Evidence map›Paper›PMID 33747689›Full record

ArticlePlastic and reconstructive surgery. Global open2021

Quality of Life in Palliative Post-mastectomy Reconstruction: Keystone versus Rotational Flap.

Irena Sakura Rini, Alberta Jesslyn Gunardi, Yashinta, Jonathan Kevin, Renate Parlene Marsaulina, Teguh Aryandono, Ishandono Dachlan, Iwan Dwiprahasto

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 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 33% 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, 3 citations in OpenAlex.

  1. The Keystone Design Perforator Flap: A Flap to Simplify Complex Reconstructive Issues.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2024
    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

8 authors at 4 institutions in 1 country.

Irena Sakura RiniDepartment of Plastic Surgery, Dharmais Cancer Hospital, West Jakarta, DKI Jakarta, Indonesia.
Alberta Jesslyn GunardiFaculty of Medicine, Universitas Indonesia, Central Jakarta, DKI Jakarta, Indonesia.
YashintaFaculty of Medicine, Universitas Indonesia, Central Jakarta, DKI Jakarta, Indonesia.
Jonathan KevinFaculty of Medicine, Universitas Indonesia, Central Jakarta, DKI Jakarta, Indonesia.
Renate Parlene MarsaulinaFaculty of Medicine, Universitas Kristen Indonesia, Central Jakarta, DKI Jakarta, Indonesia.
Teguh AryandonoFaculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
Ishandono DachlanFaculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
Iwan DwiprahastoFaculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
Universitas Gadjah Mada · IDUniversity of Indonesia · IDDharmais Cancer Hospital · IDUniversitas Kristen Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Late stage breast cancer presents with malignant wound causing skin infiltration, pain, bleeding, and malodour, which affect quality of life (QoL). Palliative mastectomy aims to eliminate wound symptoms and requires prolonged wound care to improve QoL. This study aimed to prospectively investigate QoL differences in 2 alternative reconstructive methods: keystone flap and rotational flap.

methodsTwenty-four late stage breast cancer patients with symptoms of cancer wounds were included in this study. They were divided into 2 groups: keystone flap and rotational flap. Each patient's QoL was evaluated using EORTC QLQ-C30 and QLQ-BR23 before and 3 weeks after surgery.

resultsGlobal health post-surgery was significantly improved compared with pre-surgery in all patients (

conclusionsReconstructive surgery after mastectomy improves QoL in late stage breast cancer patients. The keystone flap is superior to the rotational flap in improving global health and breast symptoms.

Identifiers

PMID33747689
PMCPMC7963501
OpenAlexW3137736169

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.