Evidence map›Paper›PMID 23740344›Full record

ArticleAnnals of surgical oncology2013

International rates of breast reconstruction after prophylactic mastectomy in BRCA1 and BRCA2 mutation carriers.

John Semple, Kelly A Metcalfe, Henry T Lynch, Charmaine Kim-Sing, Leigha Senter, Tuya Pal, Peter Ainsworth, Jan Lubinski, Nadine Tung, Charis Eng and 8 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Annals of surgical oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 34 citations in OpenAlex.

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  13. Geisinger MyCodeCase reports in plastic surgery & hand surgery · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 15 institutions in 5 countries.

John SempleWomen's College Research Institute, Toronto, ON, Canada.
Kelly A Metcalfe
Henry T Lynch
Charmaine Kim-Sing
Leigha Senter
Tuya Pal
Peter Ainsworth
Jan Lubinski
Nadine Tung
Charis Eng
Donna Gilchrist
Joanne Blum
Susan L Neuhausen
Christian F Singer
Parviz Ghadirian
Ping Sun
Steven A Narod
Hereditary Breast Cancer Clinical Study Group
Women's College Hospital · CABC Cancer Agency · CABeth Israel Deaconess Hospital · USCancer Care Ontario · CACity of Hope · USCleveland Clinic · USComprehensive Cancer Center Vienna · ATCreighton University · USInternational Hereditary Cancer Center · PLMoffitt Cancer Center · USTexas Oncology · USThe Ohio State University · USUniversité de Montréal · CAUniversity of Alberta · CAUniversity of Toronto · CA

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
NCI NIH HHS P30 CA076292
6 · The paper itself

Abstract

backgroundBreast reconstruction is an option for women with BRCA1 or BRCA2 mutations who elect to undergo prophylactic mastectomy to prevent breast cancer. We report on the uptake of breast reconstruction after prophylactic mastectomy in women with BRCA mutations from eight countries.

methodsWomen with a BRCA1 or BRCA2 mutation were questioned regarding their cancer preventive practices. Information was recorded on prophylactic mastectomy and breast reconstruction.

resultsA total of 1,635 women with a BRCA1 or BRCA2 mutation who elected to undergo prophylactic mastectomy from eight countries were included. A total of 1,137 women (69.5%) had breast reconstruction after prophylactic mastectomy. A total of 58.7% of women over the age of 45 years at the time of prophylactic mastectomy had breast reconstruction compared to 77.6% of women 35 years of age or younger [odds ratio (OR) 0.36, 95% confidence interval (CI) 0.26-0.50, p < 0.001]. In addition, 62.9% of women with a breast cancer diagnosis (contralateral prophylactic mastectomy) had breast reconstruction after prophylactic mastectomy compared to 79.7% of women without a previous breast cancer diagnosis (OR 0.48, 95% CI 0.38-0.61, p < 0.001). A total of 66.9% of women from Canada had breast reconstruction after mastectomy compared to 71.9% of American women (OR 0.75, 95% CI 0.59-0.96, p = 0.02).

conclusionsThe majority of women elect for breast reconstruction after prophylactic mastectomy. However, younger women and those without a previous diagnosis of breast cancer are more likely to have breast reconstruction than older women or those with a previous diagnosis of cancer.

Indexed as

MastectomyAdultAgedAge FactorsBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsCanadaFemaleFollow-Up StudiesHeterozygoteHumansInternational AgenciesMammaplastyMiddle AgedMutationBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, human

Identifiers

PMID23740344
PMCPMC4608025
OpenAlexW2148315626

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.