Evidence map›Paper›PMID 39407064›Full record

ArticleAnnals of surgical oncology2025

Living Flat: Stories from Women of Color After Mastectomy.

Jasmine A Khubchandani, Sakinah C Suttiratana, Rosetta Washington, Dawn White-Bracey, Madhav Kc, Andrea Silber, Oluwadamilola M Fayanju, Paris D Butler, Alka Menon, Rachel A Greenup

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Jasmine A KhubchandaniNational Clinician Scholars Program, Yale School of Medicine, New Haven, CT, USA. jasminekhubchandani@gmail.com.
Sakinah C SuttiratanaCenter for Community Engagement and Health Equity, Yale Cancer Center, Yale School of Medicine and Yale School of Public Health, New Haven, CT, USA.
Rosetta WashingtonCenter for Community Engagement and Health Equity, Yale Cancer Center, Yale School of Medicine and Yale School of Public Health, New Haven, CT, USA.
Dawn White-BraceyCenter for Community Engagement and Health Equity, Yale Cancer Center, Yale School of Medicine and Yale School of Public Health, New Haven, CT, USA.
Madhav KcYale Cancer Outcomes, Public Policy, and Effectiveness Research Center (COPPER) Center, Yale School of Medicine, New Haven, CT, USA.
Andrea SilberCenter for Community Engagement and Health Equity, Yale Cancer Center, Yale School of Medicine and Yale School of Public Health, New Haven, CT, USA.
Oluwadamilola M FayanjuDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Paris D ButlerDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Alka MenonDepartment of Sociology, Yale University, New Haven, CT, USA.
Rachel A GreenupYale Cancer Outcomes, Public Policy, and Effectiveness Research Center (COPPER) Center, Yale School of Medicine, New Haven, CT, USA.

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 1985 to 2026
$85.0M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
Research ProgramP50CA244690 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY, BEKELMAN, JUSTIN · 2020 to 2024
$4.9M
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
Using Modifiable Risk Factors to Predict Inferior Care and Survival after Breast Cancer Diagnosis: A Novel Approach to Addressing Health DisparitiesK08CA241390 · NCI · UNIVERSITY OF PENNSYLVANIA · PI FAYANJU, OLUWADAMILOLA M. · 2019 to 2023
$1.1M
NCATS NIH HHS TL1 TR001864NCI NIH HHS 1R01CA256877-01A1NCI NIH HHS K08 CA241390NCI NIH HHS P30CA016359NCI NIH HHS P30 CA016520NCI NIH HHS R01 CA256877NIH HHS 2P30CA016520NIH HHS 7K08CA241390-03NIH HHS P50CA244690
6 · The paper itself

Abstract

backgroundThere remain persistent racial and ethnic disparities in the receipt of post-mastectomy breast reconstruction for breast cancer. Yet, patient-reported outcomes and advocacy efforts around living flat overwhelmingly have focused on white women. We sought to characterize the lived experiences among women of color living flat after mastectomy for breast cancer. PATIENTS AND

methodsOur community-partnered study included a sociodemographic and health questionnaire followed by semistructured interviews. Using an interview guide designed in an interdisciplinary manner, we explored themes related to culture and community after mastectomy. Women ≥ 18 years old who underwent mastectomy without reconstruction for breast cancer were included. Interviews were performed by formally trained community-based research fellows and conducted virtually over video conferencing, recorded, and transcribed. Data were analyzed on NVivo using an integrated (inductive and deductive) team-based approach.

resultsThe final cohort included 20 women, 60% identified as Black, 20% as Asian, 10% as multiracial, 5% as Latina, and 5% as white. Key concepts included: (a) cancer stigma, (b) privacy around breasts, (c) finding support through shared experiences, (d) sacrifice of breast for life/health, (e) spirituality, (f) patients' familial roles and relationship to breast, and (g) societal expectations. Women described the intersection of cancer stigma and privacy around breasts influencing knowledge of family history and support during cancer treatment.

conclusionAmong women of color, breast cancer stigma and spirituality are key contributors to quality of life after mastectomy without breast reconstruction, domains not routinely included in contemporary patient-reported outcome measures. Representation of diverse experiences is critical to achieving equity.

Indexed as

Breast NeoplasmsMastectomyAdultAgedAsianBlack or African AmericanFemaleFollow-Up StudiesHispanic or LatinoHumansMammaplastyMiddle AgedPrognosisQuality of LifeSpiritualityWhiteBreast cancerCommunity-based participatory researchCultureGoing flatHealth equityLiving flatMastectomy without reconstructionSurgical amastia

Identifiers

PMID39407064
PMCPMC13253009

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.