Epidemiology of plastic surgery trauma in people with associated drug and alcohol dependence: developing guidelines for optimal treatment

A scoping review of surgical care for people experiencing homelessness: prevalence, access, and disparities

“…Psychiatric comorbidities included mood disorders, psychotic disorders (reported in pregnancy), and high rates of substance use (smoking, alcohol use, intravenous drug use, multidrug use), reported in primary studies. 58 , 64 , 65 …”

“…Many studies discussed barriers or challenges PEH face when it comes to surgical care, including 48 primary studies, 19 , 31 , 34 – 36 , 39 – 41 , 43 – 45 , 47 – 50 , 54 , 55 , 57 – 64 , 66 , 69 , 72 , 73 , 75 , 79 – 81 , 86 , 91 , 96 , 98 , 100 , 102 – 105 , 107 – 109 , 111 , 112 , 114 , 116 9 abstracts, 37 , 38 , 42 , 52 , 77 , 84 , 101 , 106 , 118 5 literature reviews, 22 , 74 , 95 , 99 , 110 1 invited article, 51 1 magazine article, 70 1 thought piece, 92 1 ethical essay, 115 1 thesis, 71 and 1 historical analysis. 117 The majority of comments presented concerns regarding living conditions.…”

“…The lack of stable housing was described as a possible reason for leaving against medical advice, 57 readmission, 54 , 92 extended hospital stay, 55 , 58 , 67 , 87 , 93 , 94 and missing follow-up appointments. 36 , 64 , 79 , 95 – 97 In addition, authors commented on how the lack of a regular address leaves home nursing services inaccessible, 97 terminal care impossible, 49 and deters patients from procedures. 80 , 98 Furthermore, the need to find shelter and food can come as a priority over pursuing health care.…”

“…Many studies discussed barriers or challenges PEH face when it comes to surgical care, including 48 primary studies, 19,31,[34][35][36][39][40][41][43][44][45][47][48][49][50]54,55,[57][58][59][60][61][62][63][64]66,69,72,73,75,[79][80][81]86,91,96,98,100,[102][103][104][105][107][108][109]111,112,114,116 9 abstracts, 37,38,42,…”

Surgical Care of Patients Experiencing Homelessness: A Scoping Review Using a Phases of Care Conceptual Framework

“…29,30 Intravenous drug use and alcohol dependence were also common in the homeless population, including those who needed cardiac surgery, arteriovenous (AV) access creation, and plastic surgery. 28,34,35 Homeless patients were more likely to have MRSA-associated hand infections that required surgery compared to non-MRSA-associated hand infections. 45 Finally, homeless patients who presented with facial fractures were more likely to require surgery for these fractures compared to housed patients, even after adjusting for confounding variables like sex, age, and current drug or alcohol use.…”