Evidence map›Paper›PMID 40765686›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Psychosocial Impact of Postmastectomy Lymphedema Syndrome: Insights From a National Claims Database Analysis of Antidepressant Prescription Fills.

Daniel Najafali, Jennifer K Shah, Thomas M Johnstone, Justin M Camacho, Priscila C Cevallos, Kometh Thawanyarat, Yelissa Navarro, Rahim S Nazerali, Clifford C Sheckter

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. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Daniel NajafaliFrom the Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL.
Jennifer K ShahDivision of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA.
Thomas M JohnstoneStanford University School of Medicine, Stanford, CA.
Justin M CamachoDrexel University College of Medicine, Philadelphia, PA.
Priscila C CevallosGeisel School of Medicine, Dartmouth University, Hanover, NH.
Kometh ThawanyaratMedical College of Georgia at Augusta University, AU/UGA Medical Partnership, Athens, GA.
Yelissa NavarroMedical College of Georgia at Augusta University, AU/UGA Medical Partnership, Athens, GA.
Rahim S NazeraliDivision of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA.
Clifford C SheckterDivision of Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postmastectomy lymphedema syndrome (PMLS) has been associated with lower quality of life due to symptoms and financial consequences. This study assessed the impact of PMLS on psychosocial well-being using antidepressant fill patterns. We hypothesized that PMLS increased the odds and duration of antidepressant fills. Methods: Mastectomy encounters in the Merative MarketScan Research Databases, 2007-2022, were extracted using Current Procedural Terminology codes. Among these, patients who developed PMLS and filled antidepressant prescriptions were identified using the Results: Of 300,075 patients meeting criteria (median [interquartile range] age, 52 [45-59] y), 24,753 (8.2%) experienced PMLS. In a multivariate regression, younger age, less recent surgical year, and higher Elixhauser Comorbidity Index scores were associated with heightened odds of PMLS ( Conclusions: Patients with PMLS were associated with increased antidepressant fills compared with those without lymphedema. Lymphedema surgery did not impact duration of postmastectomy antidepressant fills. Future studies should evaluate the longitudinal abilities of surgical interventions to ameliorate depression in patients with PMLS.

Identifiers

PMID40765686
PMCPMC12324019

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