Evidence map›Paper›PMID 26101986›Full record

Trial reportAnnals of plastic surgery2016

Understanding and Optimizing the Patient Experience in Breast Reconstruction.

Wess A Cohen, Tiffany N S Ballard, Jennifer B Hamill, Hyungjin M Kim, Xiaoxue Chen, Anne Klassen, Edwin G Wilkins, Andrea L Pusic

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Annals of plastic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Garment-related patient-reported outcomes: a longitudinal pre-post comparison of autologous versus implant-based breast reconstruction.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2026
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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

8 authors at 2 institutions in 1 country.

Wess A CohenFrom the *Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY; †Section of Plastic Surgery, University of Michigan Health System, Ann Arbor, MI; ‡Department of Biostatistics, University of Michigan, Ann Arbor, MI; and §McMaster University, Hamilton, ON, Canada.
Tiffany N S Ballard
Jennifer B Hamill
Hyungjin M Kim
Xiaoxue Chen
Anne Klassen
Edwin G Wilkins
Andrea L Pusic
Memorial Sloan Kettering Cancer Center · USUniversity of Michigan–Ann Arbor · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Mastectomy Reconstruction Outcome Consortium (MROC Study)R01CA152192 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PUSIC, ANDREA LOUISE, WILKINS, EDWIN G. · 2011 to 2015
$4.9M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA152192
6 · The paper itself

Abstract

backgroundOptimizing the patient experience is a central pillar in healthcare quality. Although this may be recognized as important in breast reconstruction, surgeons are often unaware of how well they and members of their team achieve this goal. The objective of our study was to evaluate patient satisfaction with the experience of care in a multicenter, prospective cohort of patients undergoing breast reconstruction. Specifically, we sought to determine which aspects of the care experience might be most amenable to quality improvement.

methodsAs part of the Mastectomy Reconstruction Outcomes Consortium Study, 2093 patients were recruited from 11 centers in North America. Of these, 1534 (73.3%) completed the BREAST-Q Satisfaction with Care scales (satisfaction with information, surgeon, medical team, and office staff) at 3 months after reconstruction and were included in the analysis.

resultsPatients scored lowest on 'Satisfaction with Information' (mean = 72.8) compared to all other Satisfaction with Care scales (mean, 89.5-95.5). Patients with immediate reconstruction were less satisfied with their plastic surgeon compared to those with delayed reconstruction. The racial category, "Other" (Asians, Pacific Islanders, Hawaiians, American Indians), was the least satisfied group across all Satisfaction with Care scales.

conclusionsPatients undergoing breast reconstruction perceive significant gaps in their knowledge and understanding of expected outcomes. Immediate reconstruction patients and minority racial groups may require additional resources and attention. As a means to improve quality of care, these findings highlight an important unmet need and suggest that improving patient education may be central to providing patient-centered care.

Indexed as

Quality ImprovementAdolescentAdultAgedAged, 80 and overFemaleHumansMammaplastyMastectomyMiddle AgedPatient Education as TopicPatient Reported Outcome MeasuresPatient SatisfactionProfessional-Patient RelationsProspective StudiesYoung Adult

Identifiers

PMID26101986
PMCPMC4685029
OpenAlexW2326569482

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.