Evidence map›Paper›PMID 37205012›Full record

ArticleThe breast journal2023

The Effect of Adjuvant Radiotherapy on One- and Two-Stage Prosthetic Breast Reconstruction and on Autologous Reconstruction: A Multicenter Italian Study among 18 Senonetwork Breast Centres.

Andrea Vittorio Emanuele Lisa, Marzia Salgarello, Alessandra Huscher, Fabio Corsi, Daniele Piovani, Federica Rubbino, Stefania Andreoletti, Giovanni Papa, Francesco Klinger, Corrado Tinterri and 32 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in The breast journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04783818 (Multicenter Retrospective Evaluation Study of the Adjuvant Radiotherapy's Effect on One and Two Stages Prosthetic Breast Reconstruction and on Autologous Reconstruction), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-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.

NCT04783818 completednot on this map

Multicenter Retrospective Evaluation Study of the Adjuvant Radiotherapy's Effect on One and Two Stages Prosthetic Breast Reconstruction and on Autologous Reconstruction

TypeobservationalSponsorHumanitas Clinical and Research CenterRan2020 to 2021Enrolled3,200ConditionsMammaplasty, Radiotherapy, Complications, Breast ImplantArmsAdjuvant Radiotherapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 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

42 authors at 19 institutions in 1 country.

Andrea Vittorio Emanuele LisaReconstructive and Aesthetic Plastic Surgery School, Department of Medical Biotechnology and Translational Medicine BIOMETRA-Plastic Surgery Unit, University of Milan, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0003-2134-5633
Marzia SalgarelloDepartment of Plastic Surgery, Director of the Residency Program of Plastic Surgery, IRCCS Policlinico Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0003-0688-6634
Alessandra HuscherDepartment of Radiotherapy, Fondazione Poliambulanza "Guido Berlucchi" Hospital, Brescia, Italy.ORCID 0000-0002-1428-7933
Fabio CorsiBreast Unit, Department of Surgery, IRCCS Istituti Clinici Maugeri, Pavia, Italy.ORCID 0000-0002-6469-4086
Daniele PiovaniDepartment of Biomedical Sciences, IRCCS Humanitas University, Pieve Emanuele, Milan, Italy.ORCID 0000-0002-1414-6639
Federica RubbinoLaboratory of Molecular Gastroenterology, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0001-9186-8400
Stefania AndreolettiReconstructive and Aesthetic Plastic Surgery School, Department of Medical Biotechnology and Translational Medicine BIOMETRA-Plastic Surgery Unit, University of Milan, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0009-0002-4768-4043
Giovanni PapaDepartment of Plastic Surgery, UCO, University of Trieste, Trieste, Italy.ORCID 0000-0003-4676-2775
Francesco KlingerIRCCS Multimedica, Sesto San Giovanni, Milan, Italy.ORCID 0000-0002-1321-760X
Corrado TinterriBreast Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0002-7272-3924
Alberto TestoriBreast Unit, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0002-3032-9494
Marta ScorsettiRadiotherapy and Radiosurgery Department, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0003-0320-559X
Paolo VeronesiDivision of Senology, Department of Oncology and Oncohematology, IEO, IRCCS European Institute of Oncology, University of Milan, Milan, Italy.ORCID 0000-0001-8926-4106
Maria Cristina LeonardiDivision of Radiotherapy, IEO, IRCCS European Institute of Oncology, Milan, Italy.ORCID 0000-0001-6529-8328
Mario RietjensDivision of Plastic and Reconstructive Surgery, IEO, IRCCS European Institute of Oncology, Milan, Italy.ORCID 0000-0003-0678-7118
Umberto CortinovisDepartment of Plastic Reconstructive Surgery, IRCCS National Cancer Institute, Milan, Italy.ORCID 0000-0002-0903-2418
Valeria SummoDepartment of Plastic Surgery, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Santa Maria della Misericordia Hospital, Udine, Italy.ORCID 0000-0002-6318-6880
Emanuele Rampino CordaroDepartment of Plastic Surgery, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Santa Maria della Misericordia Hospital, Udine, Italy.ORCID 0000-0001-6024-8647
Pier Camillo ParodiCampus BioMedico, University of Rome, Rome, Italy.ORCID 0000-0002-4677-8198
Paolo PersichettiCampus BioMedico, University of Rome, Rome, Italy.ORCID 0000-0001-8857-6060
Mauro BaroneDepartment of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio, Modena, Italy.ORCID 0000-0002-1439-5686
Giorgio De SantisDepartment of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio, Modena, Italy.ORCID 0000-0002-6717-5767
Matteo MuroloDepartment of Reconstructive Surgery and Hand Surgery, Azienda Ospedaliero Universitaria-Ospedali Riuniti, Ancona, Italy.ORCID 0000-0002-8587-9872
Michele RiccioDepartment of Reconstructive Surgery and Hand Surgery, Azienda Ospedaliero Universitaria-Ospedali Riuniti, Ancona, Italy.ORCID 0000-0001-5554-4759
Angelica AquinatiDepartment of Breast Surgery and Integrated Senology Centre, Belcolle Hospital, Viterbo, Italy.ORCID 0009-0000-2011-3043
Francesco CavaliereDepartment of Breast Surgery and Integrated Senology Centre, Belcolle Hospital, Viterbo, Italy.ORCID 0000-0001-6501-8648
Nicola VaiaDepartment of Breast Surgery, AULSS 3 Veneziana, Venice, Italy.ORCID 0000-0002-7372-6326
Giulia PaguraDepartment of Breast Surgery, AULSS 3 Veneziana, Venice, Italy.ORCID 0009-0003-8777-9474
Erica Dalla VeneziaUnit of Plastic Surgery, Department of Neurosciences, University of Padova, Padova, Italy.ORCID 0000-0002-3828-2694
Franco BassettoUnit of Plastic Surgery, Department of Neurosciences, University of Padova, Padova, Italy.ORCID 0000-0003-4105-8252
Vincenzo VindigniDepartment of Breast Surgery and Breast Unit, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Foggia, Italy.ORCID 0000-0001-6638-9010
Luigi CiuffredaDepartment of Breast Surgery and Breast Unit, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Foggia, Italy.ORCID 0009-0001-6735-8723
Maria Alessandra BocchiottiDepartment of Plastic Surgery, Città Della Salute e della Scienza Hospital, Turin, Italy.ORCID 0000-0003-0723-1074
Alberto SciarilloDepartment of Plastic Surgery, ASUGI Cattinara Hospital, Trieste, Italy.ORCID 0000-0002-0006-0068
Nadia RenziDepartment of Plastic Surgery, ASUGI Cattinara Hospital, Trieste, Italy.ORCID 0009-0007-9074-6787
Graziano MeneghiniFunctional Department Transmural Breast Surgery, AULSS 8 Berica, Vicenza, Italy.ORCID 0009-0003-5952-0879
Tajna KraljicDepartment of Breast Surgery, AULSS 8 Berica, Vicenza, Italy.ORCID 0009-0002-8338-3854
Andrea LoretiDepartment of Plastic Surgery, San Giovanni Addolorata Hospital, Rome, Italy.ORCID 0009-0000-7378-8431
Lucio FortunatoDepartment of Breast Surgery and Breast Unit, San Giovanni Addolorata Hospital, Rome, Italy.ORCID 0000-0002-8252-5833
Valentina PinoIstituto di Clinica Chirurgica, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0002-5706-6639
Valeriano VinciDepartment of Biomedical Sciences, IRCCS Humanitas University, Pieve Emanuele, Milan, Italy.ORCID 0000-0001-5234-6044
Marco KlingerReconstructive and Aesthetic Plastic Surgery School, Department of Medical Biotechnology and Translational Medicine BIOMETRA-Plastic Surgery Unit, University of Milan, IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy.ORCID 0000-0001-8417-0186
University of Milan · ITIRCCS Humanitas Research Hospital · ITAzienda Ospedaliera San Giovanni Addolorata · ITAzienda Ospedaliero-Universitaria di Modena · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITCasa Sollievo della Sofferenza · ITHumanitas University · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedale di Belcolle · ITOspedale di Cattinara · ITOspedale Santa Maria della Misericordia di Udine · ITUniversità Campus Bio-Medico · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Padua · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITEuropean Institute of Oncology · ITFondazione Poliambulanza Istituto Ospedaliero · ITMultiMedica · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: In modern breast cancer treatment, a growing role has been observed for breast reconstruction together with an increase in clinical indications for postmastectomy radiotherapy (PMRT). Choosing the optimum type of reconstructive technique is a clinical challenge. We therefore conducted a national multicenter study to analyze the impact of PMRT on breast reconstruction. Methods: We conducted a retrospective case-control multicenter study on women undergoing breast reconstruction. Data were collected from 18 Italian Breast Centres and stored in a cumulative database which included the following: autologous reconstruction, direct-to-implant (DTI), and tissue expander/immediate (TE/I). For all patients, we described complications and surgical endpoints to complications such as reconstruction failure, explant, change in type of reconstruction, and reintervention. Results: From 2001 to April 2020, 3116 patients were evaluated. The risk for any complication was significantly increased in patients receiving PMRT (aOR, 1.73; 95% CI, 1.33-2.24; Conclusion: Our study confirms that autologous reconstruction is the procedure least impacted by PMRT, while DTI appears to be the most impacted by PMRT, when compared with TE/I which shows a lower rate of explant and reconstruction failure. The trial is registered with NCT04783818, and the date of registration is 1 March, 2021, retrospectively registered.

Indexed as

Breast NeoplasmsMammaplastyFemaleHumansMastectomyPostoperative ComplicationsRadiotherapy, AdjuvantRetrospective StudiesTreatment Outcome

Identifiers

PMID37205012
PMCPMC10188256
OpenAlexW4377142635

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Registered trials

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.