Evidence map›Paper›PMID 30841601›Full record

ArticleJournal of clinical medicine2019

Concerns and Expectations of Risk-Reducing Surgery in Women with Hereditary Breast and Ovarian Cancer Syndrome.

Paola Modaffari, Riccardo Ponzone, Alberta Ferrari, Isabella Cipullo, Viola Liberale, Marta D'Alonzo, Furio Maggiorotto, Nicoletta Biglia

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  4. 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.

Paola ModaffariAcademic Division of Gynaecology and Obstetrics, University of Turin School of Medicine, Largo Turati 62, 10128 Torino, Italy. modaffari.paola@gmail.com.ORCID 0000-0001-5300-4185
Riccardo PonzoneDepartment of Gynaecological Oncology, Candiolo Cancer Institute, 10060 Candiolo, Italy. riccardo.ponzone@ircc.it.ORCID 0000-0002-8822-2454
Alberta FerrariGeneral Surgery III-Breast Surgery, Department of Surgical Sciences, Fondazione IRCCS Policlinico S. Matteo Foundation, University of Pavia, 27100 Pavia, Italy. A.Ferrari@smatteo.pv.it.ORCID 0000-0003-2525-3787
Isabella CipulloAcademic Division of Gynaecology and Obstetrics, University of Turin School of Medicine, Largo Turati 62, 10128 Torino, Italy. isabella.cipullo@edu.unito.it.ORCID 0000-0003-0450-1833
Viola LiberaleAcademic Division of Gynaecology and Obstetrics, University of Turin School of Medicine, Largo Turati 62, 10128 Torino, Italy. viola.liberale@gmail.com.
Marta D'AlonzoAcademic Division of Gynaecology and Obstetrics, University of Turin School of Medicine, Largo Turati 62, 10128 Torino, Italy. martadalonzo@libero.it.ORCID 0000-0001-9153-8399
Furio MaggiorottoDepartment of Gynaecological Oncology, Candiolo Cancer Institute, 10060 Candiolo, Italy. furio.maggiorotto@ircc.it.
Nicoletta BigliaAcademic Division of Gynaecology and Obstetrics, University of Turin School of Medicine, Largo Turati 62, 10128 Torino, Italy. nicoletta.biglia@unito.it.ORCID 0000-0003-1009-5309

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary Breast and Ovarian Cancer syndrome (HBOC) carriers face complex decisions, which might affect their fertility and body image. Using an anonymous 40-items questionnaire we evaluated the expectations and concerns about Risk-Reducing Surgery (RRS) in 204 carriers. Participants are well-informed about the options to manage cancer risk, and women with previous cancer are more concerned with screening failure. Satisfaction with RR Mastectomy is high, even if many carriers are unsatisfied with reconstructed breast feel and nipple-areola complex tactile sensation and those with previous breast cancer report a change in their sexual habits. The decrease of libido and vaginal dryness are the most complained symptoms after RR Salpingo-Oophorectomy. Nevertheless, most carriers would choose RRS again, due to cancer risk or screening-related stress reduction. Women who deferred RRS are more afraid of menopausal symptoms and cancer risk than those who had undergone or declined surgery. Women who declined RRS feel well-informed and trust screening procedures. In conclusion, HBOC carriers consider themselves well-informed and able to choose the best option for their condition, would choose RRS again because of cancer risk and screening-related stress reduction, and those who delay RRS face a higher preoperative level of concern and need support.

Indexed as

BRCAquality of lifeRisk-Reducing MastectomyRisk-Reducing Salpingo-OophorectomyRisk-Reducing Surgery

Identifiers

PMID30841601
PMCPMC6463153

What OpenQuestion holds

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LicenceCC BY
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.