{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:32:40Z","timestamp":1788222760999,"version":"build-2803163510"},"reference-count":9,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,12,22]],"date-time":"2024-12-22T00:00:00Z","timestamp":1734825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,12,22]],"date-time":"2024-12-22T00:00:00Z","timestamp":1734825600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Plast Surg (Oakv)"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Pressure injuries, particularly among patients with spinal cord injuries and the elderly, significantly contribute to morbidity, mortality, and financial sequelae. Surgical interventions, including debridement and flaps, may improve outcomes, especially for stage 3 and 4 pressure injuries. This survey assesses Canadian plastic surgeons\u2019 perspectives and practices regarding the surgical management of these injuries.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A web-based survey was distributed to 405 registered members of the Canadian Society of Plastic Surgeons (CSPS) and remained open for a 6-week period. The 16-question survey explored management practices for pressure injuries and the training associated with resident education.\n                    <jats:bold>Results:<\/jats:bold>\n                    Responses from 129 surgeons (31.8%) were analyzed. Of these, 85% manage stage 3 or 4 pressure injuries, though only 67.5% performed both debridement and flap coverage. The majority believe care should ideally occur in community facilities with plastic surgery coverage rather than being centralized in academic centers, although careful patient selection, perioperative planning, and rehabilitation are critical to justify the surgical investment. Most respondents (83%) agreed that plastic surgery residents should be proficient in both debridement and flap coverage by the end of their training.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The survey indicates that most surgeons prefer managing pressure injuries in facilities with adequate plastic surgery support rather than exclusively at academic centers. However, structured management pathways and enhanced training in pressure injury care remain crucial. Future healthcare policy and research should focus on improving care delivery and patient outcomes, ensuring that all facilities involved in this care are equipped with the necessary resources and multidisciplinary expertise.\n                  <\/jats:p>","DOI":"10.1177\/22925503241308541","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T02:10:26Z","timestamp":1734919826000},"page":"130-134","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Perspectives of Canadian Plastic Surgeons on the Surgical Management of Pressure Injuries"],"prefix":"10.1177","volume":"34","author":[{"given":"Erika","family":"Opingari","sequence":"first","affiliation":[{"name":"Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Laurent","sequence":"additional","affiliation":[{"name":"Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho Yee","family":"Wan","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"},{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6821-1267","authenticated-orcid":false,"given":"Alan D.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"},{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1179\/2045772313Y.0000000093"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13071"},{"issue":"10","key":"e_1_3_2_4_2","first-page":"22","article-title":"Prevalence of pressure ulcers in Canadian healthcare settings","volume":"50","author":"Woodbury MG","year":"2004","unstructured":"Woodbury MG, Houghton PE. Prevalence of pressure ulcers in Canadian healthcare settings. Ostomy Wound Manage. 2004;50(10):22\u201024. 26, 28, 30, 32, 34, 36-8.","journal-title":"Ostomy Wound Manage"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2012.01002.x"},{"issue":"2","key":"e_1_3_2_6_2","first-page":"24","article-title":"National Pressure Ulcer Advisory Panel. Pressure ulcers: Avoidable or unavoidable? Results of the National Pressure Ulcer Advisory Panel Consensus Conference","volume":"57","author":"Black JM","year":"2011","unstructured":"Black JM, Edsberg LE, Baharestani MM, et al. National Pressure Ulcer Advisory Panel. Pressure ulcers: Avoidable or unavoidable? Results of the National Pressure Ulcer Advisory Panel Consensus Conference. Ostomy Wound Manage. 2011;57(2):24\u201037.","journal-title":"Ostomy Wound Manage"},{"key":"e_1_3_2_7_2","volume-title":"The surgical management of pressure-induced skin and soft tissue injuries","author":"Rogers AD","year":"2020","unstructured":"Rogers AD, El Khatib A. The surgical management of pressure-induced skin and soft tissue injuries. UpToDate; 2020."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129334-200601001-00001"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.08.212"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.09.026"}],"container-title":["Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22925503241308541","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/22925503241308541","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22925503241308541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:06:35Z","timestamp":1777593995000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/22925503241308541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,22]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1177\/22925503241308541"],"URL":"https:\/\/doi.org\/10.1177\/22925503241308541","relation":{},"ISSN":["2292-5503","2292-5511"],"issn-type":[{"value":"2292-5503","type":"print"},{"value":"2292-5511","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,22]]}}}