Evidence map›Paper›PMID 33180267›Full record

ArticleBreast cancer (Tokyo, Japan)2021

Patient-reported outcomes of ductoscopy procedures for pathologic nipple discharge.

M D Filipe, J M Simons, L Moeliker, L Waaijer, M R Vriens, P J van Diest, A J Witkamp

Open access · hybridAbstract read
In one paragraph

Article in Breast cancer (Tokyo, Japan), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 1 institution in 1 country.

M D FilipeDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508, GA, Utrecht, The Netherlands. m.d.filipe-2@umcutrecht.nl.ORCID http://orcid.org/0000-0002-9869-7840
J M SimonsDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508, GA, Utrecht, The Netherlands.
L MoelikerDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508, GA, Utrecht, The Netherlands.
L WaaijerDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508, GA, Utrecht, The Netherlands.
M R VriensDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508, GA, Utrecht, The Netherlands.
P J van DiestDepartment of Pathology, University Medical Centre Utrecht, Utrecht, The Netherlands.
A J WitkampDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, PO Box 85500, 3508, GA, Utrecht, The Netherlands.
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPathologic nipple discharge (PND) is a common complaint often associated with breast cancer. However, when ultrasound and mammography are negative, the chances of malignancy are lower than 5%. Currently, major duct excision and microdochectomy are often recommended to alleviate symptoms and definitely rule out malignancy, but can cause infections and breastfeeding problems. Ductoscopy is a minimally invasive endoscopy technique that allows visualization of the mammary ducts and may not only obviate surgery but also detect malignancy. The aim of this study was to determine quality of life (QOL) after ductoscopy in patients with PND. MATERIALS AND

methodsAll PND patients referred for ductoscopy between 2014 and 2015 to our hospital were included. Ductoscopy procedures were performed under local anaesthesia in the outpatient clinic. Patients were asked to fill out questionnaires (Breast-Q, EQ-5D-5L and SF-36) on the day of ductoscopy, and after 2 weeks, 3 and 6 months. Additionally, we performed reliability analysis to determine if these questionnaires were suitable for PND patients.

resultsFifty consecutive patients underwent ductoscopy of whom 47 patients participated in this study. One domain of SF-36 (vitality) varied significantly over time. Breast-Q, SF-36 and EQ-5D-5L showed that QOL after ductoscopy for PND was unaffected by ductoscopy. Success of the ductoscopy procedure was a significant predictor for satisfaction with the result domain.

conclusionDuctoscopy is a minimally invasive technique that does not seem to impact QoL of PND patients over time. Breast-Q, SF-36 and EQ-5D-5L seem to be suitable existing QOL tests for PND patients undergoing ductoscopy, whereas SF-36 would require modifications.

Indexed as

Patient Reported Outcome MeasuresQuality of LifeAdultAgedAged, 80 and overBreast NeoplasmsEndoscopyFemaleFollow-Up StudiesHealth SurveysHumansMammary Glands, HumanMiddle AgedNetherlandsNipple DischargeProspective StudiesDuctoscopyPathologic nipple dischageQuality of life

Identifiers

PMID33180267
PMCPMC7925452
OpenAlexW3102170276

What OpenQuestion holds

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LicenceCC BY
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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.