Evidence map›Paper›PMID 32605886›Full record

ArticleBrazilian journal of physical therapy

Current physical therapy care of patients undergoing breast reconstruction for breast cancer: a survey of practice in the United Kingdom and Brazil.

Bruno Mazuquin, Mariana Maia de Oliveira Sunemi, Marcela Ponzio Pinto E Silva, Luís Otávio Zanatta Sarian, Esther Williamson, Julie Bruce

Open access · greenAbstract read
In one paragraph

Article in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 2 countries.

Bruno MazuquinWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, United Kingdom. Electronic address: bruno.mazuquin@warwick.ac.uk.
Mariana Maia de Oliveira SunemiCentre for Integral Attention to Women's Health, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Marcela Ponzio Pinto E SilvaCentre for Integral Attention to Women's Health, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Luís Otávio Zanatta SarianCentre for Integral Attention to Women's Health, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Esther WilliamsonNuffield Department of Orthopedics Rheumatology and Musculoskeletal Sciences, University of Oxford, United Kingdom.
Julie BruceWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, United Kingdom.
Universidade Estadual de Campinas (UNICAMP) · BRUniversity of Warwick · GBNuffield Orthopaedic Centre · GB

Funding

Department of Health 13/84/10
6 · The paper itself

Abstract

backgroundIn both the United Kingdom (UK) and Brazil, women undergoing mastectomy should be offered breast reconstruction. Patients may benefit from physical therapy to prevent and treat muscular deficits. However, there are uncertainties regarding which physical therapy program to recommend.

objectiveThe aim was to investigate the clinical practice of physical therapists for patients undergoing breast reconstruction for breast cancer. A secondary aim was to compare physical therapy practice between UK and Brazil.

methodsOnline survey with physical therapists in both countries. We asked about physical therapists' clinical practice.

results181 physical therapists completed the survey, the majority were from Brazil (77%). Respondents reported that only half of women having breast reconstruction were routinely referred to physical therapy postoperatively. Contact with patients varied widely between countries, the mean number of postoperative sessions was 5.7 in the UK and 15.1 in Brazil. The exercise programs were similar for different reconstruction operations. Therapists described a progressive loading structure over time: range of motion (ROM) was restricted to 90° of arm elevation in the first two postoperative weeks; by 2-4 weeks ROM was unrestricted; at 1-3 months muscle strengthening was initiated, and after three months the focus was on sports-specific activities.

conclusionOnly half of patients having a breast reconstruction are routinely referred to physical therapy. Patients in Brazil have more intensive follow-up, with up to three times more face-to-face contact with a physical therapist than in the UK. Current practice broadly follows programs for mastectomy care rather than being specific to reconstruction surgery.

Indexed as

MammaplastyBrazilBreast NeoplasmsExercise TherapyFemaleHumansMastectomyPhysical TherapistsPhysical Therapy ModalitiesRange of Motion, ArticularSurveys and QuestionnairesUnited KingdomBreast cancerBreast reconstructionExercisePhysical therapySurvey

Identifiers

PMID32605886
PMCPMC7990737
OpenAlexW3033711612

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.