Evidence map›Paper›PMID 32649240›Full record

ArticleThe British journal of radiology2020

Patient reported cosmetic outcome after vacuum assisted excision of benign breast lesions: a cross-sectional study.

Elles M F van de Voort, Taco M A L Klem, Gerson M Struik, Erwin Birnie, Renata H J A Sinke, Ali Ghandi

Open access · bronzeAbstract read
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Article in The British journal of radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 31 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

6 authors at 2 institutions in 1 country.

Elles M F van de VoortDepartment of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.ORCID http://orcid.org/0000-0003-2392-9763
Taco M A L KlemDepartment of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Gerson M StruikDepartment of Surgery, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Erwin BirnieDepartment of Statistics and Education, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Renata H J A SinkeDepartment of Pathology, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Ali GhandiDepartment of Radiology, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.
Sint Franciscus Gasthuis · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBetter cosmetic outcome after vacuum assisted excision (VAE) compared to surgical excision of benign breast lesions is suggested in previous studies but has never been evaluated with validated outcome measures. In this study, patient reported cosmetic outcome after VAE was evaluated.

methodsPatients who underwent VAE between July 2017 and December 2018 were invited to complete the cosmetic subscale of the Dutch Breast Cancer Treatment Outcome Scale, comparing the treated with the untreated breast. Response mode ranged from 1 (no difference) to 4 (large difference) and cosmetic outcome was calculated as the unweighted mean. Clinical outcomes included: tumor size, number of cores, complications, residual lesions and recurrences.

resultsResponse rate was 73.4% (47 of 64 patients). Median tumor size was 15 mm (range 5-51 mm) and median number of cores 6.5 (range 1-85), complete excision was confirmed in all but two patients. Mean cosmetic outcome was good (mean score ≤1.75) in 74% of patients and no patients reported a poor cosmetic outcome (mean score >3.25). A hematoma occurred in five patients (one needed aspiration) and a skin rash in one patient, no patients developed an infection or seroma.

conclusionIn this study VAE is safe and effective for tumors up to 5 cm and patient reported cosmetic outcome was good. Patients with benign lesions could benefit from VAE as an alternative for surgical excision. ADVANCES IN KNOWLEDGE: A formal quantitative measurement of cosmetic outcome after vacuum assisted excision for benign breast lesions was still lacking. This study shows that this cosmetic outcome is overall good in benign lesions up to 5 cm.

Indexed as

EstheticsPatient Reported Outcome MeasuresAdultAgedBiopsy, Large-Core NeedleBreast NeoplasmsCross-Sectional StudiesFemaleHumansMiddle AgedNetherlandsVacuum

Identifiers

PMID32649240
PMCPMC7548369
OpenAlexW3040848810

What OpenQuestion holds

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Registered trials

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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.