Incidental Internal Mammary Nodes during Recipient Vessel Dissection in Breast Reconstruction: Are They Significant?

Aaron L Grant, Kristina H Lutz, Claire F Temple-Oberle

Open access · goldAbstract read

In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact, top 84% 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

0 citing papers in PubMed, 7 citations in OpenAlex.

No citing paper in PubMed yet.

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

3 authors at 1 institution in 1 country.

Aaron L GrantDivision of Plastic and Reconstructive Surgery, University Hospital, Western University, London, ON, Canada; Divisions of Plastic Surgery and Surgical Oncology, Tom Baker Cancer Centre, University of Calgary, Calgary, AB, Canada.

Kristina H LutzDivision of Plastic and Reconstructive Surgery, University Hospital, Western University, London, ON, Canada; Divisions of Plastic Surgery and Surgical Oncology, Tom Baker Cancer Centre, University of Calgary, Calgary, AB, Canada.

Claire F Temple-OberleDivision of Plastic and Reconstructive Surgery, University Hospital, Western University, London, ON, Canada; Divisions of Plastic Surgery and Surgical Oncology, Tom Baker Cancer Centre, University of Calgary, Calgary, AB, Canada.

Western University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

summaryInternal mammary (IM) lymph nodes may be exposed during recipient vessel preparation in free-flap breast reconstruction, and in rare cases, positivity of these nodes may affect treatment in patients with breast cancer. This systematic review examines the incidence and significance of IM nodes identified by plastic surgeons. Eligibility criteria included free-flap breast reconstruction with concurrent IM node biopsy. Data were analyzed for incidence of IM node biopsy and nodal positivity. Ten studies met inclusion criteria, with a total of 2055 patients and 717 nodes submitted to pathology. Incidence of IM positivity ranged approximately from 1% to 11%, for a calculated gross overall incidence of 2.9%. Of 59 patients with a positive IM node, 50 patients received additional adjuvant therapy, with insufficient data to determine the effect of treatment on survival.

Identifiers

PMID25587510

DOI10.1097/GOX.0000000000000245

PMCPMC4292258

OpenAlexW2094095239

What OpenQuestion holds

Textmetadata

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.