Evidence map›Paper›PMID 28831358›Full record

ArticlePlastic and reconstructive surgery. Global open2017

Patient-Reported Outcomes Are Better after Oncoplastic Breast Conservation than after Mastectomy and Autologous Reconstruction.

Natalie D Chand, Victoria Browne, Nirmala Paramanathan, Lashan J Peiris, Siobhan A Laws, Richard M Rainsbury

Abstract 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 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
–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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Breast Reconstruction: The Oncoplastic Approach.Journal of clinical medicine · 2024
    Review
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  19. Review
  20. Psychological and Aesthetic Outcomes in Breast Cancer Patients.Plastic and reconstructive surgery. Global open · 2021
    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

6 authors.

Natalie D ChandBreast Surgery Unit, Division of Family and Clinical Support Services, Florence Portal House, Royal Hampshire County Hospital, Winchester, Hampshire, United Kingdom.
Victoria BrowneBreast Surgery Unit, Division of Family and Clinical Support Services, Florence Portal House, Royal Hampshire County Hospital, Winchester, Hampshire, United Kingdom.
Nirmala ParamanathanBreast Surgery Unit, Division of Family and Clinical Support Services, Florence Portal House, Royal Hampshire County Hospital, Winchester, Hampshire, United Kingdom.
Lashan J PeirisBreast Surgery Unit, Division of Family and Clinical Support Services, Florence Portal House, Royal Hampshire County Hospital, Winchester, Hampshire, United Kingdom.
Siobhan A LawsBreast Surgery Unit, Division of Family and Clinical Support Services, Florence Portal House, Royal Hampshire County Hospital, Winchester, Hampshire, United Kingdom.
Richard M RainsburyBreast Surgery Unit, Division of Family and Clinical Support Services, Florence Portal House, Royal Hampshire County Hospital, Winchester, Hampshire, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oncoplastic breast-conserving surgery (OBCS) avoids mastectomy for larger tumors, but patient-reported outcomes are unknown.

methodsThe BREAST-Q questionnaire was distributed to 333 women following therapeutic mammaplasty or latissimus dorsi (LD) miniflap since 1991 [tumor diameter, 32.5 (5-100) mm). QScore software generated scores/100 for breast appearance, physical, emotional, and sexual wellbeing. Outcomes following therapeutic mammaplasty and LD miniflap were compared and qualitative data analyzed to identify common themes relating to satisfaction.

resultsOne hundred fifty (45%) women responded [mammaplasty versus LD miniflap, 52% versus 42%; age, 52 (30-83) years; follow-up, 84 (4-281) months). Eighty-nine percent rated OBCS better than mastectomy, > 80% recommending it to others. Mean outcome scores for breast appearance, physical, and emotional wellbeing were high and persisted beyond 15 years. Therapeutic mammaplasty patients were significantly more satisfied than those undergoing LD miniflap with the shape (

conclusionsPatients report long-lasting satisfaction after OBCS and outcomes that compare very favorably with those reported following mastectomy and immediate autologous reconstruction.

Identifiers

PMID28831358
PMCPMC5548581

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LicenceCC BY-NC-ND
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Registered trials

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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.