Evidence map›Paper›PMID 36622565›Full record

SynthesisBreast cancer (Tokyo, Japan)2023

Oncoplastic versus conventional breast-conserving surgery in breast cancer: a pooled analysis of 6941 female patients.

Mohammed Tarek Hasan, Mohamed Hamouda, Mohammad K El Khashab, Ahmed Bostamy Elsnhory, Abdullah Mohamed Elghamry, Obada Atef Hassan, Aya Mamdouh Fayoud, Abdelrahman H Hafez, Mohammed Al-Kafarna, Abdulrahman Ibrahim Hagrass and 2 more

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Breast cancer (Tokyo, Japan), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

12 authors at 5 institutions in 3 countries.

Mohammed Tarek HasanFaculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Mohamed HamoudaFaculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Mohammad K El KhashabFaculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Ahmed Bostamy ElsnhoryFaculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Abdullah Mohamed ElghamryFaculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Obada Atef HassanFaculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Aya Mamdouh FayoudFaculty of Pharmacy, Kafr El-Shaikh University, Kafr El-Shaikh, Egypt.
Abdelrahman H HafezFaculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Mohammed Al-KafarnaFaculty of Pharmacy, Al-Azhar University-Gaza, Gaza Strip, Palestine.
Abdulrahman Ibrahim HagrassFaculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.
Randa Kamal RabeaFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed Ibrahim GbreelFaculty of Medicine, October 6 University, Cairo Governorate, Giza, 11571, Egypt. mohamedgbreel707@gmail.com.ORCID http://orcid.org/0000-0002-4030-942X
Al-Azhar University · EGAin Shams University · EGAl-Azhar University – Gaza · PSCairo University · EGKafrelsheikh University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is the most prevalent cancer in women. In the past few years, surgical interventions for breast cancer have experienced massive changes from radical excision to conserving approaches. In this study, we aim to compare the two breast surgery interventions, including conventional breast-conserving surgery (CBCS) versus oncoplastic breast-conserving surgery (OPBCS).

methodsWe searched on PubMed, Web of Science (WOS), Scopus, Embase, and Cochrane till 2 October 2021. All relevant randomized controlled trials (RCTs) and observational studies were included. The data were extracted and pooled using Review Manager software (RevMan 5.4).

resultsThe pooled meta-analysis of the included studies showed that OPBCS was significantly superior to CBCS in most of the outcomes. Re-excision significantly favoured CBCS (RR = 0.49, 95% CI [0.37, 0.63], P < 0.00001). However, local recurrence (RR = 0.55, 95% CI [0.27, 1.09], P = 0.09), close surgical margins (RR = 0.37, 95% CI [0.14, 1.00], P = 0.05) and end up to the risk of mastectomy (RR = 0.73, 95% CI [0.54, 97], P = 0.06) showed no significant difference between both techniques. Notably, while performing a sensitivity analysis, other outcomes as local recurrence, significantly showed favourable results towards OPBCS. In terms of safety outcomes, there was no significant difference between OPBCS and CBCS.

conclusionWe recommend the oncoplastic approach rather than the conventional one in females with breast cancer. Re-excision rates showed better results following OPBCS.

Indexed as

Breast NeoplasmsMammaplastyFemaleHumansMastectomyMastectomy, SegmentalRetrospective StudiesBreast cancerBreast-conserving surgeryMeta-analysisOncoplastic surgery

Identifiers

PMID36622565
PMCPMC9950210
OpenAlexW4313857347

What OpenQuestion holds

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LicenceCC BY
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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.