Evidence map›Paper›PMID 36205992›Full record

ArticleJAMA network open2022

Prevalence of Local Postoperative Complications and Breast Implant Illness in Women With Breast Implants.

Annemiek S Lieffering, Juliëtte E Hommes, Lotte Ramerman, Hinne A Rakhorst, Marc A M Mureau, Robert A Verheij, René R W J van der Hulst

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JAMA network open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07765953 (Thirteen-Year Trends in Primary Aesthetic Breast Augmentation, Implant Replacement, and Explantation), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.2field-weighted citation impact, top 4% 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.

NCT07765953 completednot on this map

Thirteen-Year Trends in Primary Aesthetic Breast Augmentation, Implant Replacement, and Explantation: A Prospective Observational Cohort Study

Typeobservational_patient_registrySponsorResearch IncRan2012 to 2024Enrolled22,642ConditionsAesthetic Breast Surgery, Breast ImplantsArmsPrimary Aesthetic Breast Augmentation, Breast Implant Replacement, Definitive Breast Implant Removal
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 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 6 institutions in 1 country.

Annemiek S LiefferingNetherlands Institute for Health Services Research (Nivel), Utrecht, the Netherlands.
Juliëtte E HommesDepartment of Plastic, Reconstructive and Hand Surgery, Zuyderland Medical Centre, Heerlen & Sittard, the Netherlands.
Lotte RamermanNetherlands Institute for Health Services Research (Nivel), Utrecht, the Netherlands.
Hinne A RakhorstDepartment of Plastic, Reconstructive and Hand Surgery, Medical Spectrum Twente, Enschede, the Netherlands.
Marc A M MureauDepartment of Plastic and Reconstructive Surgery, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Robert A VerheijNetherlands Institute for Health Services Research (Nivel), Utrecht, the Netherlands.
René R W J van der HulstDepartment of Plastic, Reconstructive and Hand Surgery, Zuyderland Medical Centre, Heerlen & Sittard, the Netherlands.
Tilburg University · NLErasmus MC Cancer Institute · NLMaastricht University · NLMedisch Spectrum Twente · NLNetherlands Institute for Health Services Research · NLZuyderland Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: It is unknown how often breast implant illness (BII) is the indication for revision in women with silicone breast implants. Objective: To examine how often women with silicone breast implants have their implants explanted or replaced because of BII compared with local postoperative complications. Design, Setting, and Participants: A legacy cohort study on breast implant revision surgery was conducted between April 1, 2015, and December 31, 2020, and a prospective cohort study on breast implantation and revision surgery was conducted between April 1, 2015, and December 31, 2019 (with follow-up until December 31, 2020). Data were obtained from the Dutch Breast Implant Registry. Data analysis was performed from September 2021 to August 2022. Exposures: Silicone breast implant. Main Outcomes and Measures: Breast implant revision with the indication BII or local postoperative complications. Results: All 12 882 cosmetic breast implants (6667 women; mean [SD] age, 50.6 [12.7] years) and 2945 reconstructive breast implants (2139 women, mean [SD] age, 57.9 [11.3] years) in the legacy cohort and all 47 564 cosmetic breast implants (24 120 women, mean [SD] age, 32.3 [9.7] years) and 5928 reconstructive breast implants (4688 women, mean [SD] age, 50.9 [11.5] years) in the prospective cohort were included for analysis. In the prospective cohort, 739 cosmetic breast implants (1.6%) were revised after a median (IQR) time to reoperation of 1.8 (0.9-3.1) years, and 697 reconstructive breast implants (11.8%) were revised after a median (IQR) time to reoperation of 1.1 (0.5-1.9) years. BII was registered as the reason for revision in 35 cosmetic revisions (4.7%) and 5 reconstructive revisions (0.7%) in the prospective cohort, corresponding to 0.1% of the inserted implants. In the legacy cohort, 536 cosmetic revisions (4.2%) and 80 reconstructive breast implant revisions (2.7%) were performed because of BII. Conclusions and Relevance: In this cohort study of women with silicone breast implants, BII was an uncommon indication for revision compared with local complications, both in the short and long term. In contrast to the increasing public interest in BII, these results showed that local complications are a far more common reason for breast implant revision.

Indexed as

Breast ImplantationBreast ImplantsAdultCohort StudiesFemaleHumansMiddle AgedPostoperative ComplicationsPrevalenceProspective StudiesSilicone GelsSilicone Gels

Identifiers

PMID36205992
PMCPMC9547313
OpenAlexW4303437739

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.