Evidence map›Paper›PMID 36719570›Full record

ArticleAnnals of surgical oncology2023

Delayed Sentinel Lymph Node Dissection in Patients with a Preoperative Diagnosis of Ductal Cancer In Situ by Preoperative Injection with Superparamagnetic Iron Oxide (SPIO) Nanoparticles: The SentiNot Study.

Andreas Karakatsanis, Staffan Eriksson, Lida Pistiolis, Roger Olofsson Bagge, Gyula Nagy, Vivian Man, Ava Kwong, Fredrik Wärnberg, SentiNot Trialists Group

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

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  17. Localization Devices and the Surgeon Innovator.Annals of surgical oncology · 2024
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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

9 authors at 5 institutions in 3 countries.

Andreas Karakatsanis *Department of Surgical Sciences, Uppsala University, Uppsala, Sweden. andreas.karakatsanis@surgsci.uu.se.
Staffan Eriksson *Centre for Clinical Research, Uppsala University, Västerås, Sweden.
Lida PistiolisDepartment of Surgery, Sahlgrenska Center for Cancer Research, Institute of Clinical Sciences, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden.
Roger Olofsson BaggeDepartment of Surgery, Sahlgrenska Center for Cancer Research, Institute of Clinical Sciences, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden.
Gyula NagyBreast Unit, Department of Surgery, Linköping University Hospital, Linköping, Sweden.
Vivian ManDepartment of Surgery, University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Ava KwongDepartment of Surgery, University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Fredrik WärnbergDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
SentiNot Trialists Group
Sahlgrenska University Hospital · SEUppsala University · SEHong Kong Sanatorium and Hospital · HKLinköping University Hospital · SEUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifficulty in preoperatively assessing the risk for occult invasion or surgery that precludes future accurate axillary mapping in patients with ductal cancer in situ (DCIS) account for overutilization of SLND.

methodsProspective, multicenter, cohort study, including women with any DCIS planned for mastectomy or DCIS grade 2 and > 20 mm, any DCIS grade 3, any mass-forming DCIS and any planned surgery. Patients received an interstitial SPIO injection during breast surgery, but no upfront SLND was performed. If invasion was identified on final pathology, delayed SLND (d-SLND) was performed separately with the coadministration of isotope ± blue dye (BD). Study outcomes were proportion of upfront SLNDs that were avoided, detection rates during d-SLND, and impact on healthcare costs.

resultsIn total, 78.7% of study participants (N = 254, mean age 60 years, mean DCIS size 37.8 mm) avoided upfront SLND. On d-SLND (median 28 days, range 9-46), SPIO outperformed Tc

conclusionsMarking the SLN with SPIO may avoid overtreatment and allow for accurate d-SLND in patients with DCIS.

Indexed as

Breast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingSentinel Lymph NodeAxillaCohort StudiesFemaleFerric CompoundsHumansLymphatic MetastasisLymph Node ExcisionMastectomyMiddle AgedProspective StudiesSentinel Lymph Node BiopsyFerric Compoundsferric oxide

Identifiers

PMID36719570
PMCPMC10250503
OpenAlexW4318620454

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.