Evidence map›Paper›PMID 39529872›Full record

ArticlePlastic and reconstructive surgery. Global open2024

The Impact of Complication Timing on the Outcomes of Implant-based Breast Reconstruction.

Tahera Alnaseri, Shamit Prabhu, Lexy Anderson, Lorna Kwan, Maral Demirjian, Alvin Kwok, Christopher Reid, Scott Hollenbeck, Michael R DeLong

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Tahera AlnaseriFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, Los Angeles, Calif.
Shamit PrabhuFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, Los Angeles, Calif.
Lexy AndersonFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, Los Angeles, Calif.
Lorna KwanDepartment of Urology, University of California, Los Angeles, Calif.
Maral DemirjianDepartment of Urology, University of California, Los Angeles, Calif.
Alvin KwokDivision of Plastic Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Christopher ReidDivision of Plastic Surgery, University of California, San Diego, Calif.
Scott HollenbeckDepartment of Plastic Surgery, Maxillofacial and Oral Health; University of Virginia, Charlottesville, Va.
Michael R DeLongFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, Los Angeles, Calif.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The National Surgical Quality Improvement Program (NSQIP) database provides an important resource for determining complication rates and risk factors for surgical procedures. However, NSQIP is limited to 30-day follow-up, and it is unclear whether this is reliable for evaluating prosthetic breast reconstruction outcomes. Methods: A single-institution, cross-sectional, retrospective review was performed for patients undergoing mastectomy with immediate, prepectoral tissue expander reconstruction. Timing of complications was stratified as early (within 30 days of operation) versus late (after 30 days). Categorical variables were compared using χ Results: There were 301 patients (509 reconstructed breasts) included with a median follow-up time of 11 months. Of them, 176 patients (58%) experienced a postoperative complication-140 patients (47%) experienced an early complication and 36 patients (12%) experienced a late complication. Patients with late complications had a significantly higher rate of reconstructive failure compared with the early complication group (17% versus 10%; Conclusions: Late complications after prepectoral breast reconstruction have a more prominent impact on reconstructive failure and revisions than early complications. This finding may inform strategies to revise national databases such as NSQIP to include more detailed information and longer capture periods.

Identifiers

PMID39529872
PMCPMC11554351

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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.