Evidence map›Paper›PMID 41220877›Full record

ArticlePlastic and reconstructive surgery. Global open2025

The Association of Hand Dominance With the Development of Breast Cancer-related Lymphedema After Mastectomy: A Retrospective Analysis.

Devin J Clegg, Payton Grande, Jeein Yoon, Gulsah Onar, Jeremy Watts, Anahita Khojandi, Vasileios Maroulas, Stefanos Boukovalas

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Devin J CleggFrom the Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN.
Payton GrandeUniversity of Tennessee Health Science Center College of Medicine, Memphis, TN.
Jeein YoonFrom the Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN.
Gulsah OnarFrom the Department of Surgery, University of Tennessee Health Science Center College of Medicine, Knoxville, TN.
Jeremy WattsDepartment of Mathematics, University of Tennessee, Knoxville, TN.
Anahita KhojandiDepartment of Industrial and Systems Engineering, University of Tennessee, Knoxville, TN.
Vasileios MaroulasDepartment of Mathematics, University of Tennessee, Knoxville, TN.
Stefanos BoukovalasDivision of Plastic and Reconstructive Surgery, Department of Surgery, The University of Tennessee Graduate School of Medicine, Knoxville, TN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Risk factors for developing breast cancer-related lymphedema (BCRL) are well studied, but little is known about the effect of hand dominance (HD). This study aimed to investigate the relationship between HD and postmastectomy BCRL for unilateral breast cancer (BC). Because BCRL treatment involves movement of the affected limb, we postulated that the inherently increased use of a dominant upper extremity may be protective against BCRL. Methods: A retrospective cohort study of female patients with unilateral BC who underwent mastectomy at a single institution between 2012 and 2022 was performed. BCRL was confirmed by a certified lymphedema therapist. The laterality of HD and BC was categorized as ipsilateral or contralateral. Results: Of the 266 patients included in the analysis, 70 (26.3%) developed BCRL. A greater proportion of patients with HD contralateral BC developed BCRL (30.3% versus 22.4%; Conclusions: Although a greater proportion of patients with contralateral HD and BC developed BCRL, our results demonstrated no statistically significant relationship. Known risk factors such as increased number of lymph nodes removed and adjuvant radiation therapy were significantly associated with BCRL. Further studies including larger and multicenter populations are required to comprehensively elucidate the relationship between HD and BCRL.

Identifiers

PMID41220877
PMCPMC12599742

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.