Evidence map›Paper›PMID 38926252›Full record

ArticleAesthetic plastic surgery2025

Surgical Management of Breast Capsular Contracture-A Multi-institutional Data Analysis of Risk Factors for Early Complications.

Samuel Knoedler, Leonard Knoedler, Sam Boroumand, Michael Alfertshofer, Fortunay Diatta, Giuseppe Sofo, Lioba Huelsboemer, Frederik J Hansen, Sören Könneker, Bong-Sung Kim and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

15 authors.

Samuel KnoedlerDivision of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Leonard KnoedlerDivision of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Sam BoroumandDivision of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Michael AlfertshoferDivision of Hand, Plastic and Aesthetic Surgery, Ludwig-Maximilians-University, Munich, Germany.ORCID 0000-0002-4892-2376
Fortunay DiattaDivision of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Giuseppe SofoInstituto Ivo Pitanguy, Hospital Santa Casa de Misericórdia Rio de Janeiro, Pontifícia Universidade Católica do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Lioba HuelsboemerDivision of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Frederik J HansenDepartment of General and Visceral Surgery, Friedrich-Alexander University Erlangen, Erlangen, Germany.
Sören KönnekerDepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.
Bong-Sung KimDepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.
Filippo A G PerozzoDepartment of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Haripriya AyyalaDivision of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Omar AllamDivision of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Bohdan Pomahac *Division of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Martin Kauke-Navarro *Division of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA. kauke-navarro.martin@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCapsular contracture (CC) is a common complication following implant-based breast surgery, often requiring surgical intervention. Yet, little is known about risk factors and outcomes following CC surgery.

methodsWe reviewed the American College of Surgeons National Surgical Quality Improvement Program database (2008-2021) to identify female patients diagnosed with CC and treated surgically. Outcomes of interest included the incidence of surgical and medical complications at 30-days, reoperations, and readmissions. Confounder-adjusted multivariable analyses were performed to establish risk factors.

results5,057 patients with CC were identified (mean age: 55 ± 12 years and mean body mass index [BMI]: 26 ± 6 kg/m

conclusionBased on 14 years of multi-institutional data, we calculated a net 30 day complication rate of 6.3% after the surgical treatment of CC. We identified higher BMI, hypertension, and inpatient setting as independent risk factors of postoperative complications. Plastic surgeons may wish to integrate these findings into their perioperative workflows, thus optimizing patient counseling and determining candidates' eligibility for CC surgery. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Breast ImplantationBreast ImplantsImplant Capsular ContracturePostoperative ComplicationsAdultAgedDatabases, FactualFemaleHumansIncidenceMiddle AgedPatient ReadmissionReoperationRetrospective StudiesRisk AssessmentRisk FactorsACS-NSQIPBreast implantBreast surgeryCapsular contractureCapsular fibrosis

Identifiers

PMID38926252

What OpenQuestion holds

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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.