Evidence map›Paper›PMID 30990940›Full record

ArticleANZ journal of surgery2019

Oncoplastic breast surgery versus conventional breast-conserving surgery: a comparative retrospective study.

Ilmi Behluli, Pol-Edern Le Renard, Kamila Rozwag, Peter Oppelt, Andreas Kaufmann, Achim Schneider

Abstract readComparative Study
In one paragraph

Article in ANZ journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

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

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ilmi BehluliDepartment of Gynaecology and Gynaecological Oncology, Charité University Medicine Berlin, Berlin, Germany.ORCID 0000-0002-8737-0519
Pol-Edern Le RenardDepartment of Gynaecology, Obstetrics and Gynaecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Linz, Austria.ORCID 0000-0002-8385-441X
Kamila RozwagDepartment of Gynaecology and Gynaecological Oncology, Charité University Medicine Berlin, Berlin, Germany.
Peter OppeltDepartment of Gynaecology, Obstetrics and Gynaecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Linz, Austria.
Andreas KaufmannDepartment of Gynaecology and Gynaecological Oncology, Charité University Medicine Berlin, Berlin, Germany.
Achim SchneiderDepartment of Gynaecology and Gynaecological Oncology, Charité University Medicine Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn addition to conventional breast-conserving surgery (BCS), oncoplastic breast surgery (OBS) is an operation technique that strives simultaneously to increase oncological safety and patient's satisfaction. It is the combination of the best-proven techniques in plastic surgery with surgery for breast cancer. In a growing number of indications, OBS overcomes the limit of conventional BCS by allowing larger resection volumes while avoiding deformities. The aim of our retrospective study (2012-2014) was to compare oncological outcomes of OBS versus BCS.

methodsWe compared two groups of patients with primary non-metastatic breast tumours: group A (n = 291), where BCS was performed, versus group B (n = 52), where OBS was performed. Surgical interventions were performed in German and Swiss teaching hospital settings. The surgeon for group B had subspecialist training in OBS. We assessed outcome in term of re-excision rates, resection margin and complications.

resultsGroups were homogenous (no significant differences in terms of age, tumour size, tumour type or grade). The resection margin was larger in group B (7 mm) than in group A (3 mm). Re-excision rate of group B (8%) was significantly lower than in group A (31%). Complication rates were comparably low in groups A and B.

conclusionDespite the limits of retrospective design, our study confirms that OBS is safe and reduces the re-excision rates and the need for further surgery. OBS has the potential to improve oncological care and should be more widely adopted.

Indexed as

BreastBreast NeoplasmsCarcinoma, Ductal, BreastCombined Modality TherapyFemaleGermanyHumansMammaplastyMargins of ExcisionMastectomyMastectomy, SegmentalMiddle AgedNeoplasm StagingPatient SatisfactionPostoperative ComplicationsRetrospective Studiesbreast-conserving surgerylumpectomyoncoplastic breast surgeryreduction mammoplastysegmental mastectomytherapeutic mammoplasty

Identifiers

PMID30990940
PMCPMC6849881

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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.