Evidence map›Paper›PMID 38495060›Full record

ReviewSeminars in plastic surgery2024

Financial Toxicity in Breast Reconstruction: The Role of the Surgeon-Patient Cost-of-Care Discussion.

Brigit D Baglien, Nishant Ganesh Kumar, Nicholas L Berlin, Sarah T Hawley, Reshma Jagsi, Adeyiza O Momoh

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in plastic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.3field-weighted citation impact, top 9% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Out-of-Pocket Costs and Surprise Billing in Otolaryngology: A National Database Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    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

6 authors at 2 institutions in 1 country.

Brigit D BaglienSection of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
Nishant Ganesh KumarSection of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
Nicholas L BerlinSection of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
Sarah T HawleyDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Reshma JagsiDepartment of Radiation Oncology, Emory University School of Medicine, Atlanta, Georgia.
Adeyiza O MomohSection of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
University of Michigan–Ann Arbor · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The financial burden of breast cancer treatment and reconstruction is a significant concern for patients. Patient desire for preoperative cost-of-care counseling while navigating the reconstructive process remains unknown. A cross-sectional survey of women from the Love Research Army was conducted. An electronic survey was distributed to women over 18 years of age and at least 1 year after postmastectomy breast reconstruction. Descriptive statistics and multivariable modeling were used to determine desire for and occurrence of cost-of-care discussions, and factors associated with preference for such discussions. Secondary outcomes included the association of financial toxicity with desire for cost discussions. Among 839 women who responded, 620 women (74.1%) did not speak to their plastic surgeon and 480 (57.4%) did not speak to a staff member regarding costs of breast reconstruction. Of the 550 women who reported it would have been helpful to discuss costs, 315 (57.3%) were not engaged in a financial conversation initiated by a health care provider. A greater proportion of women who reported financial toxicity, compared to those who did not, would have preferred to discuss costs with their plastic surgeon (65.2% vs. 43.5%,

Indexed as

breast reconstructionfinancial toxicityout-of-pocket expensespatient-provider communicationpostmastectomy reconstruction

Identifiers

PMID38495060
PMCPMC10942833
OpenAlexW4391014311

What OpenQuestion holds

Textmetadata
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.