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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Aesthetic surgery and Google: Ubiquitous, unregulated and enticing websites for patients considering cosmetic surgery
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Aesthetic surgery and Google: Ubiquitous, unregulated and enticing websites for patients considering cosmetic surgery

机译：美容手术和Google：无处不在，不受管制且诱人的网站，为考虑进行整容手术的患者

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Background Patient safety is a fundamental issue in aesthetic surgery. In an attempt to improve safety, the Department of Health (DoH) and Professor Sir Bruce Keogh published a review in 2013 of the regulation of cosmetic interventions. Proposals included: (1) Banning free consultations; (2) Restricting time-limited promotional deals; (3) Two-stage written pre-operative consent; (4) Consultations with a medical professional rather than a sales 'consultant'. The Cosmetic Surgical Practice Working Party (CSWP) recommended a two week "cooling off" period before surgery. This study quantified compliance with the above national initiatives by aesthetic surgery providers in the UK. Methods To replicate a patient searching for aesthetic surgery providers, "cosmetic surgery UK" was searched via Google. The top fifty websites of aesthetic surgery providers were included in the study. Websites were analysed for compliance with the DoH Keogh and CSWP recommendations. When clarification was required, aesthetic surgery providers were contacted via telephone. Pearson's Chi-squared test compared actual compliance with national recommendations of full compliance. Results Fifty cosmetic surgery providers in the UK entered the study. Consultations with the operating surgeon occurred in 90% of cases. Mean compliance with all parameters from the national guidelines was 41%, significantly less than the desired level of full compliance (P < 0.001). The majority offered free consultations (54%) and promotional deals (52%), of which 27% were time limited. No provider stipulated compliance with two stages of signed consent. Conclusion This study demonstrated low compliance with national guidelines for aesthetic surgery. Aggressive sales techniques and enticing offers by aesthetic surgery providers were widespread. Statutory government guidelines on aesthetic surgery and increased public awareness into potential risks from inappropriate cosmetic surgery may improve patient decision making and safety.
机译：背景技术患者的安全是美容手术中的基本问题。为了提高安全性，卫生部（DoH）和布鲁斯·基奥爵士（Sir Bruce Keogh）教授在2013年发表了有关美容干预措施监管的评论。提案包括：（1）禁止免费磋商; （二）限制限时促销活动; （3）手术前两阶段的书面同意; （4）与医学专家而非销售“顾问”进行咨询。整容手术实践工作组（CSWP）建议在手术前两周的“冷静”期。这项研究量化了英国美容手术提供商对上述国家倡议的遵守情况。方法为了复制寻找美容手术提供者的患者，通过Google搜索了“英国美容手术”。这项研究包括了美容手术提供者的前50个网站。分析了网站是否符合DoH Keogh和CSWP建议。当需要澄清时，通过电话联系了美容手术提供者。培生（Pearson）的卡方检验将实际遵从性与国家对完全遵从性的建议进行了比较。结果英国的50名整容手术提供者进入了研究。 90％的病例与手术外科医生进行了协商。国家准则中所有参数的平均遵守率为41％，大大低于理想的完全遵守水平（P <0.001）。多数提供免费咨询（54％）和促销协议（52％），其中27％受时间限制。没有提供者规定遵守两个阶段的同意书。结论这项研究表明对国家美容手术指南的依从性较低。美容手术提供商积极的销售技术和诱人的报价得到了广泛的应用。有关美容手术的法定政府指南以及提高公众对不适当整容手术潜在风险的认识，可能会改善患者的决策和安全性。

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