Observational studyAesthetic plastic surgery2026
Standardizing Aesthetic Outcomes in Breast Reconstruction: Applicability of a Validated Scale in Mexico.
Observational study in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionBreast reconstruction after mastectomy is a key component of the physical and emotional rehabilitation of breast cancer patients. Objective assessment of aesthetic outcomes is essential to determine the quality of reconstructive procedures. The aim of this study was to evaluate the aesthetic outcomes of patients undergoing breast reconstruction using the Validated Breast Aesthetic Scale and to analyze their association with clinical and surgical variables.
methodsAn observational, retrospective, cross-sectional study was conducted at the Specialty Hospital No. 71 of the Mexican Social Security Institute (IMSS) including patients who underwent breast reconstruction between 2019 and 2023. A total of 30 reconstructions in 28 patients were assessed using the 13-item Validated Breast Aesthetic Scale. Evaluations were performed by two board-certified plastic surgeons and one senior resident. Clinical and surgical variables were analyzed, and interobserver reliability was calculated using the intraclass correlation coefficient (ICC).
resultsThe median overall aesthetic score was 54 (IQR 48-56), with most items scoring ≥ 4. The highest scores were obtained for breast volume and position, whereas the lowest score corresponded to nipple-areola complex color. The ICC exceeded 0.8 for most items, indicating high interobserver reliability. The TRAM flap was the most frequently used technique (42.9%), and 96.4% of reconstructions were performed in the delayed setting.
conclusionsThe validated aesthetic scale proved to be a useful and reliable tool for objectively assessing outcomes in breast reconstruction. Overall favorable aesthetic results were observed, particularly in reconstructions with abdominal flaps. Systematic implementation of this tool may contribute to standardizing aesthetic evaluation and guiding improved outcomes in surgical practice. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Indexed as
Identifiers
41249528What OpenQuestion holds
Registered trials
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.