Evidence map›Paper›PMID 37012435›Full record

ArticleAnnals of surgical oncology2023

The Impact of an Electromagnetic Seed Localization Device Versus Wire Localization on Breast-Conserving Surgery: A Matched-Pair Analysis.

Rebecca Michelle Jordan, Luis Rivera-Sanchez, Kathryn Kelley, Margaret A O'Brien, Karen Ruth, Andrea S Porpiglia, Allison A Aggon, Eric Ross, Elin R Sigurdson, Richard J Bleicher

Open access · greenAbstract read
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Rebecca Michelle JordanDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.
Luis Rivera-SanchezDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.
Kathryn KelleyDepartment of Surgery, St. Luke's University Hospital, Bethlehem, PA, USA.
Margaret A O'BrienLewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Karen RuthDepartment of Biostatistics, Fox Chase Cancer Center, Philadelphia, PA, USA.
Andrea S PorpigliaDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.
Allison A AggonDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.
Eric RossDepartment of Biostatistics, Fox Chase Cancer Center, Philadelphia, PA, USA.
Elin R SigurdsonDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.
Richard J BleicherDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA. richard.bleicher@fccc.edu.
Fox Chase Cancer Center · USSt. Luke's University Health Network · USTemple University · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Dietmar J Kappes · 1985 to 2026
$138.8M
NCI NIH HHS P30 CA006927
6 · The paper itself

Abstract

backgroundFor breast-conserving surgery (BCS), several alternatives to wire localization (WL) have been developed. The newest, electromagnetic seed localization (ESL), provides three-dimensional navigation using the electrosurgical tool. This study assessed operative times, specimen volumes, margin positivity, and re-excision rates for ESL and WL.

methodsPatients who had ESL-guided breast-conserving surgery between August 2020 and August 2021 were reviewed and matched one-to-one with patients who had WL based on surgeon, procedure type, and pathology. Variables were compared between ESL and WL using Wilcoxon rank-sum and Fisher's exact tests.

resultsThe study matched 97 patients who underwent excisional biopsy (n = 20) or partial mastectomy with (n = 53) or without (n = 24) sentinel lymph node biopsy (SLNB) using ESL. The median operative time for ESL versus WL for lumpectomy was 66 versus 69 min with SLNB (p = 0.76) and 40 versus 34.5 min without SLNB (p = 0.17). The median specimen volume was 36 cm

conclusionsDespite similar operative times, ESL is superior to WL, as evidenced by decreased specimen volume and excess tissue excised. Although the difference was not statistically significant, ESL resulted in fewer positive margins and re-excisions than WL. Further studies are needed to confirm that ESL is the most advantageous of the two methods.

Indexed as

Breast NeoplasmsMastectomy, SegmentalFemaleHumansMastectomyMatched-Pair AnalysisRetrospective StudiesSentinel Lymph Node Biopsy

Identifiers

PMID37012435
PMCPMC10578339
OpenAlexW4362523044

What OpenQuestion holds

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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.