Evidence map›Paper›PMID 28740788›Full record

ArticlePlastic and reconstructive surgery. Global open2017

Acellular Dermal Matrix Versus Inferior Deepithelialized Flap Breast Reconstruction: Equivalent Outcomes, with Increased Cost.

Heidi H Hon, Ronnie N Mubang, Brian D Wernick, Samuel F Freedman, Jill C Stoltzfus, Lino F Miele, Stanislaw P Stawicki, W Michael Morrissey

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PubMed Full text at PMC Publisher
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

  1. Article
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  5. Review
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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

8 authors.

Heidi H HonDepartment of Surgery, Section of Plastic Surgery, The Research Institute, St. Luke's University Health Network, Bethlehem, Pa.; and Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pa.
Ronnie N MubangDepartment of Surgery, Section of Plastic Surgery, The Research Institute, St. Luke's University Health Network, Bethlehem, Pa.; and Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pa.
Brian D WernickDepartment of Surgery, Section of Plastic Surgery, The Research Institute, St. Luke's University Health Network, Bethlehem, Pa.; and Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pa.
Samuel F FreedmanDepartment of Surgery, Section of Plastic Surgery, The Research Institute, St. Luke's University Health Network, Bethlehem, Pa.; and Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pa.
Jill C StoltzfusDepartment of Surgery, Section of Plastic Surgery, The Research Institute, St. Luke's University Health Network, Bethlehem, Pa.; and Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pa.
Lino F MieleDepartment of Surgery, Section of Plastic Surgery, The Research Institute, St. Luke's University Health Network, Bethlehem, Pa.; and Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pa.
Stanislaw P StawickiDepartment of Surgery, Section of Plastic Surgery, The Research Institute, St. Luke's University Health Network, Bethlehem, Pa.; and Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pa.
W Michael MorrisseyDepartment of Surgery, Section of Plastic Surgery, The Research Institute, St. Luke's University Health Network, Bethlehem, Pa.; and Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, Pa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 250,000 new cases of breast cancer are diagnosed yearly in the U.S. resulting in more postmastectomy breast reconstructions (PMBRs). The acellular dermal matrix (ADM) expander-implant method became popular in the mid-2000s, but newer techniques such as the inferior deepithelialized flap (IDF) has more recently been described. We hypothesize that ADMs and IDFs provide comparable aesthetic outcomes, with no difference in complication rates and operative characteristics.

methodsA retrospective, single-institution study was performed between July 1, 2012, and June 30, 2014, examining all PMBR's (ADM and IDF). Outcomes were categorized as clinical (e.g., complications requiring surgical intervention) or aesthetic.

resultsA total of 65 patients (41 ADM; 24 IDF; mean age, 53.4 ± 10.7 years) were included, with 101 PMBR's evaluated (63 ADM and 38 IDF). Patients who underwent IDFs had higher body mass index (32 versus 25;

conclusionsThe IDF procedure took 30 minutes longer for each reconstructed side, without significant differences in complications or aesthetic outcomes between the 2 PMBRs. IDF reconstructions may be more suitable for patients with grade 3 breast ptosis and higher body mass index. Further studies should focus on long-term outcomes and value-based approaches to PMBR.

Identifiers

PMID28740788
PMCPMC5505849

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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.