Evidence map›Paper›PMID 26483861›Full record

ArticleEplasty2015

A Comparison of Postoperative Outcomes in Immediate Versus Delayed Reconstruction After Mastectomy.

Paymon Sanati-Mehrizy, Benjamin B Massenburg, John M Rozehnal, Nachi Gupta, Jonatan Hernandez Rosa, Michael J Ingargiola, Peter J Taub

Open access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in Eplasty, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Racial Disparities in Breast Reconstruction at a Comprehensive Cancer Center.Journal of racial and ethnic health disparities · 2022
    Article
  4. Controversies in Breast Cancer Surgery.The Surgical clinics of North America · 2021
    Review
  5. Article
  6. Free Tissue Breast Reconstruction.Seminars in plastic surgery · 2019
    Review
  7. Article
  8. Article
  9. Article
  10. Article
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

7 authors at 1 institution in 1 country.

Paymon Sanati-MehrizyIcahn School of Medicine at Mount Sinai, New York, NY.
Benjamin B MassenburgIcahn School of Medicine at Mount Sinai, New York, NY.
John M RozehnalIcahn School of Medicine at Mount Sinai, New York, NY.
Nachi GuptaDepartment of Emergency Medicine.
Jonatan Hernandez RosaDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY.
Michael J IngargiolaDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY.
Peter J TaubDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY.
Icahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to evaluate the frequency of various postoperative complications in patients undergoing either immediate or delayed breast reconstruction after mastectomy for malignancy.

methodsThe ACS-NSQIP 2005-2012 database was queried for patients who underwent mastectomy for the treatment of breast malignancy. These mastectomy cases were then stratified, generating "mastectomy alone" and "mastectomy with immediate reconstruction" cohorts. Database analysis also identified "delayed-reconstruction" oncologic patients. All patients undergoing reconstruction were then stratified into the tissue expander/implant or flap-based reconstruction group. The frequency of postoperative complications was assessed. A multiplicative risk model was used to calculate the probability of postoperative complications after undergoing a mastectomy alone, followed by reconstruction on a different date. These values were compared with the frequency of postoperative complications in the "mastectomy with immediate reconstruction" cohort, and 1-sample binomial tests were performed to determine statistical significance.

resultsA total of 49,450 cases that underwent either mastectomy alone (n = 30,226), mastectomy with immediately tissue expander/implant reconstruction (n = 13,513), mastectomy with immediate flap reconstruction (n = 2854), delayed tissue expander/implant reconstruction (n = 2047), or delayed flap reconstruction (n = 810) were identified. When compared with a delayed reconstructive model, immediate reconstruction after mastectomy was associated with increased flap or tissue expander/implant failure. However, delayed reconstructive modalities were associated with increased postoperative medical and surgical complications. Finally, in flap-based reconstruction, the incidence of return to the operating room was higher in delayed reconstruction than in immediate reconstruction.

conclusionsAwareness of complications associated with each reconstructive modality will allow both surgeons and patients to effectively decide upon reconstructive options.

Indexed as

breast reconstructiondelayedflapimmediateimplant

Identifiers

PMID26483861
PMCPMC4594228
OpenAlexW2106288971

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.