Evidence map›Paper›PMID 25877803›Full record

ReviewClinical rheumatology2015

Autoimmune/inflammatory syndrome induced by adjuvant (ASIA) evolution after silicone implants. Who is at risk?

Idan Goren, Gad Segal, Yehuda Shoenfeld

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical rheumatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Exploring Silicone-Induced Lupus Through a Case Report.Mediterranean journal of rheumatology · 2025
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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

3 authors.

Idan GorenDepartment of Internal Medicine "T", Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Sheba Medical Center, Ramat Gan, Israel. Idan.Goren@sheba.health.gov.il.
Gad SegalDepartment of Internal Medicine "T", Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University, Sheba Medical Center, Ramat Gan, Israel.
Yehuda ShoenfeldThe Zabludowicz Center of Autoimmune Diseases, Sackler Faculty of Medicine, Tel Aviv University, Incumbent of Laura Swarz-Kip Chair for Research of Autoimmune Diseases, Sheba Medical Center, Ramat Gan, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Silicone implants have been in use since the mid-twentieth century, especially in the field of reconstructive breast surgery, and have long been considered as biologically inert and harmless. However, growing body of evidence from the past two decades links silicone with subsequent autoimmunity-related complications, collectively known as autoimmune/inflammatory syndrome induced by adjuvant--ASIA. Previous data suggest that while some patients tend to develop post-exposure autoimmune phenomena such as ASIA, other do not. However, thus far, no criteria for risk stratification were suggested. This current review summarizes the data linking silicone implants and autoimmunity, suggesting means of defining individuals who are at increased risk to develop silicone-induced ASIA, and therefore, a recommendation was made to avoid silicone implantation, e.g., individuals with previously diagnosed autoimmune disorders or with genetic preponderance for hyperactive immune system should not be considered as candidates for silicone implantation.

Indexed as

Autoimmune DiseasesAutoimmunityBreast ImplantationBreast ImplantsFemaleHumansInflammationMammaplastyPostoperative ComplicationsProsthesis FailureRisk FactorsSiliconesSiliconesAdjuvantASIAAutoimmune diseaseAutoimmune/inflammatory syndrome induced by adjuvantAutoimmunityRelative riskSilicone

Identifiers

What OpenQuestion holds

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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.