Evidence map›Paper›PMID 38024082›Full record

ReviewCureus2023

Autologous Fat Grafting for Post-mastectomy Pain Syndrome: A Systematic Review and Meta-Analysis.

Sabrina Samuels, Teniola Adeboye, Abdal Qadir Zafar, Chie Katsura, Charlie Izard, Nazanin Shahrokhi, Shafiq Rahman

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

7 authors at 3 institutions in 1 country.

Sabrina SamuelsPlastic and Reconstructive Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR.
Teniola AdeboyePlastic and Reconstructive Surgery, Mid and South Essex NHS Foundation Trust, Essex, GBR.
Abdal Qadir ZafarOrthopaedic Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Chie KatsuraPlastic and Reconstructive Surgery, Hull University Teaching Hospitals NHS Trust, Hull, GBR.
Charlie IzardPlastic and Reconstructive Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Nazanin ShahrokhiPlastic and Reconstructive Surgery, Manchester University NHS Foundation Trust, Manchester, GBR.
Shafiq RahmanPlastic and Reconstructive Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Sheffield Teaching Hospitals NHS Foundation Trust · GBManchester University NHS Foundation Trust · GBLeeds Teaching Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fat grafting has been described as a potential treatment for post-mastectomy pain syndrome (PMPS) following oncological breast surgery. The study's aim was to compare and contrast the current literature using a systematic review and meta-analysis to quantify the evidence. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. Databases, including MEDLINE, Google Scholar, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Central Register of Controlled Trials (CENTRAL), were searched. Data synthesis was conducted using Review Manager 5.4 (Cochrane Collaboration, London, UK), with 95% confidence intervals. All randomised controlled trials (RCT) and observational studies comparing lipofilling for PMPS were included. A total of six studies met the inclusion criteria with five articles being used in data analysis for the mean percentage reduction in visual analogue scale (VAS) score. The primary outcome measure was the mean percentage reduction in the VAS pain score. Secondary outcomes included the Neuropathic Pain Symptom Inventory (NPSI) and the quality of life assessments post treatment. Overall, a total of 266 patients received fat transfer for PMPS, and 164 were in the control group. The mean percentage reduction in VAS score was 19.8 (10.82, 28.82; p < 0.0001). Secondary outcomes, including health-related quality of life, showed good outcomes post fat transfer. This involved breast softness, cosmesis, and psychosocial well-being. The results from this meta-analysis suggest that autologous fat grafting is an efficacious treatment for reducing pain caused by PMPS. The authors suggest more high-quality trials are needed to enhance the current evidence base.

Indexed as

chronic pain managementmanagement of pmpsneuropathic painpost-mastectomy complicationspost-mastectomy pain syndromesystematic review and meta-analysis

Identifiers

PMID38024082
PMCPMC10676735
OpenAlexW4388792531

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.