Evidence map›Paper›PMID 29968026›Full record

ArticleAnnals of surgical oncology2018

Select Choices in Benign Breast Disease: An Initiative of the American Society of Breast Surgeons for the American Board of Internal Medicine Choosing Wisely

Roshni Rao, Kandace Ludwig, Lisa Bailey, Tiffany S Berry, Robert Buras, Amy Degnim, Oluwadamilola M Fayanju, Joshua Froman, Negar Golesorkhi, Caprice Greenburg and 6 more

Open access · greenAbstract read
In one paragraph

Article in Annals of surgical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
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  9. Long-Term Risk of Breast Cancer after Diagnosis of Benign Breast Disease by Screening Mammography.International journal of environmental research and public health · 2022
    Article
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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

16 authors at 14 institutions in 1 country.

Roshni RaoDepartment of Surgery, Division of Breast Surgery, Columbia University Medical Center, New York, NY, USA. rr3181@cumc.columbia.edu.
Kandace LudwigUniversity of Indiana, Indianapolis, IN, USA.
Lisa BaileyBay Area Breast Surgeons, Oakland, CA, USA.
Tiffany S BerryNorton Surgical Specialists, Louisville, KY, USA.
Robert BurasAnne Arundel Medical Center, Annapolis, MD, USA.
Amy DegnimMayo Clinic, Rochester, MN, USA.
Oluwadamilola M FayanjuDuke University, Durham, NC, USA.
Joshua FromanMayo Clinic Health System, Owatonna, MN, USA.
Negar GolesorkhiSentara Comprehensive Breast Center, Lorton, VA, USA.
Caprice GreenburgUniversity of Wisconsin, Madison, WI, USA.
Ayemoe Thu MaMount Sinai Health System, New York, NY, USA.
Starr Koslow MautnerMiami Cancer Institute, Miami, FL, USA.
Helen KrontirasUniversity of Alabama, Birmingham, AL, USA.
Michelle SowdenThe University of Vermont Medical Center, Burlington, VT, USA.
Barbara WexelmanTrihealth Cancer Institute, Cincinnati, OH, USA.
Jeffrey LandercasperGundersen Medical Foundation, La Crosse, WI, USA.
Anne Arundel Medical Center · USBay Area Breast Surgeons · USColumbia University Irving Medical Center · USDuke University · USGundersen Health System · USMayo Clinic Health System · USMayo Clinic in Arizona · USMiami Heart Research Institute · USMount Sinai Health System · USNorton Healthcare · USTriHealth · USUniversity of Alabama at Birmingham · USUniversity of Vermont Medical Center · USUniversity of Wisconsin–Madison · US

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI DONNA NIEDZWIECKI · 1985 to 2026
$174.8M
Institutional Career Development CoreKL2TR002554 · NCATS · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2018 to 2022
$8.2M
NCATS NIH HHS KL2 TR002554NCI NIH HHS P30 CA014236
6 · The paper itself

Abstract

backgroundUp to 50% of all women encounter benign breast problems. In contrast to breast cancer, high-level evidence is not available to guide treatment. Management is therefore largely based on individual physician experience/training. The American board of internal medicine (ABIM) initiated its Choosing Wisely

methodsThe PSQC solicited initial candidate measures. PSQC surgeons represent a wide variety of practices. The resulting measures were ranked by modified Delphi appropriateness methodology in two rounds. The final list was approved by ASBrS and endorsed by the ABIM.

resultsThe final five measures are as follows. (1) Don't routinely excise areas of pseuodoangiomatous stromal hyperplasia (PASH) of the breast in patients who are not having symptoms from it. (2) Don't routinely surgically excise biopsy-proven fibroadenomas that are < 2 cm. (3) Don't routinely operate for a breast abscess without an initial attempt to percutaneously aspirate. (4) Don't perform screening mammography in asymptomatic patients with normal exams who have less than a 5-years life expectancy. (5) Don't routinely drain nonpainful, fluid-filled cysts.

conclusionsThe ASBrS Choosing Wisely

Indexed as

Choice BehaviorDecision MakingBreast NeoplasmsFemaleHumansPatient ParticipationPractice Guidelines as TopicSocieties, MedicalSurgical OncologyUnited States

Identifiers

PMID29968026
PMCPMC6512861
OpenAlexW2811203973

What OpenQuestion holds

Textmetadata
LicenceTDM
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.