Evidence map›Paper›PMID 34079367›Full record

ArticleBreast cancer (Dove Medical Press)2021

Extreme Oncoplasty: Breast Conservation in Patients with Large, Multifocal, and Multicentric Breast Cancer.

Francesca Savioli, Subodh Seth, Elizabeth Morrow, Julie Doughty, Sheila Stallard, Andy Malyon, Laszlo Romics

Open access · goldAbstract read
In one paragraph

Article in Breast cancer (Dove Medical Press), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 pooled it
1.6field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 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

7 authors at 3 institutions in 1 country.

Francesca Savioli *Academic Unit of Surgery, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK.ORCID 0000-0002-9905-998X
Subodh Seth *Department of Breast Surgery, Forth Valley Royal Hospital, Larbert, UK.
Elizabeth MorrowAcademic Unit of Surgery, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK.
Julie DoughtyDepartment of Breast Surgery, Gartnavel General Hospital, Glasgow, UK.
Sheila StallardDepartment of Breast Surgery, Gartnavel General Hospital, Glasgow, UK.
Andy MalyonCanniesburn Department of Plastic Surgery, Glasgow Royal Infirmary, Glasgow, UK.
Laszlo RomicsAcademic Unit of Surgery, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK.
Glasgow Royal Infirmary · GBGartnavel General Hospital · GBForth Valley Royal Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionExtreme Oncoplastic Breast Conservation Surgery (EOBCS) is offered in selected patients with multifocal or multicentric breast cancer (MFMC). Recent evidence has suggested that EOBCS may be a valuable resource for patients with MFMC who may avoid the risk associated with mastectomy in favour of the benefits of breast conservation without risking their oncological outcomes. Our study examined the practice of EOBCS in two regional breast units in Glasgow, United Kingdom. MATERIALS AND

methodsA prospectively collected database of 50 patients treated with EOBC in two breast units in Glasgow between 2007 and 2018 were evaluated, and clinical outcomes were observed.

resultsFifty patients (median age 55) underwent EOBCS, of which 43 (86%) had invasive disease. Median tumour size was 55mm (50-90) and multifocal disease was identified in 22 (44%) patients. Nine patients (18%) were found to have positive margins and underwent a second procedure, with 6 (12%) proceeding to mastectomy. Five-year disease free survival rate was 91.5%, while cancer-specific survival was 95.7%.

conclusionEOBCS is oncologically safe in short-term follow-up. Large scale studies are required to confirm these preliminary results, in order to offer EOBCS as a valid option to patients with advanced or multifocal breast cancer.

Indexed as

breast conservation therapyextreme oncoplastymulticentric breast cancermultifocal breast cancertherapeutic mammoplasty

Identifiers

PMID34079367
PMCPMC8164874
OpenAlexW3164221657

What OpenQuestion holds

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LicenceCC BY-NC
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.