Evidence map›Paper›PMID 40391348›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Defining Breast Implant Illness: A Systematic Review and Meta-analysis of Patient-reported Symptoms.

Gabriel Bouhadana, Claudia Boucher, Eli Saleh, Jordan Gornitsky, Daniel E Borsuk

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 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. Review
  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

5 authors.

Gabriel BouhadanaFrom the Division of Plastic Surgery, Université de Montréal, Montreal, Quebec, Canada.
Claudia BoucherFaculty of Medicine, Université de Montréal, Montreal, Quebec, Canada.
Eli SalehFrom the Division of Plastic Surgery, Université de Montréal, Montreal, Quebec, Canada.
Jordan GornitskyFrom the Division of Plastic Surgery, Université de Montréal, Montreal, Quebec, Canada.
Daniel E BorsukFrom the Division of Plastic Surgery, Université de Montréal, Montreal, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although no definitive scientific link has been established, public concern surrounding breast implant illness (BII) is increasing. To study this potential condition, a clear definition is necessary. This systematic review aimed to characterize BII through a meta-analysis of patient-reported symptoms. Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a comprehensive literature search was conducted. The relative risk (RR) of the top 10 symptoms was meta-analyzed, comparing patients with and without breast implants. Additional analyses assessed whether surgical or patient-related factors influenced symptom occurrence. Results: A total of 36 articles were included in this study, accounting for 10,519 patients. Fatigue or malaise (RR = 3.15 [2.89-3.43]), myalgia or weakness (RR = 2.96 [2.76-3.18]), and cognitive dysfunction (RR = 2.87 [2.64-3.12]) were most strongly associated with the presence of breast implants. Implants that were ruptured (RR = 1.12 [1.04-1.21], Conclusions: Given increasing awareness and concern surrounding BII, it is essential for the plastic surgery community to critically examine patient outcomes. Establishing a consistent, symptom-based definition of BII and identifying key risk factors are necessary to guide future research and improve patient care.

Identifiers

PMID40391348
PMCPMC12088632

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LicenceCC BY-NC-ND
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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.