Evidence map›Paper›PMID 28203509›Full record

ArticlePlastic and reconstructive surgery. Global open2017

The BREASTrial Stage II: ADM Breast Reconstruction Outcomes from Definitive Reconstruction to 3 Months Postoperative.

Shaun D Mendenhall, Layla A Anderson, Jian Ying, Kenneth M Boucher, Leigh A Neumayer, Jayant P Agarwal

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 1 institution in 1 country.

Shaun D MendenhallThe Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.; Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah; Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Surgery, University of Arizona, Tucson, Ariz.; and Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Layla A AndersonThe Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.; Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah; Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Surgery, University of Arizona, Tucson, Ariz.; and Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Jian YingThe Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.; Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah; Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Surgery, University of Arizona, Tucson, Ariz.; and Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Kenneth M BoucherThe Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.; Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah; Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Surgery, University of Arizona, Tucson, Ariz.; and Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Leigh A NeumayerThe Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.; Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah; Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Surgery, University of Arizona, Tucson, Ariz.; and Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Jayant P AgarwalThe Institute for Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Ill.; Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah; Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah; Department of Surgery, University of Arizona, Tucson, Ariz.; and Division of Plastic and Reconstructive Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
University of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Breast Reconstruction Evaluation of Acellular Dermal Matrix as a Sling Trial is a prospective randomized trial comparing outcomes of tissue expander breast reconstruction using either AlloDerm or DermaMatrix. The trial was divided into 3 outcome stages; this study reports stage II outcomes, which are those from the time of definitive reconstruction to 3 months postoperative.

methodsA randomized trial was conducted to compare complication rates between AlloDerm and DermaMatrix groups. The impact of matrix type, age, obesity, radiation therapy, chemotherapy, and reconstruction type on complications was analyzed with regression models.

resultsOf the 128 patients (199 breasts) who were randomly assigned into the trial, 111 patients (173 breasts) were available for analysis in stage II. There was no difference in overall rates of complications (15.4% vs 18.3%,

conclusionsAcellular dermal matrix (ADM) will likely continue to have a role in breast reconstructive surgery; however, caution should be taken when using ADM because of relatively high complication rates, especially in obese patients. The particular ADM product should be selected based on individual surgeon preference, experience, and success rates. These data and forthcoming long-term outcomes from the Breast Reconstruction Evaluation of Acellular Dermal Matrix as a Sling Trial will enable surgeons to carefully weigh the risks and benefits of ADM use in breast reconstruction.

Identifiers

PMID28203509
PMCPMC5293307
OpenAlexW2590604994

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.