ArticlePlastic and reconstructive surgery2026
Hospital Setting Impact on Breast Cancer-Related Lymphedema and Quality of Life after Immediate Lymphatic Reconstruction.
Article in Plastic and reconstructive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prophylactic Local Antibiotic Therapy in Tissue Expander-Based Breast Reconstruction: A Systematic Review and Meta-Analysis.Aesthetic plastic surgery · 2026Pooled it
- Regional Nodal Irradiation Impact on Lymphedema, Surgical Outcomes, and Quality-of-Life Following Mastectomy, Axillary Dissection, and Immediate Lymphatic Reconstruction.Journal of reconstructive microsurgery · 2026Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundHospital setting may influence surgical outcomes, but its impact on immediate lymphatic reconstruction (ILR) for preventing breast cancer-related lymphedema (BCRL) after axillary lymph node dissection is unknown. This study assesses BCRL incidence and related outcomes after ILR comparing academic and community hospitals within a multihospital network.
methodsThe authors retrospectively studied consecutive patients who underwent ILR after axillary lymph node dissection between 2017 and 2024 across 6 hospitals. Hospitals were categorized as academic or community-based. The primary outcome (BCRL incidence) and secondary outcomes (complications and patient-reported outcomes [LYMPH-Q]) were compared using multivariable regression models adjusting for patient and treatment factors.
resultsThe authors identified 172 patients with a mean age 50.9 ± 11.6 years, body mass index of 29.5 ± 6.9 kg/m 2 , and follow-up time of 23.1 ± 15.2 months. ILR occurred at academic hospitals in 88 patients (51.2%) and at community hospitals in 84 patients (48.8%). BCRL incidence was comparable between academic (6.8%) and community (7.1%) settings ( P = 0.933). In multivariable regression, hospital setting was not significantly associated with the odds of developing BCRL (odds ratio [OR], 0.80; P = 0.730), surgical complications (OR, 1.21; P = 0.642), unplanned reoperation (OR, 1.43; P = 0.418), or LYMPH-Q Symptoms (β, -11.20; P = 0.063), Function (β, -4.9; P = 0.834), Appearance (β, -7.16; P = 0.413), or Psychological Well-Being (β, -5.25; P = 0.504) scales.
conclusionsILR demonstrated comparable outcomes for BCRL incidence, complications, and patient-reported quality of life between academic and community settings. These findings suggest that ILR can be successfully implemented beyond traditional academic centers with appropriate surgeon expertise and institutional support, potentially improving access to preventative lymphedema surgery.
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