Evidence map›Paper›PMID 41377926›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Effect of Coronavirus Disease 2019 Pandemic on Delivery of Breast Reconstructive Services and Outcomes.

Christy O T Kwok, Shreya Luthra, Kimberly DeVries, Esta Bovill, Nancy Yvonne Van Laeken, Sheina Macadam, Peter Lennox, Christopher Doherty, Kathryn V Isaac

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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Christy O T KwokFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Shreya LuthraFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Kimberly DeVriesFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Esta BovillFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Nancy Yvonne Van LaekenFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Sheina MacadamFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Peter LennoxFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Christopher DohertyFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Kathryn V IsaacFrom the Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Delivery of immediate breast reconstruction (IBR) was severely restricted during the coronavirus disease 2019 (COVID-19) pandemic, with irreversible consequences for breast cancer survivors. This study aimed to determine the pandemic's effect on the provision of IBR services, quality of care delivered, and reconstructive outcomes. Methods: For this multi-institutional, retrospective cohort study, data were obtained from all IBR cases during the study periods defined as "pre-COVID-19" (October 1, 2018, to March 14, 2020) and "COVID-19" (March 15, 2020, to October 31, 2021). Patient demographics, reconstructive strategy types, and oncological and surgical characteristics were analyzed. Safety and quality outcomes, including readmission, infection, seroma, mastectomy flap necrosis, and wait times were recorded. Results: A cohort of 525 patients was included in this study. Patient and tumor characteristics were similar between the 2 study periods. There was a significantly lower odds of undergoing a single-stage alloplastic surgery (odds ratio [OR] = 0.40, 95% confidence interval [CI] = 0.17-0.94, Conclusions: Reconstructive strategies differed during the COVID-19 era of resource limitations with more 2-stage alloplastic procedures and fewer single-stage alloplastic and autologous immediate DIEP flap procedures.

Identifiers

PMID41377926
PMCPMC12688998

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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.