Evidence map›Paper›PMID 35237499›Full record

ArticlePlastic and reconstructive surgery. Global open2022

Canadian Expert Opinion on Breast Reconstruction Access: Strategies to Optimize Care during COVID-19.

Kathryn V Isaac, Edward W Buchel, Muriel M Brackstone, Christopher Doherty, Joan E Lipa, Toni Zhong, John L Semple, Mitchell H Brown, Laura Snell, Mary-Helen Mahoney and 10 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
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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

20 authors.

Kathryn V IsaacDivision of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada.
Edward W BuchelDepartment of Surgery, University of Manitoba, Winnipeg, MB, Canada.
Muriel M BrackstoneDepartment of Surgical Oncology, London Health Sciences Centre, London, ON, Canada.
Christopher DohertyDivision of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada.
Joan E LipaDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Toni ZhongDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
John L SempleDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Mitchell H BrownDivision of Plastic Surgery, Women's College Hospital, Toronto, ON, Canada.
Laura SnellDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Mary-Helen MahoneyDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Joshua VorstenboschDivision of Plastic and Reconstructive Surgery, McGill University, Montreal, QC, Canada.
Margaret WheelockDivision of Plastic Surgery, Dalhousie University, Halifax, NS, Canada.
Sheina A MacadamDivision of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada.
Christopher J CoroneosDivision of Plastic Surgery, McMaster University, Hamilton, ON, Canada.
Marie-Pascale Tremblay-ChampagneDepartment of Surgery, Université de Montréal, Montreal, QC, Canada.
Sophocles H VoineskosDivision of Plastic Surgery, McMaster University, Hamilton, ON, Canada.
Jing ZhangDivision of Plastic Surgery, University of Ottawa, Ottawa, ON, Canada.
Ron SomogyiDepartment of Surgical Oncology, London Health Sciences Centre, London, ON, Canada.
Claire Temple-OberleDepartment of Surgery and Oncology, University of Calgary, Calgary, AB, Canada.
Douglas RossDivision of Plastic and Reconstructive Surgery, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast reconstructive services are medically necessary, time-sensitive procedures with meaningful health-related quality of life benefits for breast cancer survivors. The COVID-19 global pandemic has resulted in unprecedented restrictions in surgical access, including access to breast reconstructive services. A national approach is needed to guide the strategic use of resources during times of fluctuating restrictions on surgical access due to COVID-19 demands on hospital capacity.

methodsA national team of experts were convened for critical review of healthcare needs and development of recommendations and strategies for patients seeking breast reconstruction during the pandemic. Following critical review of literature, expert discussion by teleconference meetings, and evidenced-based consensus, best practice recommendations were developed to guide national provision of breast reconstructive services.

resultsRecommendations include strategic use of multidisciplinary teams for patient selection and triage with centralized coordinated use of alternate treatment plans during times of resource restrictions. With shared decision-making, patient-centered shifting and consolidation of resources facilitate efficient allocation. Targeted application of perioperative management strategies and surgical treatment plans maximize the provision of breast reconstructive services.

conclusionsA unified national approach to strategically reorganize healthcare delivery is feasible to uphold standards of patient-centered care for patients interested in breast reconstruction.

Identifiers

PMID35237499
PMCPMC8884128

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.