Evidence map›Paper›PMID 37662866›Full record

ArticleJPRAS open2023

Machine-Learning Prediction of Capsular Contraction after Two-Stage Breast Reconstruction.

Yunchan Chen, Marcos Lu Wang, Grant G Black, Nancy Qin, George Zhou, Jaime L Bernstein, Malini Chinta, David M Otterburn

Open access · goldAbstract read
In one paragraph

Article in JPRAS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

11 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

8 authors at 2 institutions in 1 country.

Yunchan ChenDivision of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY, USA.
Marcos Lu WangDivision of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY, USA.
Grant G BlackDivision of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY, USA.
Nancy QinDivision of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY, USA.
George ZhouDivision of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY, USA.
Jaime L BernsteinNewYork-Presbyterian Hospital, New York, NY, USA.
Malini ChintaNewYork-Presbyterian Hospital, New York, NY, USA.
David M OtterburnDivision of Plastic and Reconstructive Surgery, Weill Cornell Medicine, New York, NY, USA.
Cornell University · USNew York Hospital Queens · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Two-stage breast reconstruction is a common technique used to restore preoperative appearance in patients undergoing mastectomy. However, capsular contracture may develop and lead to implant failure and significant morbidity. The objective of this study is to build a machine-learning model that can determine the risk of developing contracture formation after two-stage breast reconstruction. Methods: A total of 209 women (406 samples) were included in the study cohort. Patient characteristics that were readily accessible at the preoperative visit and details pertaining to the surgical approach were used as input data for the machine-learning model. Supervised learning models were assessed using 5-fold cross validation. A neural network model is also evaluated using a 0.8/0.1/0.1 train/validate/test split. Results: Among the subjects, 144 (35.47%) developed capsular contracture. Older age, smaller nipple-inframammary fold distance, retropectoral implant placement, synthetic mesh usage, and postoperative radiation increased the odds of capsular contracture ( Conclusion: To our knowledge, this is the first study that uses a neural network to predict the development of capsular contraction after two-stage implant-based reconstruction. At the preoperative visit, surgeons may counsel high-risk patients on the potential need for further revisions or guide them toward autologous reconstruction.

Indexed as

Alloplastic reconstructionArtificial intelligenceBreast reconstructionCapsular contractureComplications predictionContracture formationImplantImplant-based reconstructionMachine learningOutcomes predictionPostoperative complicationsTwo-stage implant-based reconstruction

Identifiers

PMID37662866
PMCPMC10472234
OpenAlexW4385481508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.