Evidence map›Paper›PMID 30957063›Full record

ArticleBJS open2019

Evolving indications and long-term oncological outcomes of risk-reducing bilateral nipple-sparing mastectomy.

S R Grobmyer, H J Pederson, S A Valente, Z Al-Hilli, D Radford, R Djohan, R Yetman, C Eng, J P Crowe

Open access · goldAbstract read
In one paragraph

Article in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Risk Management forCurrent breast cancer reports · 2020
    Article
  8. Article
  9. Nipple margin assessment at the time of nipple-sparing mastectomy.Canadian journal of surgery. Journal canadien de chirurgie
    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

9 authors at 1 institution in 1 country.

S R GrobmyerBreast Services Division, Department of General Surgery, Cleveland Clinic Cleveland Ohio USA.ORCID 0000-0002-1163-1348
H J PedersonBreast Services Division, Department of General Surgery, Cleveland Clinic Cleveland Ohio USA.
S A ValenteBreast Services Division, Department of General Surgery, Cleveland Clinic Cleveland Ohio USA.
Z Al-HilliBreast Services Division, Department of General Surgery, Cleveland Clinic Cleveland Ohio USA.
D RadfordBreast Services Division, Department of General Surgery, Cleveland Clinic Cleveland Ohio USA.
R DjohanDepartment of Plastic Surgery, Cleveland Clinic Cleveland Ohio USA.
R YetmanDepartment of Plastic Surgery, Cleveland Clinic Cleveland Ohio USA.
C EngGenomics Medicine Institute, Cleveland Clinic Cleveland Ohio USA.
J P CroweBreast Services Division, Department of General Surgery, Cleveland Clinic Cleveland Ohio USA.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bilateral nipple-sparing mastectomy (NSM) is a technically feasible operation and is associated with excellent cosmetic outcomes. The aim of this study was to evaluate trends in patient characteristics, indications for surgery and long-term outcomes of bilateral NSM for breast cancer risk reduction over time. Methods: A review of a single-centre experience with bilateral NSM performed between 2001 and 2017 for breast cancer risk reduction in patients without breast cancer was performed. Trends in patient characteristics and indications for surgery were evaluated over four time intervals: 2001-2005, 2006-2009, 2010-2013 and 2014-2017. Statistical analysis was performed using χ Results: Over the study period, 272 NSMs were performed in 136 patients; their median age was 41 years. The number of bilateral NSMs performed increased over time. The most common indication was a mutation in breast cancer-associated genes (104 patients, 76·5 per cent), which included Conclusion: The use of bilateral NSM for breast cancer risk reduction is increasing and the indications have evolved over the past 16 years. These excellent long-term oncological results suggest that bilateral NSM is a good option for surgical breast cancer risk reduction.

Indexed as

AdultAgedBiomarkers, TumorBreast NeoplasmsBreast Neoplasms, MaleFemaleFollow-Up StudiesGerm-Line MutationHumansMaleMastectomy, SubcutaneousMedical History TakingMiddle AgedNipplesOrgan Sparing TreatmentsPatient SelectionBiomarkers, Tumor

Identifiers

PMID30957063
PMCPMC6433310
OpenAlexW2903495889

What OpenQuestion holds

Textmetadata
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.