Evidence map›Paper›PMID 31548812›Full record

ArticleCurrent oncology (Toronto, Ont.)2019

Exploring reasons for overuse of contralateral prophylactic mastectomy in Canada.

J E Squires, S N Simard, S Asad, D Stacey, I D Graham, M Coughlin, M Clemons, J M Grimshaw, J Zhang, J M Caudrelier and 1 more

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Decision-making experiences of breast cancer patients related to contralateral prophylactic mastectomy-a systematic meta-synthesis of qualitative studies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Review
  3. Article
  4. Article
  5. 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

11 authors at 4 institutions in 1 country.

J E SquiresSchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON.
S N SimardBloomberg School of Nursing, University of Toronto, Toronto, ON.
S AsadClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON.
D StaceySchool of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON.
I D GrahamClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON.
M CoughlinClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON.
M ClemonsDepartment of Medicine, University of Ottawa, Ottawa, ON.
J M GrimshawClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, ON.
J ZhangDepartment of Plastic Surgery, The Ottawa Hospital and University of Ottawa, Ottawa, ON.
J M CaudrelierDepartment of Radiation Oncology, The Ottawa Hospital and University of Ottawa, Ottawa, ON.
A ArnaoutCancer Therapeutics Program, The Ottawa Hospital Research Institute, Ottawa, ON.
University of Ottawa · CAOttawa Hospital · CAOttawa Hospital Research InstituteUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Contralateral prophylactic mastectomy (cpm) in women with known unilateral breast cancer (bca) has been increasing despite the lack of supportive evidence. The purpose of the present study was to identify the determinants of cpm in women with unilateral bca. Methods: This qualitative descriptive study used semi-structured interviews informed by the Theoretical Domains Framework. We interviewed 74 key informants (surgical oncologists, plastic surgeons, medical oncologists, radiation oncologists, nurses, women with bca) across Canada. Interviews were analyzed using thematic analysis and an analysis for shared and discipline-specific beliefs. Results: In total, 58 factors influencing the use of cpm were identified: 26 factors shared by various health care professional groups, 15 discipline-specific factors (identified by a single health care professional group), and 17 factors shared by women with unilateral bca. Health care professionals identified more factors discouraging the use of cpm ( Conclusions: Multiple factors discouraging and encouraging the use of cpm in unilateral bca were identified. Those factors identify potential individual, team, organization, and system targets for behaviour change interventions to reduce cpm.

Indexed as

AdultBreast NeoplasmsCanadaClinical Decision-MakingFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMiddle AgedNeoplasms, Second PrimaryPractice Guidelines as TopicProphylactic MastectomyQualitative ResearchRisk Assessmentbehaviour changebreast cancerContralateral prophylactic mastectomyimplementationknowledge translation

Identifiers

PMID31548812
PMCPMC6726273
OpenAlexW2970179992

What OpenQuestion holds

Textmetadata
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.