title: No smoking gun: findings from a national survey of office-based cosmetic surgery adverse event reporting.
abstract: BACKGROUND
  Because of recent press reports of adverse outcomes, office-based cosmetic surgery has come under intense scrutiny and associated legislative regulatory action.
  
  
  OBJECTIVE
  To assess the safety of office-based cosmetic surgery through a national survey of state agencies that collect information on adverse patient outcomes.
  
  
  METHODS
  Medical boards or other responsible authorities were contacted in 48 states to obtain records on adverse outcomes from cosmetic surgery procedures performed in an office-based setting.
  
  
  RESULTS
  Five states were able to provide complete information regarding 13 cases of adverse outcomes that resulted from office-based cosmetic surgery procedures. Thirteen states had incomplete information or were unable to provide information. The remaining states reported no adverse outcomes. Information collected by state agencies varies greatly and is inadequate to define the safety of office-based cosmetic surgery practice.
  
  
  CONCLUSIONS
  The need to regulate physician office surgery on the basis of hospital privileges and office certification is not supported by current data. Mandatory reporting of adverse outcomes from office-based surgery is warranted to identify modifiable risk factors and to reduce the risk of adverse outcomes.
authors.affiliation: Department of Dermatology, Wake Forest University School of Medicine, 2000 West First Street, Piedmont Plaza II, 2nd Floor, Winston-Salem, NC 27104, USA. rbalkris@wfubmc.edu
authors.forename: Rajesh
authors.initials: R
authors.lastname: Balkrishnan
authors.forename: Inderjit K
authors.initials: IK
authors.lastname: Gill
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Vallee
authors.forename: Steven R
authors.initials: SR
authors.lastname: Feldman
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000009:adverse effects* / Q000706:statistics & numerical data; D030881:Disclosure / Q000706:statistics & numerical data*; D019538:Health Care Surveys / Q000706:statistics & numerical data*; D006801:Humans; D033181:Information Dissemination; D019221:Mandatory Reporting; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000706:statistics & numerical data; D018570:Risk Assessment; D012307:Risk Factors; D013219:State Government; D016896:Treatment Outcome; D014481:United States