Evidence map›Paper›PMID 25674377›Full record

ArticlePlastic and reconstructive surgery. Global open2015

Breast Implant-associated Anaplastic Large Cell Lymphoma: Updated Results from a Structured Expert Consultation Process.

Benjamin Kim, Zachary S Predmore, Soeren Mattke, Kristin van Busum, Courtney A Gidengil

Open access · greenAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL).Yeungnam University journal of medicine · 2021
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Breast Implant-Associated Lymphoma.Deutsches Arzteblatt international · 2018
    Review
  13. Review
  14. Article
  15. Article
  16. Breast implant-associated anaplastic large cell lymphoma: two distinct clinicopathological variants with different outcomes.Annals of oncology : official journal of the European Society for Medical Oncology · 2016
    Article
  17. Use ofBJR case reports · 2016
    Article
  18. Article
  19. Article
  20. Breast Implant-Associated Anaplastic Large Cell Lymphoma: What We Know.Journal of the advanced practitioner in oncology
    Review
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

5 authors at 1 institution in 1 country.

Benjamin KimRAND Health, RAND Corporation, Boston, Mass.; Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, San Francisco, Calif.; and Division of Infectious Diseases, Boston Children's Hospital, Boston, Mass.
Zachary S PredmoreRAND Health, RAND Corporation, Boston, Mass.; Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, San Francisco, Calif.; and Division of Infectious Diseases, Boston Children's Hospital, Boston, Mass.
Soeren MattkeRAND Health, RAND Corporation, Boston, Mass.; Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, San Francisco, Calif.; and Division of Infectious Diseases, Boston Children's Hospital, Boston, Mass.
Kristin van BusumRAND Health, RAND Corporation, Boston, Mass.; Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, San Francisco, Calif.; and Division of Infectious Diseases, Boston Children's Hospital, Boston, Mass.
Courtney A GidengilRAND Health, RAND Corporation, Boston, Mass.; Division of Hematology/Oncology, Department of Medicine, University of California, San Francisco, San Francisco, Calif.; and Division of Infectious Diseases, Boston Children's Hospital, Boston, Mass.
Boston Children's Hospital · US

Funding

TRAINING IN HEALTH SERVICES RESEARCHT32HS000029 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI DY, SYDNEY MORSS · 1987 to 2024
$8.3M
AHRQ HHS T32 HS000029
6 · The paper itself

Abstract

backgroundDespite increased cases published on breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), important clinical issues remain unanswered. We conducted a second structured expert consultation process to rate statements related to the diagnosis, management, and surveillance of this disease, based on their interpretation of published evidence.

methodsA multidisciplinary panel of 12 experts was selected based on nominations from national specialty societies, academic department heads, and recognized researchers in the United States.

resultsPanelists agreed that (1) this disease should be called "BIA-ALCL"; (2) late seromas occurring >1 year after breast implantation should be evaluated via ultrasound, and if a seroma is present, the fluid should be aspirated and sent for culture, cytology, flow cytometry, and cell block to an experienced hematopathologist; (3) surgical removal of the affected implant and capsule (as completely as possible) should occur, which is sufficient to eradicate capsule-confined BIA-ALCL; (4) surveillance should consist of clinical follow-up at least every 6 months for at least 5 years and breast ultrasound yearly for at least 2 years; and (5) BIA-ALCL is generally a biologically indolent disease with a good prognosis, unless it extends beyond the capsule and/or presents as a mass. They firmly disagreed with statements that chemotherapy and radiation therapy should be given to all patients with BIA-ALCL.

conclusionsOur assessment yielded consistent results on a number of key, incompletely addressed issues regarding BIA-ALCL, but additional research is needed to support these statement ratings and enhance our understanding of the biology, treatment, and outcomes associated with this disease.

Identifiers

PMID25674377
PMCPMC4323400
OpenAlexW2021095168

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.