Evidence map›Paper›PMID 30182349›Full record

ReviewBreast cancer research and treatment2018

Oncoplastic Breast Consortium consensus conference on nipple-sparing mastectomy.

Walter P Weber, Martin Haug, Christian Kurzeder, Vesna Bjelic-Radisic, Rupert Koller, Roland Reitsamer, Florian Fitzal, Jorge Biazus, Fabricio Brenelli, Cicero Urban and 48 more

2 registry-linked trialsAbstract readReviewConsensus Statement
In one paragraph

Review in Breast cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 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.

NCT04345081 recruitingnot on this mapstarted 2020, after this paper: background citation

Examining the Cosmetic Results and Patient Satisfaction Achieved With Skin Reducing Nipple Sparing Mastectomy of Ptotic Breast Followed by Delayed-immediate Submuscular Implant Based- Breast Reconstruction Surgery, and Comparing it to Submuscular Delayed- Immediate Implant- Based Breast Reconstruction Procedures After Skin- Sparing Mastectomy. Response-adaptive, Prospective Randomized Clinical Trial

TypeobservationalSponsorNational Institute of Oncology, HungaryRan2020 to 2027Enrolled110ConditionsBreast Cancer, Mastectomy, Lymphedema, Quality of LifeArmsSkin Reducing Nipple Sparing Mastectomy and Implant Based Breast Reconstruction, Skin- Sparing Mastectomy and Implant- Based Breast Reconstructive Surgery
NCT04356235 recruitingnot on this mapstarted 2020, after this paper: background citation

Examining and Comparing Patient Satisfaction and Long-term Cosmetic Results Achieved With Implant-based Breast Reconstruction Surgery With Submuscular Silicone Implant After Skin Sparing / Areola Sparing / Nipple Sparing Mastectomy and Contralateral Symmetrization (With Mastopexy and/or Silicone Implant and/or Ultrapro Mesh) With Unilateral Simple Mastectomies and With Bilateral Skin-sparing Mastectomies and Implant-based Immediate Breast Reconstructions. Response-adaptive Prospective Randomized, Comparative Clinical Trial

TypeobservationalSponsorNational Institute of Oncology, HungaryRan2020 to 2027Enrolled528ConditionsMastectomy, Lymphedema, Breast Cancer, Quality of LifeArmsA: expander-silicone implant exchange and contralateral symmetrization with mastopexy and if needed with volume reduction, B: expander-silicone implant exchange with contralateral symmetrization with mastopexy and Ultrapro sling, C: expander-silicone implant exchange and contralateral symmetrization with mastopexy and silicone implant augmentation, D: expander-silicone implant exchange and contralateral symmetrization with mastopexy and Utrapro sling and silicone implant augmentation, E: unilateral simple mastectomy
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Surgical management of breast cancer: a review.Annals of medicine and surgery (2012) · 2025
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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

58 authors.

Walter P WeberBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland. walter.weber@usb.ch.ORCID http://orcid.org/0000-0003-1667-7844
Martin HaugBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Christian KurzederBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Vesna Bjelic-RadisicDepartment of Gynecology, Medical University of Graz, Graz, Austria.
Rupert KollerDepartment of Plastic and Reconstructive Surgery, Wilhelminenspital, Vienna, Austria.
Roland ReitsamerBreast Center Salzburg, University Clinic Salzburg, Paracelsus Medical University Salzburg, Salzburg, Austria.
Florian FitzalDepartment of Surgery and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Jorge BiazusBreast Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Fabricio BrenelliBreast Oncology Division, University of Campinas, Campinas, SP, Brazil.
Cicero UrbanPositivo University Medical School, Curitiba, Brazil.
Régis Resende PaulinelliGynecology and Breast Unit, Goiás Anticancer Association, Hospital Araújo Jorge, Goiânia, Brazil.
Jens-Uwe BlohmerDepartment of Gynecology and Breast Center, Charité University Hospital, Berlin, Germany.
Jörg HeilDepartment of Obstetrics and Gynecology, Medical School, University of Heidelberg, Heidelberg, Germany.
Jürgen HoffmannBreast Center, University Hospital Düsseldorf, Düsseldorf, Germany.
Zoltan MatraiDepartment of Breast and Sarcoma Surgery, National Institute of Oncology, Budapest, Hungary.
Giuseppe CatanutoMultidisciplinary Breast Unit, Azienda Ospedaliera Cannizzaro, Catania, Italy.
Viviana GalimbertiDivision of Breast Surgery, European Institute of Oncology, Milan, Italy.
Oreste GentiliniBreast Surgery Unit, San Raffaele Hospital, Milan, Italy.
Mitchel BarryMater Misericordiae University Hospital, Dublin, Ireland.
Tal HadarBreast Health Unit, Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Tanir M AllweisDepartment of Surgery, Kaplan Medical Center, Rehovot, Israel.
Oded OlshaBreast Health Unit, Shaare Zedek Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Maria João CardosoBreast Unit, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.
Pedro F GouveiaBreast Unit, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.
Isabel T RubioBreast Surgical Oncology, Clinica Universidad de Navarra, Madrid, Spain.
Jana de BonifaceDepartment of Surgery, Capio St Göran's Hospital, Stockholm, Sweden.
Tor SvensjöDepartment of Surgery, Central Hospital, Kristianstad, Sweden.
Susanne BucherBreast Center, Lucerne Cantonal Hospital, Lucerne, Switzerland.
Peter DubskyDepartment of Surgery and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Jian FarhadiBreast Center Zurich, Zurich, Switzerland.
Mathias K FehrBreast Center Thurgau, Cantonal Hospital Frauenfeld, Frauenfeld, Switzerland.
Ilario FulcoBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Ursula Ganz-BlättlerInstitute of Sociology, University of St. Gallen, St. Gallen, Switzerland.
Andreas GünthertDepartment of Gynecology, Lucerne Cantonal Hospital, Lucerne, Switzerland.
Yves HarderDepartment of Plastic, Reconstructive and Aesthetic Surgery, Centro di Senologia della Svizzera Italiana (CSSI), Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.
Nik HauserBreast Center, Hirslanden Clinic Aarau, Aarau, Switzerland.
Elisabeth A KapposBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Michael KnauerBreast Center St. Gallen, St. Gallen, Switzerland.
Julia LandinBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Robert MecheraBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Francesco MeaniDepartment of Obstetrics and Gynecology, Centro di Senologia della Svizzera Italiana (CSSI), Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland.
Giacomo MontagnaBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Mathilde RitterBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Ramon SaccilottoUniversity of Basel, Basel, Switzerland.
Fabienne D SchwabBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Daniel SteffensBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Christoph TauschBreast Center Zurich, Zurich, Switzerland.
Jasmin ZeindlerBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Savas D SoysalBreast Center, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland.
Visnu LohsiriwatDepartment of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Tibor KovacsBreast Surgery Unit, Guy's Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Anne TansleyDepartment of Surgery, Royal Liverpool University Hospital, Liverpool, UK.
Lynda WyldDepartment of Oncology and Metabolism, University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0002-4046-5940
Laszlo RomicsDepartment of Surgery, New Victoria Hospital, Glasgow, UK.
Mahmoud El-TamerDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Andrea L PusicDivision of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Virgilio SacchiniDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Michael GnantDepartment of Surgery and Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-1002-2118

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Krebsforschung Schweiz AND-4342-01-2017Krebsliga Schweiz AND-4342-01-2017NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeIndications for nipple-sparing mastectomy (NSM) have broadened to include the risk reducing setting and locally advanced tumors, which resulted in a dramatic increase in the use of NSM. The Oncoplastic Breast Consortium consensus conference on NSM and immediate reconstruction was held to address a variety of questions in clinical practice and research based on published evidence and expert panel opinion.

methodsThe panel consisted of 44 breast surgeons from 14 countries across four continents with a background in gynecology, general or reconstructive surgery and a practice dedicated to breast cancer, as well as a patient advocate. Panelists presented evidence summaries relating to each topic for debate during the in-person consensus conference. The iterative process in question development, voting, and wording of the recommendations followed the modified Delphi methodology.

resultsConsensus recommendations were reached in 35, majority recommendations in 24, and no recommendations in the remaining 12 questions. The panel acknowledged the need for standardization of various aspects of NSM and immediate reconstruction. It endorsed several oncological contraindications to the preservation of the skin and nipple. Furthermore, it recommended inclusion of patients in prospective registries and routine assessment of patient-reported outcomes. Considerable heterogeneity in breast reconstruction practice became obvious during the conference.

conclusionsIn case of conflicting or missing evidence to guide treatment, the consensus conference revealed substantial disagreement in expert panel opinion, which, among others, supports the need for a randomized trial to evaluate the safest and most efficacious reconstruction techniques.

Indexed as

Breast NeoplasmsFemaleHumansMammaplastyMastectomy, SubcutaneousNecrosisNipplesSurgical FlapsBreast cancer surgeryImmediate breast reconstructionNipple-sparing mastectomy

Identifiers

PMID30182349
PMCPMC6245050

What OpenQuestion holds

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Registered trials

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.