Evidence map›Paper›PMID 39103688›Full record

ArticleAnnals of surgical oncology2024

Current State of Evidence-Based Long-Term Monitoring Protocols for Breast Plastic Surgery Patients.

Isabel W Ho, Anna Chichura, Holly J Pederson, Brian A Xavier, Julie Ritner, Graham S Schwarz

Abstract read
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 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

6 authors.

Isabel W HoCase Western Reserve University School of Medicine, Cleveland, OH, USA.
Anna ChichuraDepartment of Breast Surgery, Cleveland Clinic, Cleveland, OH, USA.
Holly J PedersonDepartment of Breast Surgery, Cleveland Clinic, Cleveland, OH, USA.
Brian A XavierDepartment of Radiology, Cleveland Clinic, Cleveland, OH, USA.
Julie RitnerDepartment of Radiology, Cleveland Clinic, Cleveland, OH, USA.
Graham S SchwarzDepartment of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA. schwarg@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecommendations for breast surveillance following breast plastic surgery are frequently changing. Establishing guidelines for long-term monitoring protocols may help identify treatable conditions and prevent untoward sequelae. We sought to evaluate the current state of evidence-based long-term monitoring protocols for patients following breast augmentation, reduction, and breast reconstruction.

methodsOfficial guidelines from various American societies and international societies were analyzed for alignment in evidence-based recommendations regarding breast surveillance.

resultsThe most recent US FDA update recommends magnetic resonance imaging or ultrasound starting 5-6 years after surgery and every 2-3 years thereafter. Discrepancies exist among professional societies: the American Society of Plastic Surgeons (ASPS) aligns with the FDA, while the American Society of Breast Surgeons and American College of Radiology (ACR) find no role for imaging for asymptomatic cases. Ultrasound is first-line for any implant concerns, with MRI if necessary. European societies oppose routine breast implant imaging. Breast reduction patients lack unique screening protocols; monitoring aligns with age and cancer risk factors. Following mastectomy and breast reconstruction, most organizations advocate for annual clinical examinations, with more frequent examinations initially. Evidence suggests that physical examination is sufficient to detect local cancer recurrence, with imaging only indicated if there is concern for recurrence. No surveillance imaging is recommended by the American Society of Clinical Oncology, National Comprehensive Cancer Network, or ASPS; however, ACR recommends mammography for autologous reconstruction only.

conclusionMultispecialty and regulatory body alignment may promote provider and patient adherence. Ongoing studies of long-term outcomes are needed to strengthen the level of evidence for monitoring guidelines.

Indexed as

Breast NeoplasmsMammaplastyPractice Guidelines as TopicEvidence-Based MedicineFemaleFollow-Up StudiesHumansMastectomyNeoplasm Recurrence, Local

Identifiers

PMID39103688
PMCPMC11466996

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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.