Evidence map›Paper›PMID 28068382›Full record

ArticlePloS one2017

The Impact of Pre-Operative Breast MRI on Surgical Waiting Time.

Michelle Zhang, Simon Sun, Benoît Mesurolle

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

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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 at 1 institution in 1 country.

Michelle ZhangCedar Breast Clinic, McGill University Health Center, Royal Victoria Hospital, 1001 Boulevard Decarie, Montreal, Quebec, Canada.
Simon SunCedar Breast Clinic, McGill University Health Center, Royal Victoria Hospital, 1001 Boulevard Decarie, Montreal, Quebec, Canada.
Benoît MesurolleCedar Breast Clinic, McGill University Health Center, Royal Victoria Hospital, 1001 Boulevard Decarie, Montreal, Quebec, Canada.ORCID http://orcid.org/0000-0003-4610-9995
Royal Victoria Regional Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the impact of pre-operative breast MRI on surgical waiting time, and to identify factors contributing to the delay. MATERIALS AND

methodsA retrospective cohort study involving 1274 patients was conducted after obtaining institutional ethics review. Surgical candidates for newly diagnosed breast cancer from 2007 to 2013 at a tertiary center were divided into 2 groups: those who had pre-operative MRI and those who did not. Linear regression using matched populations was used to compare the surgical waiting times, defined as time from the date of the first positive biopsy to the date of surgery. Potential influences on surgical waiting time and subgroup analysis were obtained using median regression analysis and the Kruskal-Wallis test.

resultsMean surgical waiting time was 57.9 days (95% CI: 55.6-60.1) for MRI patients, compared to 46.8 days (95% CI: 45.1-48.9) for the control group, after matching for potential confounding factors (p<0.0001). Increased surgical waiting time was associated with more favorable pathology, later year of diagnosis, older patient age, surgeon and summer time. Second-look ultrasound and subsequent biopsies were associated with increased waiting time (p = 0.001).

conclusionsPre-operative breast MRI increased surgical waiting time by 11 days using a conventional average of differences, and by 12 days after using a full matching statistical method (p<0.0001), with the main contributor being additional post-MRI procedures and imaging.

Indexed as

Magnetic Resonance ImagingTime-to-TreatmentAdultAgedBreast NeoplasmsFemaleHumansMiddle AgedPreoperative CareRetrospective StudiesRisk FactorsWatchful WaitingWorkflow

Identifiers

PMID28068382
PMCPMC5221790
OpenAlexW2569598672

What OpenQuestion holds

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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.