Evidence map›Paper›PMID 39290400›Full record

ReviewJPRAS open2024

Neuropathic Pain Following Breast-conserving Surgery: A Systematic Review and Meta-Analysis.

Esmee Kwee, Lucas G de Groot, Paula Rijs Alonso, Keghart Krikour, Liron S Duraku, Caroline A Hundepool, J Michiel Zuidam

Abstract readReview
In one paragraph

Review in JPRAS open, 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. Trial
  2. 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

7 authors.

Esmee KweeDepartment of Plastic, Reconstructive Surgery and Hand surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Lucas G de GrootDepartment of Plastic, Reconstructive Surgery and Hand surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Paula Rijs AlonsoDepartment of Plastic, Reconstructive Surgery and Hand surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Keghart KrikourDepartment of Plastic, Reconstructive Surgery and Hand surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Liron S DurakuDepartment of Plastic, Reconstructive Surgery and Hand surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Caroline A HundepoolDepartment of Plastic, Reconstructive Surgery and Hand surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
J Michiel ZuidamDepartment of Plastic, Reconstructive Surgery and Hand surgery, Erasmus Medical Center, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic pain after breast cancer surgery, affecting 25%-60% of patients, significantly impacts the survivors' quality of life. With improved survival rates, more individuals are experiencing this long-term complication. It is often overlooked that this chronic pain may stem from peripheral nerve injury, resulting in neuropathic pain characterized by burning sensations, electric shocks, and heightened sensitivity. Although neuropathic pain prevalence is reported at 24%-36% post-mastectomy, the data following breast-conserving surgery remain limited. This systematic review aimed to investigate the prevalence of neuropathic pain after breast-conserving surgery and its potential association with axillary procedures. Methods: The electronic databases, Medline, Embase, Web of Science and Cochrane Central, were searched. Inclusion criteria were defined to include studies reporting on the prevalence of neuropathic pain following breast-conserving surgery and exploring associations with axillary procedures. A meta-analysis was performed to compute a pooled prevalence rate. Results: Eight studies, covering 1,469 patients post-breast-conserving surgery, met the inclusion criteria. The meta-analysis revealed a pooled prevalence of 31% (95% confidence intervals [CI] 0.14-0.56) neuropathic pain among patients who underwent breast-conserving surgery. Six studies explored associations with axillary procedures; however, none suggested a correlation between axillary procedures and neuropathic pain after breast-conserving surgery. Conclusion: This systematic review and meta-analysis indicated a pooled prevalence of 31% neuropathic pain following breast-conserving surgery of, with confidence interval ranging from 14% to 56%. The review did not provide conclusive evidence to suggest correlations between axillary procedures and neuropathic pain after breast-conserving surgery.

Indexed as

Breast cancer surgeryBreast-conserving surgeryChronic painLumpectomyNeuropathic pain

Identifiers

PMID39290400
PMCPMC11405640

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.