Evidence map›Paper›PMID 35565357›Full record

ArticleCancers2022

Surgery after Neoadjuvant Chemotherapy: A Clip-Based Technique to Improve Surgical Outcomes, a Single-Center Experience.

Carola Minella, Andrea Villasco, Marta D'Alonzo, Lisa Cellini, Francesca Accomasso, Silvia Actis, Nicoletta Biglia

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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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 1 institution in 1 country.

Carola MinellaAcademic Division of Obstetrics and Gynaecology, A.O. Ordine Mauriziano, University of Turin, 10128 Turin, Italy.
Andrea VillascoAcademic Division of Obstetrics and Gynaecology, A.O. Ordine Mauriziano, University of Turin, 10128 Turin, Italy.ORCID 0000-0002-9841-7722
Marta D'AlonzoAcademic Division of Obstetrics and Gynaecology, A.O. Ordine Mauriziano, University of Turin, 10128 Turin, Italy.
Lisa CelliniRadiology Department, A.O. Ordine Mauriziano, 10128 Turin, Italy.
Francesca AccomassoAcademic Division of Obstetrics and Gynaecology, A.O. Ordine Mauriziano, University of Turin, 10128 Turin, Italy.
Silvia ActisAcademic Division of Obstetrics and Gynaecology, A.O. Ordine Mauriziano, University of Turin, 10128 Turin, Italy.ORCID 0000-0001-8549-8669
Nicoletta BigliaAcademic Division of Obstetrics and Gynaecology, A.O. Ordine Mauriziano, University of Turin, 10128 Turin, Italy.ORCID 0000-0003-1009-5309
A. O. Ordine Mauriziano di Torino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to describe the surgical management of breast cancer patients after neoadjuvant chemotherapy, with attention to the impact on surgical outcomes of a clip-based marking technique.

methodsPatients who underwent NACT at the Breast Unit of the A. O Ordine Mauriziano of Turin from January 2018 and had a surgical intervention by January 2022 were included. Data on the feasibility of clip insertion, after-treatment visibility, and successful removal during surgery were collected prospectively. Surgical outcomes in terms of breast-conserving surgery and axillary dissection reduction were described.

resultsIn 51 patients who had surgery after NACT, 55 clips were placed (34 breast and 21 axillary clips). Ultrasound visibility of the clips was optimal (91%) as well as preoperative localization and retrieval within the surgical specimen. Moreover, the use of the clip positively affected surgical outcomes. In our study, clip insertion allowed to avoid mastectomy and axillary dissection in patients with a complete radiological response.

conclusionsIn our findings, the use of breast and/or lymph node clips has proved to be a simple and effective method to improve surgical conservative management of breast cancer patients after NACT.

Indexed as

breast cancerclipconservative surgeryneoadjuvant chemotherapytissue markers

Identifiers

PMID35565357
PMCPMC9103394
OpenAlexW4225114898

What OpenQuestion holds

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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.