Evidence map›Paper›PMID 31242279›Full record

ArticleAesthetic surgery journal2020

Breast Implant Prevalence in the Dutch Female Population Assessed by Chest Radiographs.

Mintsje de Boer, Michele van Middelkoop, Michael Hauptmann, Noortje van der Bijl, Jorn A W Bosmans, Narda Hendriks-Brouwer, Sijmen J Schop, Jan Paul de Boer, Nathalie J Hijmering, Lucy I H Overbeek and 6 more

Open access · bronzeAbstract readValidation Study
In one paragraph

Article in Aesthetic surgery journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 2 countries.

Mintsje de BoerDepartment of Plastic, Reconstructive, and Hand Surgery of Maastricht University Medical Center, Maastricht, Netherlands.
Michele van MiddelkoopDepartment of Plastic, Reconstructive, and Hand Surgery of the Medical Spectrum Twente, Enschede, Netherlands.
Michael HauptmannDivision of Epidemiology of the Netherlands Cancer Institute, Amsterdam, Netherlands.
Noortje van der BijlDepartment of Radiology Medical Spectrum Twente, Enschede, Netherlands.
Jorn A W BosmansDepartment of Plastic, Reconstructive, and Hand Surgery of Maastricht University Medical Center, Maastricht, Netherlands.
Narda Hendriks-BrouwerDepartment of Plastic, Reconstructive, and Hand Surgery of the Medical Spectrum Twente, Enschede, Netherlands.
Sijmen J SchopDepartment of Plastic, Reconstructive, and Hand Surgery of Maastricht University Medical Center, Maastricht, Netherlands.
Jan Paul de BoerDivision of Epidemiology of the Netherlands Cancer Institute, Amsterdam, Netherlands.
Nathalie J HijmeringDivision of Pathology, VU University Medical Center.
Lucy I H OverbeekDutch Nationwide Network and Registry of Histo- and Cytopathology, Houten, Netherlands.
Marc B I LobbesDepartment of Radiology, Maastricht University Medical Center, Maastricht, Netherlands.
Caroline A H KlazenDepartment of Radiology Medical Spectrum Twente, Enschede, Netherlands.
Daphne de JongDivision of Pathology, VU University Medical Center.
Hinne A RakhorstDepartment of Plastic, Reconstructive, and Hand Surgery of Maastricht University Medical Center, Maastricht, Netherlands.
René R W J van der HulstDepartment of Plastic, Reconstructive, and Hand Surgery of Maastricht University Medical Center, Maastricht, Netherlands.
Flora E van LeeuwenDivision of Epidemiology of the Netherlands Cancer Institute, Amsterdam, Netherlands.
Maastricht University · NLMedisch Spectrum Twente · NLThe Netherlands Cancer Institute · NLUniversity Medical Center · USNetherlands Heart Registration · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast implant-related health problems are a subject of fierce debate. Reliable population-based estimates of implant prevalence rates are not available, however, due to a lack of historical registries and incomplete sales data, precluding absolute risk assessments.

objectivesThis study aimed to describe the methodology of a novel procedure to determine Dutch breast implant prevalence based on the evaluation of routine chest radiographs.

methodsThe validity of the new method was first examined in a separate study. Eight reviewers examined a series of 180 chest radiographs with (n = 60) or without (n = 120) a breast implant confirmed by a computed tomography or magnetic resonance imaging scan. After a consensus meeting with best-performing expert reviewers, we reviewed 3000 chest radiographs of women aged 20 to 70 years in 2 large regional hospitals in the Netherlands in 2015. To calculate the national breast implant prevalence, regional prevalence variations were corrected utilizing the National Breast Cancer Screening Program.

resultsEight reviewers scored with a median sensitivity of 71.7% (range, 41.7%-85.0%) and a median specificity of 94.6% (range, 73.4%-97.5%). After a consensus meeting and a reevaluation by best-performing expert reviewers, sensitivity was 79.9% and specificity was 99.2%. The estimated national prevalence of breast implants among women between 20 and 70 years was 3.0%, ranging from 1.7% at 21 to 30 years to 3.9% between 51 and 60 years.

conclusionsThe novel method in this study was validated with a high sensitivity and specificity, resulting in accurate prevalence estimates and providing the opportunity to conduct absolute risk assessment studies on the health consequences of breast implants. LEVEL OF EVIDENCE: 2:

Indexed as

AdultAgedBreast ImplantsBreast NeoplasmsFemaleHumansMagnetic Resonance ImagingMammographyMiddle AgedNetherlandsPrevalenceRisk AssessmentSensitivity and SpecificityTomography, X-Ray ComputedYoung Adult

Identifiers

PMID31242279
PMCPMC7006872
OpenAlexW2953596212

What OpenQuestion holds

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LicenceCC BY-NC
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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.