Evidence map›Paper›PMID 38670581›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Geographic variation in breast reconstruction surgery after mastectomy for females with breast cancer in Alberta, Canada.

Yifu Huang, Jenna-Lynn B Senger, Lisa Korus, Rhonda J Rosychuk

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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

4 authors at 1 institution in 1 country.

Yifu HuangFrom the Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Huang, Rosychuk); the Division of Plastic & Reconstructive Surgery, Department of Surgery, University of British Columbia, Vancouver, B.C. (Senger); the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Korus); the Women and Children's Health Research Institute, University of Alberta, Edmonton, Alta. (Rosychuk).
Jenna-Lynn B SengerFrom the Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Huang, Rosychuk); the Division of Plastic & Reconstructive Surgery, Department of Surgery, University of British Columbia, Vancouver, B.C. (Senger); the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Korus); the Women and Children's Health Research Institute, University of Alberta, Edmonton, Alta. (Rosychuk).
Lisa KorusFrom the Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Huang, Rosychuk); the Division of Plastic & Reconstructive Surgery, Department of Surgery, University of British Columbia, Vancouver, B.C. (Senger); the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Korus); the Women and Children's Health Research Institute, University of Alberta, Edmonton, Alta. (Rosychuk).
Rhonda J RosychukFrom the Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Huang, Rosychuk); the Division of Plastic & Reconstructive Surgery, Department of Surgery, University of British Columbia, Vancouver, B.C. (Senger); the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alta. (Korus); the Women and Children's Health Research Institute, University of Alberta, Edmonton, Alta. (Rosychuk) rhonda.rosychuk@ualberta.ca.
University of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer is the most common cancer affecting females in Canada, and about half of females with breast cancer are treated with mastectomy. We sought to evaluate geographic variation in breast reconstruction surgery in Alberta, Canada.

methodsUsing linked population-based administrative databases, we extracted data on all Alberta females aged 18 years and older who were diagnosed with breast cancer and treated with mastectomy during 2004-2017. Analyses included regression modelling of odds of reconstruction at 1 year and a spatial scan to identify geographic clusters of lower numbers of reconstruction.

resultsA total of 16 198 females diagnosed with breast cancer were treated with a mastectomy, and 1932 (11.9%) had reconstruction within 1 year postmastectomy. Those with reconstruction were more likely to be younger (adjusted odds ratio [OR] 16.7, 95% confidence interval [CI] 13.7-20.3; aged 21-44 yr v. ≥ 65 yr) and were less likely to be from lower-income neighbourhoods. They were more likely to have at least 1 comorbidity and were more likely to have advanced stages of cancer and to require chemotherapy (adjusted OR 0.55, 95% CI 0.47-0.65) or radiotherapy after mastectomy (adjusted OR 0.59, 95% CI 0.39-0.87) than females without reconstruction. We identified rural northern and southeastern clusters with frequencies of reconstruction that were 69.6% and 41.6% of what was expected, respectively.

conclusionWe found an overall postmastectomy rate of breast reconstruction of 11.9%, and we identified geographic variation. Predictors of reconstruction in Alberta were similar to those previously described in the literature, specifically with patients in rural communities having lower rates of reconstruction than their urban counterparts. These results suggest that further interventions are required to identify the specific barriers to reconstruction within rural communities and to create strategies to ensure equitable access to all residents.

Indexed as

Breast NeoplasmsMammaplastyMastectomyAdultAgedAlbertaFemaleHumansMiddle AgedYoung Adult

Identifiers

PMID38670581
PMCPMC11052580
OpenAlexW4395665915

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.