Evidence map›Paper›PMID 36436288›Full record

ArticleThe Journal of surgical research2023

Factors Associated With Cosmetic Outcomes After Treatment With a Novel Form of Breast Intraoperative Radiation Therapy.

Gabriella C Squeo, Max O Meneveau, Nikole E Varhegyi, Courtney M Lattimore, Einsley Janowski, Timothy N Showalter, Shayna L Showalter

Open access · greenAbstract read
In one paragraph

Article in The Journal of surgical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 53% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Quality of life issues in patients with ductal carcinoma in situ: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Trial
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.

Gabriella C SqueoUniversity of Virginia School of Medicine, Department of Surgery, Charlottesville, Virginia.
Max O MeneveauUniversity of Virginia School of Medicine, Department of Surgery, Charlottesville, Virginia.
Nikole E VarhegyiUniversity of Virginia School of Medicine, Department of Public Health Sciences, Charlottesville, Virginia.
Courtney M LattimoreUniversity of Virginia School of Medicine, Department of Surgery, Charlottesville, Virginia.
Einsley JanowskiUniversity of Virginia School of Medicine, Department of Radiation Oncology, Charlottesville, Virginia.
Timothy N ShowalterUniversity of Virginia School of Medicine, Department of Radiation Oncology, Charlottesville, Virginia.
Shayna L ShowalterUniversity of Virginia School of Medicine, Department of Surgery, Charlottesville, Virginia. Electronic address: snl2t@virginia.edu.
University of Virginia · US

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jay William FOX · 1987 to 2026
$72.1M
Postdoctoral Training Grant for MDs in Surgical Oncology ResearchT32CA163177 · NCI · UNIVERSITY OF VIRGINIA · PI Craig Lee Slingluff, Allan Tsung · 2011 to 2026
$4.6M
Evaluation of image-guided, conformal, high-dose intraoperative radiation therapy (Precision Breast IORT) for early stage breast cancerR01CA214594 · NCI · UNIVERSITY OF VIRGINIA · PI SHOWALTER, SHAYNA LEFRAK, SHOWALTER, TIMOTHY NORMAN · 2018 to 2022
$1.9M
NCI NIH HHS P30 CA044579NCI NIH HHS R01 CA214594NCI NIH HHS T32 CA163177
6 · The paper itself

Abstract

introductionPrecision breast intraoperative radiation therapy (PB-IORT) incorporates computed tomography-guided treatment planning and high dose rate brachytherapy to deliver a single dose of highly conformal radiational therapy. The purpose of this study is to determine factors associated with poor cosmetic outcomes after treatment with PB-IORT.

methodsThe study included all consecutive participants enrolled in an ongoing phase II clinical trial that had completed a minimum of 12 mo of follow-up. A poor cosmetic outcome was defined as scoring "fair" or "poor" on the Harvard Cosmesis evaluation, or "some" or "very much" on any of the three general cosmesis categories. Statistical analysis was performed utilizing R.

resultsThe final cohort included 201 participants, of which 181 (90%) had an overall good/excellent cosmetic outcome. Group 1 consisted of 162 (81%) participants who reported only excellent/good cosmetic outcomes. Group 2 consisted of 39 (19%) participants who reported some aspect of a poor cosmetic outcome. On multivariable analysis, participants with ductal carcinoma in situ were significantly more likely to experience a poor cosmetic outcome (odds ratio 2.45, 95% confidence interval 1.03-5.82, P = 0.04), and those who received subsequent whole breast irradiation were also more likely to have a poor cosmetic outcome (odds ratio 10.20, 95% confidence interval CI 1.04-99.95, P = 0.04).

conclusionsPatients with need for further radiation after PB-IORT are at increased risk for a poor cosmetic outcome. Larger balloon volume and distance between the skin do not have deleterious effects on cosmetic outcomes.

Indexed as

BrachytherapyBreast NeoplasmsCarcinoma, Intraductal, NoninfiltratingBreastClinical Trials, Phase II as TopicFemaleHumansLongitudinal StudiesMastectomy, SegmentalRadiotherapy DosageTreatment OutcomeBreast cancerCosmesisIntraoperative radiation therapyRadiation therapy

Identifiers

PMID36436288
PMCPMC12038950
OpenAlexW4310345203

What OpenQuestion holds

Textmetadata
LicenceTDM
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.