Evidence map›Paper›PMID 32562119›Full record

ArticleBreast cancer research and treatment2020

High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis.

Michelle Specht, Nikhil Sobti, Nikki Rosado, Eleanor Tomczyk, Olivia Abbate, Dan Ellis, Eric C Liao

Open access · bronzeAbstract read
In one paragraph

Article in Breast cancer research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Michelle SpechtDivision of Surgical Oncology, Massachusetts General Hospital, Boston, MA, USA.
Nikhil SobtiDivision of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.
Nikki RosadoDivision of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.
Eleanor TomczykDivision of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.
Olivia AbbateDivision of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.
Dan EllisDivision of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.
Eric C LiaoDivision of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA. cliao@partners.org.ORCID http://orcid.org/0000-0001-6385-7448
Massachusetts General Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs our hospitals conserve and re-allocate resources during the COVID-19 crisis, there is urgent need to determine how best to continue caring for breast cancer patients. During the time window before the COVID-19 critical peak and particularly thereafter, as hospitals are able to resume cancer operations, we anticipate that there will be great need to maximize efficiency to treat breast cancer. The goal of this study is to present a same-day protocol that minimizes resource utilization to enable hospitals to increase inpatient capacity, while providing care for breast cancer patients undergoing mastectomy and immediate breast reconstruction during the COVID-19 crisis.

methodsIRB exempt patient quality improvement initiative was conducted to detail the operationalization of a novel same-day breast reconstruction protocol. Consecutive patients having undergone immediate breast reconstruction were prospectively enrolled between February and March of 2020 at Massachusetts General Hospital during the COVID-19 crisis. Peri-operative results and postoperative complications were summarized.

resultsTime interval from surgical closure to patient discharge was 5.02 ± 1.29 h. All patients were discharged home, with no re-admissions or emergency department visits. No postoperative complications were observed.

conclusionThis report provides an instruction manual to operationalize a same-day breast reconstruction protocol, to meet demands of providing appropriate cancer treatment during times of unprecedented resource limitations. Pre-pectoral implant-based breast reconstruction can be the definitive procedure or be used as a bridge to autologous reconstruction. Importantly, we hope this work will be helpful to our patients and community as we emerge from the COVID-19 pandemic.

Indexed as

Quality ImprovementAdultAftercareAmbulatory Surgical ProceduresAnesthesiologyBetacoronavirusBreast ImplantationBreast ImplantsBreast NeoplasmsCarcinoma, Ductal, BreastClinical ProtocolsCoronavirus InfectionsCOVID-19EfficiencyEmergency Service, HospitalFemaleBreast reconstructionCoronavirusCOVID-19ProtocolSame-day

Identifiers

PMID32562119
PMCPMC7304917
OpenAlexW3036885740

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.