Evidence map›Paper›PMID 38717543›Full record

ArticleAnnals of surgical oncology2024

"Peace of Mind" After Mastectomy: A Scoping Review.

Safraz A Hamid, Baylee Bakkila, Kurt S Schultz, Alyssa A Grimshaw, Craig G Gunderson, Elizabeth L Godfrey, Clara Lee, Elizabeth Berger, Shoshana Rosenberg, Rachel A Greenup

Abstract readScoping Review
In one paragraph

Article in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Survivorship Issues in Older Adults with Breast Cancer.Current breast cancer reports · 2025
    Article
  3. Article
  4. 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

10 authors.

Safraz A HamidDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA. safraz.hamid@yale.edu.ORCID http://orcid.org/0000-0001-8342-7760
Baylee BakkilaDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Kurt S SchultzDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Alyssa A GrimshawHarvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, CT, USA.
Craig G GundersonDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Elizabeth L GodfreyDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Clara LeeDepartment of Surgery, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Elizabeth BergerDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Shoshana RosenbergWeill Cornell Medical College, New York, NY, USA.
Rachel A GreenupDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.

Funding

Effectiveness and implementation of a decision support tool to improve surgical decision making in young women with breast cancerR01CA256877 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI GREENUP, RACHEL ADAMS, ROSENBERG, SHOSHANA M · 2022 to 2025
$2.9M
Division of Cancer Prevention, National Cancer Institute 1R01CA256877-01A1NCI NIH HHS R01 CA256877
6 · The paper itself

Abstract

backgroundMany women eligible for breast conservation therapy (BCT) elect unilateral mastectomy (UM) with or without contralateral prophylactic mastectomy (CPM) and cite a desire for "peace of mind." This study aimed to characterize how peace of mind is defined and measured and how it relates to surgical choice.

methodsNine databases were searched for relevant articles through 8 October 2023, and data were extracted from articles meeting the inclusion criteria.

resultsThe inclusion criteria were met by 20 studies. Most were prospective cohort studies (65%, 13/20). In the majority of the studies (72%, 13/18), Non-Hispanic white/Caucasian women comprised 80 % or more of the study's sample. Almost half of the studies used the phrase "peace of mind" in their publication (45%, 9/20), and few directly defined the construct (15%, 3/20). Instead, words representing an absence of peace of mind were common, specifically, "anxiety" (85%, 17/20), "fear" (75%, 15/20), and "concern" (75%, 15/20). Most of the studies (90%, 18/20) measured peace of mind indirectly using questionnaires validated for anxiety, fear, worry, distress, or concern, which were administered at multiple postoperative time points (55%, 11/20). Most of the studies (95%, 18/19) reported at least one statistically significant result showing no difference in peace of mind between BCT, UM, and/or CPM at their latest time of assessment.

conclusionPeace of mind is largely framed around concepts that suggest its absence, namely, anxiety, fear, and concern. Existing literature suggests that peace of mind does not differ among average-risk women undergoing BCT, UM, or CPM. Shared surgical decisions should emphasize at least comparable emotional and/or psychosocial well-being between CPM and breast conservation.

Indexed as

Breast NeoplasmsMastectomyAnxietyFearFemaleHumansPrognosisProphylactic Mastectomy

Identifiers

PMID38717543
PMCPMC12303252

What OpenQuestion holds

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Registered trials

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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.