Evidence map›Paper›PMID 36536719›Full record

ArticleAnnals of medicine and surgery (2012)2022

A single centre experience of local perforator flaps in oncoplastic breast surgery; a cross-sectional study.

Sana Zeeshan, Lubna Mushtaque Vohra, Uzma Shoaib Shamsi, Nida Zahid, Danish Ali, Nargis Khan, Cristina Garusi

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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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 3 institutions in 2 countries.

Sana ZeeshanSection of Breast Surgery, Department of Surgery, The Aga Khan University, P.O. Box 3500, Stadium Road, Karachi, 74800, Pakistan.
Lubna Mushtaque VohraSection of Breast Surgery, Department of Surgery, The Aga Khan University, P.O. Box 3500, Stadium Road, Karachi, 74800, Pakistan.
Uzma Shoaib ShamsiDepartment of Community Health Sciences, The Aga Khan University, P.O. Box 3500, Stadium Road, Karachi, 74800, Pakistan.
Nida ZahidDepartment of Surgery, The Aga Khan University, P.O. Box 3500, Stadium Road, Karachi, 74800, Pakistan.
Danish AliThe Aga Khan University, P.O. Box 3500, Stadium Road, Karachi, 74800, Pakistan.
Nargis KhanResearch Associate Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi, 74800, Pakistan.
Cristina GarusiPlastic Surgery Division, European Institute of Oncology, Giuseppe Ripamonti, 435, 20141, Milano, Italy.
Aga Khan University · PKAga Khan University Hospital · PKRipamonti · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background & objectives: Various oncoplastic techniques have emerged over the years to preserve breast cosmesis and symmetry without compromising the principles of tumor excision. One of the newer techniques for breast volume replacement to achieve symmetry and cosmesis is the use of fasciocutaneous pedicled chest wall perforator flaps or local perforator flaps (LPF). The objectives of this study were to document the details of the surgical procedure as well as patient-reported satisfaction and well-being following the procedure using a validated BREAST-Q tool among Pakistani women. Materials & methods: This cross-sectional study was conducted from March 2019 to February 2021 enrolling 25 female patients who underwent breast conservative surgery using LPF for breast tumors at The Aga Khan University Hospital, Karachi. Data related to the procedure was collected on a pre-designed proforma. Cosmetic outcomes and patient satisfaction were evaluated using 2 scales from BREAST-Q BCT domain version 2.0. The questionnaire was self-administered by the patients during their routine follow-up in the clinic. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 23. Mean (SD)/median (IQR) were computed for quantitative variables and frequency and percentages were calculated for qualitative variables. 2 sample Results: 25 patients underwent LPF with a mean age of 47 ± 13.1 years. 8 LICAP, 7 AICAP, and 10 LTAP flaps were performed. Two postoperative complications of wound site erythema were encountered. 23 women were eligible for the BREAST-Q survey. Median (IQR) postoperative satisfaction with breasts and physical well-being chest (equivalent Rasch transformed score) was 100 (41) and 76 [18] respectively. We found high satisfaction with breasts and comparable physical well-being among Pakistani women after LPF surgeries. Conclusion: Local perforator flaps in oncoplastic breast-conserving surgery are a good option showing high satisfaction with breasts and physical well-being in Pakistani women.

Indexed as

AICAP, Anterior intercostal artery perforatorAKUH, Aga Khan University HospitalBCS, Breast conservation surgeryBreast cancerBREAST-QBreast surgeryDICAP, Dorsal intercostal artery perforatorERC, Ethical Review CommitteeICAP, Intercostal artery perforatorIMF, Infra-mammary foldLICAP, Lateral intercostal artery perforatorLIQ, Lower inner quadrantLocal perforator flapsLOQ, Lower outer quadrantLPF, Local perforator flapLTAP, Lateral thoracic artery perforatorOncoplastic breast conserving surgeryOPS, Oncoplastic surgeryUOQ, Upper outer quadrant

Identifiers

PMID36536719
PMCPMC9758369
OpenAlexW4309775544

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.