Evidence map›Paper›PMID 38254756›Full record

ArticleCancers2024

Incidence and Risk Assessment of Capsular Contracture in Breast Cancer Patients following Post-Mastectomy Radiotherapy and Implant-Based Reconstruction.

Maria Vinsensia, Riccarda Schaub, Eva Meixner, Philipp Hoegen, Nathalie Arians, Tobias Forster, Line Hoeltgen, Clara Köhler, Kristin Uzun-Lang, Vania Batista and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
11.5field-weighted citation impact, top 1% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

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  12. Implant-based reconstruction and adjuvant radiotherapy in breast cancer patients-current status and DEGRO recommendations.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
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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

17 authors at 2 institutions in 1 country.

Maria VinsensiaDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Riccarda SchaubDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Eva MeixnerDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.ORCID 0000-0001-7087-9581
Philipp HoegenDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Nathalie AriansDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.ORCID 0000-0002-2389-5404
Tobias ForsterDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Line HoeltgenDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Clara KöhlerDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Kristin Uzun-LangDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Vania BatistaDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Laila KönigDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Oliver ZivanovicDepartment of Gynecology and Obstetrics, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Andre HennigsDepartment of Gynecology and Obstetrics, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Michael GolattaDepartment of Gynecology and Obstetrics, Heidelberg University Hospital, 69120 Heidelberg, Germany.ORCID 0000-0002-2605-0060
Jörg HeilDepartment of Gynecology and Obstetrics, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Jürgen DebusDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Juliane Hörner-RieberDepartment of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Heidelberg University · DEGerman Cancer Research Center · DE

Funding

Heidelberg University Rahel Goitein-Straus-Programm
6 · The paper itself

Abstract

Our study aims to identify the risk factors and dosimetry characteristics associated with capsular contracture.

methodsWe retrospectively analyzed 118 women with breast cancer who underwent PMRT following an IBR between 2010 and 2022. Patients were treated with PMRT of 50.0-50.4 Gy in 25-28 fractions. Capsular contracture was categorized according to the Baker Classification for Reconstructed Breasts.

resultsAfter a median follow-up of 22 months, the incidence of clinically relevant capsular contracture (Baker III-IV) was 22.9%. Overall, capsular contracture (Baker I-IV) occurred in 56 patients (47.5%) after a median of 9 months after PMRT. The rate of reconstruction failure/implant loss was 25.4%. In the univariate analysis, postoperative complications (prolonged pain, prolonged wound healing, seroma and swelling) and regional nodal involvement were associated with higher rates of capsular contracture (

conclusionPostoperative complications and regional nodal involvement were associated with an increased risk of capsular contracture following breast reconstruction and PMRT, while none of the analyzed dosimetric factors were linked to a higher incidence. Additional studies are needed to identify further potential risk factors.

Indexed as

breast cancerbreast reconstructioncapsular contracturecapsular fibrosisimmediate implant-based breast reconstructionpost-mastectomy radiotherapy

Identifiers

PMID38254756
PMCPMC10813520
OpenAlexW4390663359

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.