ArticleAnnals of breast surgery : an open access journal to bridge breast surgeons across the world2024
The psychological impacts of post-mastectomy breast reconstruction: a systematic review.
Article in Annals of breast surgery : an open access journal to bridge breast surgeons across the world, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of breast cancer surgery on levels of depression and anxiety: a systematic review and meta-analysis.BMC cancer · 2025Pooled it
- Practice patterns in prepectoral implant-based breast reconstruction: A survey of UK plastic surgeons.JPRAS open · 2026Article
- IDECIDE breast surgery patient decision aid: Development and testing of a quality of life-integrated decision support tool.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Detection of residual fibroglandular tissue on breast MRI and associated factors in women treated with mastectomy and DIEP flap breast reconstruction.Insights into imaging · 2026Article
- Somatoform Disorders Affect Decision-making of Breast Reconstruction Post-Mastectomy of Breast Cancer Patients: A Comparative Hazard Analysis.Aesthetic plastic surgery · 2026Article
- A Comparative Study of Satisfaction, Anxiety, and Depression of Postmastectomy Patients With and Without Reconstruction.Plastic and reconstructive surgery. Global open · 2026Article
- Perioperative diffuse optical imaging of blood flow distributions for porcine skin flap viability assessment.Journal of biomedical optics · 2026Article
- Comparative Outcomes of Deep Inferior Epigastric Perforator Flap and Breast Implants in Breast Reconstruction Postmastectomy: A Systematic Review and Meta-analysis.Plastic and reconstructive surgery. Global open · 2026Article
- Garment-related patient-reported outcomes: a longitudinal pre-post comparison of autologous versus implant-based breast reconstruction.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2026Article
- Breast Implants: Biomaterials, Surfaces, Biocompatibility-A Biomedical Engineering Perspective.Journal of clinical medicine · 2026Review
- A Global Propensity Score-matched Analysis of 56,992 Nicotine-dependent Versus Nondependent Breast Reconstruction Cases.Plastic and reconstructive surgery. Global open · 2026Article
- Breast Reconstruction After Cancer: Historical Development, Modern Techniques, and Psychological Impact.Healthcare (Basel, Switzerland) · 2026Review
- Pre-Pectoral Polyurethane Implant Reconstruction Following Batwing Skin-Reducing Mastectomy: A Single-Center Study.Journal of clinical medicine · 2026Article
- Imaging donor site complications after autologous breast reconstruction flaps: a pictorial review.Emergency radiology · 2026Review
- The Role of Indocyanine Green Angiography and Axillary Reverse Mapping in Breast Reconstruction Surgery.Journal of clinical medicine · 2026Article
- Perioperative diffuse optical imaging of blood flow distributions for porcine skin flap viability assessment.medRxiv : the preprint server for health sciences · 2026Article
- Article
- Functioning of women after mastectomy with subsequent breast reconstruction depending on cancer-related variables.Frontiers in public health · 2026Article
- Autologous vs. implant-based breast reconstruction and long-term mental disorder risk: a retrospective cohort study emulating a target trial.International journal of surgery (London, England) · 2026Article
- Where do breast cancer patients after curative-intent surgery stand in their Health-related Quality of Life (Hr-QoL) outcomes compared with health institution-based normal clients? A comparative cross-sectional study.BMC women's health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Background: While it is often presumed that undergoing breast reconstruction (BR) after mastectomy has positive psychosocial effects, a comprehensive review of current knowledge on the topic is to date absent. The aim of this systematic review is to summarize the available literature on the effects of BR on postoperative psychological distress. Methods: A systematic review of the literature was performed using PubMed, Google Scholar, EMBASE, PSYCinfo, and Web of Science. Inclusion criteria included clinical studies of patients who underwent BR post-mastectomy with psychological distress assessments as primary outcomes. Articles were independently reviewed and assessed for bias and evidence quality. Analyses were performed among patients receiving mastectomy alone (MA) versus mastectomy with breast reconstruction (MBR), immediate versus delayed mastectomy, and implant-based versus autologous reconstruction. Results: Ninety-nine studies published from 1980-2021 met inclusion criteria and were reviewed. Twenty-six (26.3%) studies compared patients who underwent MBR to those who underwent MA. Of these, 18 (69.2%) found that MBR had superior effects on psychologic outcomes, 6 (23.1%) found no differences, and 2 (7.7%) found negative psychologic effects relative to MA. Fourteen (14.1%) studies compared immediate versus delayed BR, of which 4 (28.6%) found that immediate BR had superior psychologic outcomes while 10 (71.4%) found no significant differences. Sixteen (16.2%) studies compared autologous versus implant-based reconstruction. Eight (50.0%) of these reported patients with autologous BR were more satisfied with breast appearance. Conclusions: While findings are not uniform, the majority of studies found that BR following mastectomy improves psychologic outcomes, with a possible benefit of immediate over delayed BR. Future studies should determine if BR type has an effect on psychological distress.
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Registered trials
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.