ArticleAnnals of surgery2016
How Informed Is the Decision About Breast Reconstruction After Mastectomy?: A Prospective, Cross-sectional Study.
Article in Annals of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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.
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.
Who cites it
24 citing papers in PubMed, 45 citations in OpenAlex.
- Quality of Patient Decisions About Breast Reconstruction After Mastectomy.JAMA surgery · 2017Trial
- The Architecture of Shared Decision-Making in Postmastectomy Breast Reconstruction: A Systematic Review of Concepts, Measures, and Clinical Realities.Annals of surgical oncology · 2026Review
- Surgical Burden of Breast Cancer Treatment: Implications of Mastectomy, Breast Conservation, and Reconstruction Choices.Medicina (Kaunas, Lithuania) · 2026Review
- Machine Learning Model to Predict Postmastectomy Breast Reconstruction Complications.JAMA network open · 2026Article
- Women's satisfaction with breast reconstruction after mastectomy and a survey on the decision process for type of reconstructive surgery.Wiener klinische Wochenschrift · 2025Article
- Optimal Recipient Nerve Selection for Breast Neurotization with Abdominal Flaps: A Comprehensive Meta-Analysis of Anterior and Lateral Intercostal Approaches.Journal of clinical medicine · 2025Review
- Objective and Subjective Factors Influencing Breast Reconstruction Decision-Making After Breast Cancer Surgery: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Patients' and plastic surgeons' experiences with an online patient decision aid for breast reconstruction: considerations for nationwide implementation.BMC medical informatics and decision making · 2025Article
- Variations in Depression and Anxiety among Jordanian Women Undergoing Mastectomy and Reconstruction Surgery: Impact of Familial Support.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- A Randomized Controlled Trial of the Implementation of BREASTChoice , a Multilevel Breast Reconstruction Decision Support Tool With Personalized Risk Prediction.Annals of surgery · 2024Article
- Management of complications following implant-based breast reconstruction: a narrative review.Annals of translational medicine · 2023Review
- Explaining risks and benefits of loco-regional treatments to patients.Breast (Edinburgh, Scotland) · 2023Article
- Implant-based versus Autologous Reconstruction after Mastectomy for Breast Cancer: A Systematic Review and Meta-analysis.Plastic and reconstructive surgery. Global open · 2022Article
- Implant-based Breast Reconstruction after Mastectomy for Breast Cancer: A Systematic Review and Meta-analysis.Plastic and reconstructive surgery. Global open · 2022Article
- ASO Author Reflections: Decision Support Tools Are Needed to Address Dissatisfaction Among Women Seeking Post-Mastectomy Breast Reconstruction.Annals of surgical oncology · 2022Article
- Living Kidney Donor Knowledge of Provided Information and Informed Consent: The PRINCE Study.Journal of clinical medicine · 2022Article
- Factors associated with the desire to undergo post-mastectomy breast reconstruction in a Mexican breast cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Modern surgical treatment of breast cancer.Annals of medicine and surgery (2012) · 2020Review
- Strategies and considerations in selecting between subpectoral and prepectoral breast reconstruction.Gland surgery · 2019Review
- Accuracy of Predictions of Patients With Breast Cancer of Future Well-being After Immediate Breast Reconstruction.JAMA surgery · 2018Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo assess how informed patients are about breast reconstruction, and how involved they are in decision making. SUMMARY BACKGROUND DATA: Breast reconstruction is an important treatment option for patients undergoing mastectomy. Wide variations in who gets reconstruction, however, have led to concerns about decision making.
methodsWe conducted a prospective cross-sectional study of patients planning mastectomy at a single site, over 20 months. Before surgery, patients completed a survey with validated scales to assess knowledge about breast reconstruction and involvement in decision making. Factors associated with knowledge were examined in a multivariable linear regression model.
resultsA total of 145 patients enrolled (77% enrollment rate), and 126 remained eligible. The overall knowledge score was 58.5% (out of 100%). Knowledge about risk of complications was especially low at 14.3%. Knowledge did not differ by treatment (reconstruction or not). On multivariable analysis, non-white race was independently associated with lower knowledge. Most patients (92.1%) reported some discussion with a provider about reconstruction, and most (90.4%) reported being asked their preference. More patients reported discussing the advantages of reconstruction (57.9%) than the disadvantages (27.8%).
conclusionsWomen undergoing mastectomy in this sample were highly involved in decision making, but had major deficits in knowledge about the procedure. Knowledge about the risk of complications was particularly low. Providers seemed to have discussed the advantages of reconstruction more than its disadvantages.
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What OpenQuestion holds
Registered trials
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.