Evidence map›Paper›PMID 31772879›Full record

ArticlePlastic and reconstructive surgery. Global open2019

International Expert Panel Consensus on Fat Grafting of the Breast.

Maurizio B Nava, Phillip Blondeel, Giovanni Botti, Francesco Casabona, Giuseppe Catanuto, Mark W Clemens, Domenico De Fazio, Roy De Vita, James Grotting, Dennis C Hammond and 12 more

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Pooled it
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  4. Review
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  9. Article
  10. Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES.Plastic and reconstructive surgery. Global open · 2023
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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

22 authors.

Maurizio B NavaUniversity of Milan, Milan, Italy.
Phillip BlondeelDepartment of Plastic Surgery, University Hospital Gent, Belgium.
Giovanni BottiVilla Bella Clinic, Salò (Brescia), Italy.
Francesco CasabonaPrivate Practice, Genova, Italy.
Giuseppe CatanutoG.RE.T.A. Group for Reconstructive and Therapeutic Advancements, Milan, Naples, Catania, Italy.
Mark W ClemensMD Anderson Cancer Centre, Houston, Tex.
Domenico De FazioPrivate Practice, Italy.
Roy De VitaDepartment of Plastic Surgery National Cancer Institute "Regina Elena," Rome, Italy.
James GrottingPrivate Practice, Birmingham, Ala.
Dennis C HammondPartners in Plastic Surgery of West Michigan, Grand Rapids, Mich.
Paul HarrisPrivate Practice, The London Clinic, London, United Kingdom.
Paolo MontemurroAkademikliniken, Stockholm, Sweden.
Alexandre Mendonça MunhozDepartment of Plastic and Reconstructive Surgery, Sírio-Libanês Hospital, São Paulo, Brazil.
Maurice NahabedianDepartment of Surgery, VCU - College of Medicine - Inova Branch, Falls Church, Va.
Stefano PompeiChief of Plastic & Reconstructive Surgery Division, San Camillo General Hospital of Rome, Rome, Italy.
Alberto RancatiChief Oncoplastic Surgery, Instituto Henry Moore, University of Buenos Aires, Buenos Aires, Argentina.
Gino RigottiClinica San Francesco, Verona, Italy.
Marzia SalgarelloDepartment of Plastic and Reconstructive Surgery, University of the Sacred Heart of Rome, Policlinico Gemelli.
Gianfranco ScaperrottaRadiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Andrea SpanoThe Clinic, Milan, Italy.
Costantin StanS Clinic, Bucharest, Romania.
Nicola RoccoG.RE.T.A. Group for Reconstructive and Therapeutic Advancements, Milan, Naples, Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutologous fat grafting has broad applications in reconstructive and aesthetic breast surgery as a natural filler and for its regenerative purposes. Despite the widespread use of fat grafting, there remains no shared consensus on what constitutes the optimal fat grafting technique and its oncological safety. For this reason, the authors of this study have organized a Survey and an International Consensus Conference that was held at the Aesthetic Breast Meeting in Milan (December 15, 2018).

methodsAll studies on fat grafting, both for breast aesthetic and reconstructive purposes, were electronically screened. The literature review led to 17 "key questions" that were used for the Survey. The authors prepared a set of 10 "key statements" that have been discussed in a dedicated face-to-face session during the meeting.

resultsThe 10 key statements addressed all the most debated topics on fat grafting of the breast. Levels of evidence for the key statements ranged from III to IV with 2 statements (20%) supported by a level of evidence III and 6 statements (60%) by level of evidence IV. Overall consensus was reached for 2 statements (20%) with >75% agreement reached for 7 statements.

conclusionsThe survey demonstrated a diversity of opinion and attitude among the panelists with regard to technique. Clear recommendations for evidence-based clinical practice for fat grafting use both in aesthetic and reconstructive breast surgery could not be defined due to the scarcity of level 1 or 2 studies.

Identifiers

PMID31772879
PMCPMC6846285

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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.