Evidence map›Paper›PMID 35892866›Full record

ArticleCancers2022

Satisfaction with Long-Term Aesthetic and 10 Years Oncologic Outcome following Risk-Reducing Mastectomy and Implant-Based Breast Reconstruction with or without Nipple Preservation.

Rachel Louise O'Connell, Marios Konstantinos Tasoulis, Evguenia Hristova, Victoria Teoh, Ana Agusti, Ann Ward, Catherine Montgomery, Kabir Mohammed, Janet Self, Jennifer Elizabeth Rusby and 1 more

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
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

11 authors at 1 institution in 1 country.

Rachel Louise O'ConnellDepartment of Breast Surgery, The Royal Marsden NHS Foundation Trust, Sutton SM25PT, UK.ORCID 0000-0001-5990-8142
Marios Konstantinos TasoulisInstitute of Cancer Research, London SM25NG, UK.ORCID 0000-0001-9453-1547
Evguenia HristovaDepartment of Breast Surgery, The Royal Marsden NHS Foundation Trust, Chelsea SW36JJ, UK.ORCID 0000-0001-6402-3162
Victoria TeohDepartment of Breast Surgery, The Royal Marsden NHS Foundation Trust, Chelsea SW36JJ, UK.
Ana AgustiDepartment of Breast Surgery, The Royal Marsden NHS Foundation Trust, Chelsea SW36JJ, UK.
Ann WardDepartment of Breast Surgery, The Royal Marsden NHS Foundation Trust, Chelsea SW36JJ, UK.
Catherine MontgomeryDepartment of Breast Surgery, The Royal Marsden NHS Foundation Trust, Chelsea SW36JJ, UK.
Kabir MohammedDepartment of Research and Development, The Royal Marsden NHS Foundation Trust, Sutton SM25PT, UK.
Janet SelfDepartment of Breast Surgery, The Royal Marsden NHS Foundation Trust, Chelsea SW36JJ, UK.
Jennifer Elizabeth RusbyInstitute of Cancer Research, London SM25NG, UK.
Gerald GuiDepartment of Breast Surgery, The Royal Marsden NHS Foundation Trust, Chelsea SW36JJ, UK.
Royal Marsden NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incidence of bilateral risk-reducing mastectomies (RRMs) is increasing. The aim of this study was to compare satisfaction, aesthetic and oncological outcomes in women undergoing RRM with implant-based reconstruction comparing nipple-sparing mastectomy (NSM) with skin-sparing mastectomy (SSM) (sacrificing the nipple +/− nipple reconstruction). Women who had undergone bilateral RRM between 1997 and 2016 were invited. Aesthetic outcome and nipple symmetry were evaluated using standardized anthropometric measurements. The oncological outcome was assessed at last documented follow up. Ninety-three women (186 breasts) participated, 60 (64.5%) had NSM, 33 (35.5%) SSM. Median time between surgery and participation was 98.4 months (IQR: 61.7−133.9). Of the women, 23/33 (69.7%) who had SSM underwent nipple reconstruction. Nipple projection was shorter in the reconstructed SSM group than the maintained NSM group (p < 0.001). There was no significant difference in overall symmetry (p = 0.670), satisfaction regarding nipple preservation (p = 0.257) or overall nipple satisfaction (p = 0.074). There were no diagnoses of breast cancer at a median follow up of 129 months (IQR: 65−160.6). Women who undergo nipple-sparing RRM maintain long-term nipple symmetry. Nipple projection was less maintained after nipple reconstruction. Although satisfaction with the nipples was higher in the NSM group, this did not reach statistical significance. No breast cancers developed after RRM with long-term follow up.

Indexed as

BRCA 1 and 2breast cancerimplant-based reconstructionrisk-reducing mastectomy

Identifiers

PMID35892866
PMCPMC9331253
OpenAlexW4287009707

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.