Evidence map›Paper›PMID 33252432›Full record

Trial reportAnnals of plastic surgery2021

Preconsultation Educational Group Intervention Can Address the Knowledge Gap in Postmastectomy Breast Reconstruction.

Toni Zhong, Whitney L Quong, Terry Cheng, Isabel Kerrebijn, Kate Butler, Stefan O P Hofer, Anne C O'Neill, Tulin D Cil, Kelly A Metcalfe

Open access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of plastic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Review
  4. Article
  5. Review
  6. 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

9 authors at 2 institutions in 1 country.

Toni ZhongFrom the Division of Plastic Surgery, Department of Surgery and Surgical Oncology, University Health Network.
Whitney L QuongDivision of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto.
Terry ChengSocial Work, Cancer Survivorship Program, Princess Margaret Hospital, University Health Network.
Isabel KerrebijnFrom the Division of Plastic Surgery, Department of Surgery and Surgical Oncology, University Health Network.
Kate ButlerFrom the Division of Plastic Surgery, Department of Surgery and Surgical Oncology, University Health Network.
Stefan O P HoferFrom the Division of Plastic Surgery, Department of Surgery and Surgical Oncology, University Health Network.
Anne C O'NeillFrom the Division of Plastic Surgery, Department of Surgery and Surgical Oncology, University Health Network.
Tulin D CilDepartment of Surgery, Division of General Surgery, Faculty of Nursing.
Kelly A MetcalfeLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
University Health Network · CAUniversity of Toronto · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundWhether to undergo postmastectomy breast reconstruction (PMBR) is a challenging, preference-sensitive decision. It is therefore paramount to optimize decision quality through ensuring patients' knowledge and aligning treatments with their personal preferences. This study assessed the effects of a preconsultation educational group intervention (PEGI) on patient knowledge, state-trait anxiety, and decisional conflict (patient uncertainty in decision making) during the decision-making process.

methodsThis phase 3 randomized controlled trial assessed effects of a PEGI in women without active breast cancer undergoing delayed PMBR, or prophylactic mastectomy with immediate PMBR. Both groups underwent routine education before consultation. In addition, the intervention group underwent a PEGI composed of presentations from a plastic surgeon and nurse, a value clarification exercise, and shared experiences from PMBR patients before the consultation with the plastic surgeon. Before and 1-week after consultation, outcome measures were assessed using the Decisional Conflict Scale, State-Trait Anxiety Inventory, and the BREAST-Q.

resultsOf the 219 women deemed eligible, a total of 156 women were recruited and randomized. Treatment fidelity was 96% and retention was 88%. At baseline, there were no significant differences in terms of demographic or clinical status, knowledge, state-trait anxiety, and decisional conflict. Patient knowledge about PMBR improved in both groups; however, the degree of knowledge attainment was significantly greater in the PEGI group (24.5% improvement in the intervention group compared with 13.5% in the routine education group, P < 0.001). The reduction in decisional conflict from baseline to follow-up was greater in the intervention group compared with the routine education; however, the difference only approached significance (P = 0.09).

conclusionsThe provision of a preconsultation educational group intervention has been shown to significantly close the knowledge gap on PMBR in patients seeking delayed breast reconstruction or prophylactic mastectomy with immediate breast reconstruction compared with routine education alone.

Indexed as

Breast NeoplasmsMammaplastyProphylactic MastectomyDecision MakingDecision Support TechniquesFemaleHumansMastectomy

Identifiers

PMID33252432
PMCPMC8132608
OpenAlexW3110184484

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.