Evidence map›Paper›PMID 37171394›Full record

ArticleThe British journal of radiology2023

Implementation of vacuum-assisted excision as a management option for benign and high-risk breast lesions.

Elles Mf van de Voort, Gerson M Struik, Erwin Birnie, Renata Hja Sinke, Daniëlle Verver, Sophie P van Streun, Maura Macco, C Verhoef, Taco Mal Klem

Open access · hybridAbstract read
In one paragraph

Article in The British journal of radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-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

9 citing papers in PubMed, 10 citations in OpenAlex.

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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 3 institutions in 1 country.

Elles Mf van de VoortDepartment of Surgery, Franciscus Gasthuis, Rotterdam, Netherlands.ORCID 0000-0003-2392-9763
Gerson M StruikDepartment of Surgery, Franciscus Gasthuis, Rotterdam, Netherlands.ORCID 0000-0001-6886-4479
Erwin BirnieDepartment of Statistics and Education, Franciscus Gasthuis & Vlietland, Kleiweg, Rotterdam, Netherlands.
Renata Hja SinkeDepartment of Pathology, Franciscus Gasthuis & Vlietland, Kleiweg, Rotterdam, Netherlands.
Daniëlle VerverDepartment of Surgery, Franciscus Gasthuis, Rotterdam, Netherlands.
Sophie P van StreunDepartment of Surgery, Franciscus Gasthuis, Rotterdam, Netherlands.
Maura MaccoDepartment of Radiology, Franciscus Gasthuis & Vlietland, Kleiweg, Rotterdam, Netherlands.
C VerhoefDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Doctor Molewaterplein, Rotterdam, Netherlands.
Taco Mal KlemDepartment of Surgery, Franciscus Gasthuis, Rotterdam, Netherlands.
Sint Franciscus Gasthuis · NLUniversity Medical Center Groningen · NLErasmus MC Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious studies have shown that vacuum-assisted excision (VAE) is a safe and effective alternative for surgical excision (SE) of benign breast lesions. However, the use of VAE in high-risk lesions is controversial and guidelines are ambiguous. This study describes the impact of the implementation of VAE in terms of management and outcomes compared to a cohort before implementation.

methodsA single centre retrospective study with two cohorts: 'before' and 'after' implementation of VAE was performed. All patients with a benign or high-risk lesion treated by VAE or SE between 2016 and 2019 were included. Excision, complication, and upgrade rates were compared between both cohorts. Cox regression was used for the evaluation of recurrences and re-excisions.

resultsThe overall excision rate of all benign and high-risk lesions was comparable in both cohorts (17%

conclusionSE could safely be replaced by VAE in 58% of patients treated for a benign or high-risk lesion. With this shift in management, the use of operating rooms and general anaesthesia can safely be omitted in this patient group. Further research on high-risk lesions is warranted since our data are exploratory. ADVANCES IN KNOWLEDGE: This study provides supportive data for the use of VAE as a management option for both benign (up to 5 cm) and high-risk lesions. Outcomes on re-excision, recurrence should be confirmed in prospective studies especially in high-risk lesions.

Indexed as

Breast NeoplasmsUltrasonography, InterventionalBreastChlorophyllFemaleHumansProspective StudiesRetrospective StudiesVacuumChlorophyll

Identifiers

PMID37171394
PMCPMC10321268
OpenAlexW4376226292

What OpenQuestion holds

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LicenceCC BY-NC
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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.