Evidence map›Paper›PMID 39755890›Full record

SynthesisAnnals of surgical oncology2025

Short-term Patient-Reported Outcomes Following Bilateral Risk-Reducing Mastectomy for Patients at a High Risk for Breast Cancer: A Systematic Review.

Koumani W Ntowe, Michael S Lee, Victoria N Yi, Samantha J Kaplan, Brett T Phillips, Akiko Chiba, Jennifer K Plichta

Abstract readSystematic Review
In one paragraph

Synthesis 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 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

7 authors.

Koumani W NtoweDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Michael S LeeDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Victoria N YiDivision of Plastic, Oral, and Maxillofacial Surgery, Duke University, Durham, NC, USA.
Samantha J KaplanDuke University Medical Center Library & Archives, Duke University School of Medicine, Durham, NC, USA.
Brett T PhillipsDivision of Plastic, Oral, and Maxillofacial Surgery, Duke University, Durham, NC, USA.
Akiko ChibaDepartment of Surgery, Duke University Medical Center, Durham, NC, USA.
Jennifer K PlichtaDepartment of Surgery, Duke University Medical Center, Durham, NC, USA. jennifer.plichta@duke.edu.ORCID http://orcid.org/0000-0002-7411-0558

Funding

Building Interdisciplinary Research Careers in Women's Health (K12) - Administrative SupplementK12AR084231 · NIAMS · DUKE UNIVERSITY · PI Cindy Amundsen · 2023 to 2026
$2.5M
NIAMS NIH HHS K12 AR084231NIH HHS K12AR084231
6 · The paper itself

Abstract

backgroundBilateral risk-reducing mastectomies (RRMs) have been proven to decrease the risk of breast cancer in patients at high risk owing to family history or having pathogenic genetic mutations. However, few resources with consolidated data have detailed the patient experience following surgery. This systematic review features patient-reported outcomes for patients with no breast cancer history in the year after their bilateral RRM.

methodsThe databases MEDLINE, Embase, and Scopus were used to identify studies. Studies were then evaluated by multiple authors, and their quality was assessed by using the Methodological Index for Non-Randomized Studies score.

resultsOur search identified 1858 unique studies, of which 11 met our inclusion criteria. Only two of these studies included patients who did not receive postmastectomy reconstruction. The included studies were either retrospective cohort studies or prospective studies. General satisfaction with the outcome of RRM and the decision to undergo RRM was high across many of the studies, with low levels of regret. There was also a noticeable trend of improved psychosocial outcomes following RRM. For postoperative sexual well-being, body image, aesthetic satisfactions, and somatosensory function, there were a mix of positive and negative outcomes.

conclusionsThe patients who elected to manage their breast cancer risk with bilateral RRM (mostly with reconstruction) tend to be satisfied with their decision and the surgical outcomes. This may be related to decreased cancer-related anxiety. Postmastectomy psychosocial well-being tends to improve while physical health after surgery varies by patient.

Indexed as

Breast NeoplasmsMastectomyPatient Reported Outcome MeasuresProphylactic MastectomyBody ImageFemaleHumansMammaplastyPatient SatisfactionPrognosisQuality of LifeBRCABreast cancerCancer geneticsMastectomyRisk reducing mastectomy, risk reducing management, patient outcomes, breast reconstruction

Identifiers

PMID39755890
PMCPMC11888891

What OpenQuestion holds

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Registered trials

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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.