title: What Do Our Patients Truly Want? Conjoint Analysis of an Aesthetic Plastic Surgery Practice Using Internet Crowdsourcing.
abstract: BACKGROUND
  What do patients want when looking for an aesthetic surgeon? When faced with attributes like reputation, years in practice, testimonials, photos, and pricing, which is more valuable? Moreover, are attributes procedure-specific? Currently, inadequate evidence exists on which attributes are most important to patients, and to our knowledge, none on procedure-specific preferences.
  
  
  OBJECTIVE
  First, to determine the most important attributes to breast augmentation, combined breast/abdominal surgery, and facelift patients using conjoint analysis. Second, to test the conjoint using an internet crowdsourcing service (Amazon Mechanical Turk [MTurk]).
  
  
  METHODS
  Anonymous university members were asked, via mass electronic survey, to pick a surgeon for facelift surgery based on five attributes. Attribute importance and preference was calculated. Once pre-tested, the facelift, breast augmentation and combined breast/abdominal surgery surveys were administered worldwide to MTurk.
  
  
  RESULTS
  The university facelift cohort valued testimonials (33.9%) as the most important, followed by photos (31.6%), reputation (18.2%), pricing (14.4%), and practice years (1.9%). MTurk breast augmentation participants valued photos (35.3%), then testimonials (33.9%), reputation (15.7%), pricing (12.2%), and practice years (3%). MTurk combined breast/abdominal surgery and facelift participants valued testimonials (38.3% and 38.1%, respectively), then photos (27.9%, 29.4%), reputation (17.5%, 15.8%), pricing (13.9%, 13.9%), practice years (2.4%, 2.8%).
  
  
  CONCLUSIONS
  Breast augmentation patients placed higher importance on photos; combined breast/abdominal surgery and facelift patients valued testimonials. Conjoint analysis has had limited application in plastic surgery. To our knowledge, internet crowdsourcing is a novel participant recruitment method in plastic surgery. Its unique benefits include broad, diverse and anonymous participant pools, low-cost, rapid data collection, and high completion rate.
authors.affiliation: Dr Wu is an Assistant Professor, Dr Hultman is the Ethel and James Valone Distinguished Professor of Surgery and Chief, Dr Diegidio is a Resident, and Dr Lee is an Associate Professor, Division of Plastic and Reconstructive Surgery, The University of North Carolina, Chapel Hill, NC. Dr Hermiz is a General Surgery Resident, The University of South Carolina, Columbia, SC. Ms Garimella is an undergraduate student, Brown University, Providence, RI. Ms Crutchfield is a Research Associate, Center for Health Promotion and Disease Prevention, The University of North Carolina, Chapel Hill, NC cindy_wu@med.unc.edu.
authors.forename: Cindy
authors.initials: C
authors.lastname: Wu
authors.affiliation: Dr Wu is an Assistant Professor, Dr Hultman is the Ethel and James Valone Distinguished Professor of Surgery and Chief, Dr Diegidio is a Resident, and Dr Lee is an Associate Professor, Division of Plastic and Reconstructive Surgery, The University of North Carolina, Chapel Hill, NC. Dr Hermiz is a General Surgery Resident, The University of South Carolina, Columbia, SC. Ms Garimella is an undergraduate student, Brown University, Providence, RI. Ms Crutchfield is a Research Associate, Center for Health Promotion and Disease Prevention, The University of North Carolina, Chapel Hill, NC.
authors.forename: C
authors.initials: C
authors.lastname: Scott Hultman
authors.affiliation: Dr Wu is an Assistant Professor, Dr Hultman is the Ethel and James Valone Distinguished Professor of Surgery and Chief, Dr Diegidio is a Resident, and Dr Lee is an Associate Professor, Division of Plastic and Reconstructive Surgery, The University of North Carolina, Chapel Hill, NC. Dr Hermiz is a General Surgery Resident, The University of South Carolina, Columbia, SC. Ms Garimella is an undergraduate student, Brown University, Providence, RI. Ms Crutchfield is a Research Associate, Center for Health Promotion and Disease Prevention, The University of North Carolina, Chapel Hill, NC.
authors.forename: Paul
authors.initials: P
authors.lastname: Diegidio
authors.affiliation: Dr Wu is an Assistant Professor, Dr Hultman is the Ethel and James Valone Distinguished Professor of Surgery and Chief, Dr Diegidio is a Resident, and Dr Lee is an Associate Professor, Division of Plastic and Reconstructive Surgery, The University of North Carolina, Chapel Hill, NC. Dr Hermiz is a General Surgery Resident, The University of South Carolina, Columbia, SC. Ms Garimella is an undergraduate student, Brown University, Providence, RI. Ms Crutchfield is a Research Associate, Center for Health Promotion and Disease Prevention, The University of North Carolina, Chapel Hill, NC.
authors.forename: Steven
authors.initials: S
authors.lastname: Hermiz
authors.affiliation: Dr Wu is an Assistant Professor, Dr Hultman is the Ethel and James Valone Distinguished Professor of Surgery and Chief, Dr Diegidio is a Resident, and Dr Lee is an Associate Professor, Division of Plastic and Reconstructive Surgery, The University of North Carolina, Chapel Hill, NC. Dr Hermiz is a General Surgery Resident, The University of South Carolina, Columbia, SC. Ms Garimella is an undergraduate student, Brown University, Providence, RI. Ms Crutchfield is a Research Associate, Center for Health Promotion and Disease Prevention, The University of North Carolina, Chapel Hill, NC.
authors.forename: Roja
authors.initials: R
authors.lastname: Garimella
authors.affiliation: Dr Wu is an Assistant Professor, Dr Hultman is the Ethel and James Valone Distinguished Professor of Surgery and Chief, Dr Diegidio is a Resident, and Dr Lee is an Associate Professor, Division of Plastic and Reconstructive Surgery, The University of North Carolina, Chapel Hill, NC. Dr Hermiz is a General Surgery Resident, The University of South Carolina, Columbia, SC. Ms Garimella is an undergraduate student, Brown University, Providence, RI. Ms Crutchfield is a Research Associate, Center for Health Promotion and Disease Prevention, The University of North Carolina, Chapel Hill, NC.
authors.forename: Trisha M
authors.initials: TM
authors.lastname: Crutchfield
authors.affiliation: Dr Wu is an Assistant Professor, Dr Hultman is the Ethel and James Valone Distinguished Professor of Surgery and Chief, Dr Diegidio is a Resident, and Dr Lee is an Associate Professor, Division of Plastic and Reconstructive Surgery, The University of North Carolina, Chapel Hill, NC. Dr Hermiz is a General Surgery Resident, The University of South Carolina, Columbia, SC. Ms Garimella is an undergraduate student, Brown University, Providence, RI. Ms Crutchfield is a Research Associate, Center for Health Promotion and Disease Prevention, The University of North Carolina, Chapel Hill, NC.
authors.forename: Clara N
authors.initials: CN
authors.lastname: Lee
mesh_terms: D061645:Abdominoplasty / Q000191:economics; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002755:Choice Behavior; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D063045:Crowdsourcing; D004954:Esthetics; D005260:Female; D017048:Health Care Costs; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D016462:Mammaplasty / Q000191:economics; D008875:Middle Aged; D057240:Patient Preference / Q000191:economics; D010781:Photography; D010865:Pilot Projects; D011446:Prospective Studies; D015361:Rhytidoplasty / Q000191:economics; D066231:Surgeons; D011795:Surveys and Questionnaires