introduction:

To assess the possible determinants that lead public to choose plastic surgeons as hand surgery specialists.

Methods:

General public members (n = 701) were asked to choose one or two specialists that they perceived to be an expert in 11 hand surgery-related scenarios. Bivariate and multivariate analyses were applied to assess the possible determinants (sociodemographic data, source of reported information, and previous plastic surgery contact) of public choice of plastic surgeons as experts in the hand surgery-related scenarios.

Results:

A significantly (all p < 0.05) poor understanding of the role of plastic surgeons was seen in infectious hand injury, hand tumor, hand fracture, hand tendon injury, carpal tunnel syndrome, rheumatoid arthritis deformity, and dupuytren contracture. Age was a significant (all p < 0.05) determinant of plastic surgeon as a response pattern.

Conclusion:

Participants’ age was a determinant of public choose plastic surgeons as experts in hand surgery area.

Keywords:
Brazil; Surgery plastic; Hand/surgery; Social perception

Hand surgery-related scenarios	PS alone	PS + others	No PS n (%)	p-value
Infectious hand injury management	0 (0.0)	58 (8.3)	643 (91.7)	^* * PS alone < PS + others < No PS (p < 0.001 for all comparisons);
Hand tumor surgery	16 (2.3)	163 (23.3)	522 (74.5)	^* * PS alone < PS + others < No PS (p < 0.001 for all comparisons);
Hand fracture management	76 (10.8)	183 (26.1)	442 (63.1)	^* * PS alone < PS + others < No PS (p < 0.001 for all comparisons);
Hand tendon surgery	0 (0.0)	40 (5.7)	661 (94.3)	^* * PS alone < PS + others < No PS (p < 0.001 for all comparisons);
Hand burn management	178 (25.4)	306 (43.7)	217 (31.0)	^ PS + others > No PS > PS alone (p < 0.001 for all comparisons, except PS alone versus No PS with NS p-value);
Carpal tunnel release surgery	2 (0.3)	177 (25.2)	522 (74.5)	^* * PS alone < PS + others < No PS (p < 0.001 for all comparisons);
Rheumatoid arthritis deformity surgery	0 (0.0)	51 (7.3)	650 (92.7)	^* * PS alone < PS + others < No PS (p < 0.001 for all comparisons);
Dupuytren contracture surgery	0 (0.0)	58 (8.3)	643 (91.7)	^* * PS alone < PS + others < No PS (p < 0.001 for all comparisons);
Congenital hand defect surgery	60 (8.6)	292 (41.7)	349 (49.8)	^* ***** PS alone < PS + others < No PS (p < 0.001 for all comparisons, except PS + others versus No PS with NS p-value);
Finger replantation surgery	84 (12)	297 (42.4)	320 (45.6)	^** ****** PS alone < PS + others = No PS (p < 0.001 for all comparisons, except PS + others versus No PS with NS p-value);
Hand transplantation surgery	74 (10.6)	388 (55.3)	239 (34.1)	^*** *** PS + others > No PS > PS alone (p < 0.001 for all comparisons).
Total (M ± SD)	44.54 ± 56.59 (6.36 ± 8.07)	183 ± 123.12 (26.12 ± 17.56)	473.45 ± 170.09 (67.55 ± 24.25)	^* * PS alone < PS + others < No PS (p < 0.001 for all comparisons);

Respondents	Plastic surgeon M ± SD	p-value
Sex
Female	3.64 ± 2.46	NS
Male	3.51 ± 2.33	NS
Age (years)
18-30	3.63 ± 2.42
31-45	3.03 ± 2.27	^* * 18-30 = 46-85 > 31-45 (p ≤ 0.023 for all comparisons, except for 18-30 versus 46-85 with NS p-value).
46-85	3.91 ± 2.38
Marital status
Single	3.34 ± 2.31
Married	3.77 ± 2.21	NS
Others	3.39 ± 2.17
Religion
Catholicism	3.73 ± 2.38
Protestantism	3.39 ± 2.44	NS
Others	3.40 ± 2.27
Education level
Elementary school	3.29 ± 2.50
High school education	3.38 ± 2.41	NS
Higher education	3.79 ± 2.34
Health care professional
No	3.56 ± 2.36	NS
Yes	3.63 ± 2.53	NS
Source of reported information
Mass media	3.56 ± 2.43
Personal relationship	3.90 ± 2.28	NS
General practitioners	3.35 ± 2.17
Prior plastic surgery contact
No	3.48 ± 2.37	NS
Yes	3.81 ± 2.43	NS

Independent variables	Plastic surgeon
Independent variables	β	p-value
Constant	2.159	< 0.001
Sex (0 = male, 1 = female)	-0.102	NS
Age (years)^* * Dummy variables (n-1); R2: Coefficient of determination; NS: No significant; ANOVA: Analysis of variance.
18-30	0.700	0.002
46-85	0.887	0.001
Marital status^* * Dummy variables (n-1); R2: Coefficient of determination; NS: No significant; ANOVA: Analysis of variance.
Single	0.009	NS
Married	0.047	NS
Religion^* * Dummy variables (n-1); R2: Coefficient of determination; NS: No significant; ANOVA: Analysis of variance.
Catholicism	0.127	NS
Protestantism	0.023	NS
Educational level^* * Dummy variables (n-1); R2: Coefficient of determination; NS: No significant; ANOVA: Analysis of variance.
High school education	0.099	NS
Higher education	0.567	NS
Health care professional(0 = No, 1 = Yes)	0.006	NS
Prior plastic surgerycontact (0 = No, 1 = Yes)	0.341	NS
Source of reported information^* * Dummy variables (n-1); R2: Coefficient of determination; NS: No significant; ANOVA: Analysis of variance.
Mass media	0.478	NS
Personal relationship	0.828	NS
R²	3.4%
ANOVA test	0.004

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[1] Conflicts of interest: none.