Evidence map›Paper›PMID 27668334›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2016

Users' guide to the surgical literature: how to assess an article about harm in surgery.

Achilleas Thoma, Manraj Nirmal Kaur, Forough Farrokhyar, Daniel Waltho, Carolyn Levis, Peter Lovrics, Charlie H Goldsmith

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-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

2 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. 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 3 institutions in 1 country.

Achilleas ThomaFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Levis); the Surgical Outcomes Research Center, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Kaur, Levis, Lovrics, Goldsmith, Farrokhyar); the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Farrokhyar, Goldsmith); the School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Kaur); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Waltho); the Division of General Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Lovrics); the Faculty of Health Sciences, Simon Fraser University, Vancouver, BC (Goldsmith).
Manraj Nirmal KaurFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Levis); the Surgical Outcomes Research Center, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Kaur, Levis, Lovrics, Goldsmith, Farrokhyar); the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Farrokhyar, Goldsmith); the School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Kaur); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Waltho); the Division of General Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Lovrics); the Faculty of Health Sciences, Simon Fraser University, Vancouver, BC (Goldsmith).
Forough FarrokhyarFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Levis); the Surgical Outcomes Research Center, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Kaur, Levis, Lovrics, Goldsmith, Farrokhyar); the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Farrokhyar, Goldsmith); the School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Kaur); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Waltho); the Division of General Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Lovrics); the Faculty of Health Sciences, Simon Fraser University, Vancouver, BC (Goldsmith).
Daniel WalthoFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Levis); the Surgical Outcomes Research Center, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Kaur, Levis, Lovrics, Goldsmith, Farrokhyar); the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Farrokhyar, Goldsmith); the School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Kaur); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Waltho); the Division of General Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Lovrics); the Faculty of Health Sciences, Simon Fraser University, Vancouver, BC (Goldsmith).
Carolyn LevisFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Levis); the Surgical Outcomes Research Center, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Kaur, Levis, Lovrics, Goldsmith, Farrokhyar); the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Farrokhyar, Goldsmith); the School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Kaur); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Waltho); the Division of General Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Lovrics); the Faculty of Health Sciences, Simon Fraser University, Vancouver, BC (Goldsmith).
Peter LovricsFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Levis); the Surgical Outcomes Research Center, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Kaur, Levis, Lovrics, Goldsmith, Farrokhyar); the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Farrokhyar, Goldsmith); the School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Kaur); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Waltho); the Division of General Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Lovrics); the Faculty of Health Sciences, Simon Fraser University, Vancouver, BC (Goldsmith).
Charlie H GoldsmithFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Levis); the Surgical Outcomes Research Center, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Kaur, Levis, Lovrics, Goldsmith, Farrokhyar); the Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Thoma, Farrokhyar, Goldsmith); the School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Kaur); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Waltho); the Division of General Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, Hamilton, Ont. (Lovrics); the Faculty of Health Sciences, Simon Fraser University, Vancouver, BC (Goldsmith).
Simon Fraser University · CAMcMaster University · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

clinicalscenarioYou are a new plastic surgeon in the community and you are referred a patient interested in breast reconstruction. The patient is a 35-year-old female school teacher who had a bilateral prophylactic mastectomy 2 years earlier, as she was a BRCA gene carrier. Since she is of a petite build with very little subcutaneous tissue or extra skin in the lower abdomen, you decide that she is not a suitable candidate for an abdomen-based autologous tissue reconstruction. You recommend the technique of tissue expansion and silicone gel implants. She is concerned, however, about the possibility of anaplastic large cell lymphoma (ALCL) developing in her breasts. She read in a magazine recently that ALCL, an unusual form of breast cancer, has been occurring in patients who have breast implants. She is very concerned that she might be at risk and asks for your opinion as to whether she should proceed with the procedure or not.

Indexed as

Practice Guidelines as TopicAdultFemaleGeneral SurgeryHumansMammaplastyOutcome and Process Assessment, Health CareRisk AssessmentSurgical Procedures, Operative

Identifiers

PMID27668334
PMCPMC5042723
OpenAlexW2522997701

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.