Evidence map›Paper›PMID 28352801›Full record

ArticleOpen medicine (Warsaw, Poland)2016

Contralateral risk reducing mastectomy in Non-BRCA-Mutated patients.

Giuseppe Falco, Nicola Rocco, Daniele Bordoni, Luigi Marano, Antonello Accurso, Claudio Buccelli, Pierpaolo Di Lorenzo, Emanuele Capasso, Fabio Policino, Massimo Niola and 1 more

Open access · goldAbstract read
In one paragraph

Article in Open medicine (Warsaw, Poland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
  2. Article
  3. Genetic Testing: Ethical Aspects.Open medicine (Warsaw, Poland) · 2018
    Article
  4. Genetic Risk in Insurance Field.Open medicine (Warsaw, Poland) · 2018
    Article
  5. RNA-Sequence Analysis Reveals Differentially Expressed Genes (DEGs) in Patients Exhibiting Different Risks of Tumor Metastasis.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Article
  6. 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

11 authors at 5 institutions in 1 country.

Giuseppe FalcoBreast Surgery Unit Arcispedale-IRCCS Santa Maria Nuova, Reggio Emilia, Italy.
Nicola RoccoDepartment of Clinical Medicine and Surgery, University of Naples "Federico II", Napoli, Italy.
Daniele BordoniDepartment of Senology, "Santa Maria della Mi-sericordia" Hospital, Urbino, Italy.
Luigi MaranoRobotic Surgery Unit, "San Matteo degli Infermi" Hospital - ASL Umbria 2, 06049, Spoleto (PG), Italy.
Antonello AccursoDepartment of Gastroenterology, Endocrinology and Surgery, Breast Unit, AOU "Federico II", Naples, Italy.
Claudio BuccelliDepartment of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, via S. Pan-sini,5, 80131 Naples, Italy.
Pierpaolo Di LorenzoDepartment of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, via S. Pan-sini,5, 80131 Naples, Italy.
Emanuele CapassoDepartment of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, via S. Pan-sini,5, 80131 Naples, Italy.
Fabio PolicinoDepartment of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, via S. Pan-sini,5, 80131 Naples, Italy.
Massimo NiolaDepartment of Advanced Biomedical Sciences, Naples, Italy, University "Federico II" of Naples, via S. Pan-sini,5, 80131 Naples, Italy.
Guglielmo FerrariBreast Surgery Unit Arcispedale-IRCCS Santa Maria Nuova, Reggio Emilia, Italy.
University of Naples Federico II · ITFederico II University Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedale di Spoleto · ITOspedale Santa Maria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of contralateral risk reducing mastectomy (CRRM) is indicated in women affected by breast cancer, who are at high risk of developing a contralateral breast cancer, particularly women with genetic mutation of BRCA1, BRCA2 and P53. However we should consider that the genes described above account for only 20-30% of the excess familiar risk. What is contralaterally indicated when genetic assessment results negative for mutation in a young patient with unilateral breast cancer? Is it ethically correct to remove a contralateral "healthy" breast? CRRM rates continue to rise all over the world although CRRM seems not to improve overall survival in women with unilateral sporadic breast cancer. The decision to pursue CRRM as part of treatment in women who have a low-to-moderate risk of developing a secondary cancer in the contralateral breast should consider both breast cancer individual-features and patients preferences, but should be not supported by the surgeon and avoided as first approach with the exception of women highly worried about cancer. Prospective studies are needed to identify cohorts of patients most likely to benefit from CRRM.

Indexed as

Breast Cancercontralateral risk reducing mastectomyNon-mutated patients

Identifiers

PMID28352801
PMCPMC5329834
OpenAlexW2484978499

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.