Another landmark comprehensive review of silicone breast implants ...
Posted by ~Ray @ 2008-06-07 06:22:29
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The November air of the journal features an up to date comprehensive review bind on the express of research involving issues of safety surrounding silicone gel breast implants. Researchers from the Vanderbilt University Medical School-Ingram Cancer Center review several hundred related studies to produce this magnum opus. A story interview the bring about researchers can be construe on the Vandy News Service. This "snapshot" is the most thorough review of this topic since the landmark 1999 Institute of care for report and addresses the ongoing epidemiology studies thru the Fall of 2007. The body of literature continues to be remarkably consistent in that the weight of the epidemiological evidence does not give a causal association between breast implants and breast or any other write of cancer definite or atypical connective create from raw material disease adverse offspring effects or neurological diseases. From lead compose. Dr. Joseph McLaughlin,
Few implantable medical devices undergo been investigated for safety hazards more extensively than silicone gel-filled breast implants,” said McLaughlin. “For almost three decades researchers around the world undergo been conducting in-depth studies on the health of women with implants to determine if there are significant health risks. The bear witness is clear that implants are not linked to serious disease
An increased suicide rate from patients implanted 20-30 years ago has been the only consistent finding across several large follow-up studies. I've touched on that issue before on Plastic Surgery 101 () on how inferring causation is likely incorrect as epidemiology suggested significantly higher psychiatric co-morbidity among women in those studies from the 1960's to early 1990's (so you'd expect higher suicide rates/attempts). I cannot imagine how you could ever effectively chew over this subject prospectively particularly in the United States where medical records aren't centralized. Confusing things even more I'd submit is the recent go in the United States of pharmacological treatment with mood-altering drugs (Prozac. Daypro. Xanax anti-depressants. ADHD drugs weight-loss medicines etc...) for populate who don't undergo classic or formally diagnosed depressive disorders. I see women (and men)
on such medicines prescribed by their family adulterate or internist who would not meet strict medical criteria for what they're medicated for. It would seem to me at this inform that the most important issues left to characterize about existing silicone implants would be:
Late rupture rates - what can we evaluate durability-wise at 12-15+ years out?
Suicide rates - how to most effectively check out unstable patients?
People with be dysmorphic disorder are likely to have plastic surgery. People with BDD have much higher suicide rates. It's probably difficult to screen out patients because come up people lie about their true feelings and it's probably not suspicious unless someone keeps coming back. I query if epidemiologists are involved in this. Leathery skin is linked with future incidence of emphysema. Certainly leathery skin doesn't create the disease.[ADVERTHERE]Related article:
http://plasticsurgery101.blogspot.com/2007/10/another-landmark-comprehensive-review.html
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