Evidence map›Paper›PMID 33645273›Full record

ArticleAnnals of the Royal College of Surgeons of England2021

Prophylactic antibiotic use in acellular dermal matrix-assisted implant-based breast reconstruction.

Fak Mazari, G M Wattoo, N H Kazzazi, K M Kolar, O O Olubowale, C E Rogers, I A Azmy

Abstract read
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. 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.

Fak MazariPrincess Anne Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
G M WattooDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
N H KazzaziDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
K M KolarDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
O O OlubowaleDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
C E RogersDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
I A AzmyChesterfield Royal Hospital NHS Foundation Trust, Chesterfield, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProphylactic antibiotics are used in acellular dermal matrix-assisted implant-based breast reconstructions. However, there are no universally accepted guidelines regarding the best regimen. This retrospective, multicentre study was designed to compare the different prophylactic antibiotic regimens in these patients in three hospitals across two NHS trusts over a five-year period.

methodsCase notes and electronic records were reviewed for all patients undergoing acellular dermal matrix-assisted implant-based breast reconstructions between January 2010 and December 2014. Prophylactic antibiotic regimens, duration of use, wound infection, implant loss, seroma and therapeutic antibiotic use was recorded. Patients were divided into groups based on prophylactic antibiotic regimen and actual duration of use. Intergroup analysis was performed using Stata 13.0. Implant loss due to infection was the primary outcome measure.

resultsA total of 105 patients had 122 breast reconstructions performed over the study period. Four prophylactic antibiotic regimens were identified: single dose (

conclusionThe study demonstrated no difference in outcomes between different prophylactic antibiotic regimens in acellular dermal matrix-assisted implant-based breast reconstructions.

Indexed as

Acellular DermisMastectomyAnti-Bacterial AgentsAntibiotic ProphylaxisBreast ImplantationBreast NeoplasmsDevice RemovalDuration of TherapyFemaleHumansMammaplastyMiddle AgedProphylactic MastectomyProsthesis-Related InfectionsRetrospective StudiesSeromaAnti-Bacterial AgentsAcellular dermal matrixAntibioticsBreast reconstructionImplant reconstructionMastectomy

Identifiers

PMID33645273
PMCPMC9157998

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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.