Evidence map›Paper›PMID 41636939›Full record

Observational studyBreast cancer research and treatment2026

Postoperative complications after salvage mastectomy and repeat breast-conserving surgery in patients with IBTR after previous breast-conserving surgery: a multicenter, retrospective cohort study.

Laura M Tiels, Coco J E F Walstra, Adri C Voogd, Maurice J C van der Sangen, Emiel L W G van Haren, Marjolein L Smidt, Grard A P Nieuwenhuijzen, Robert-Jan Schipper, Dutch Snapshot Research Group

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Breast cancer research and treatment, 2026. 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

9 authors.

Laura M TielsDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Coco J E F WalstraDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands. coco-walstra@live.nl.
Adri C VoogdDepartment of Epidemiology, Maastricht UMC+, Maastricht, The Netherlands.
Maurice J C van der SangenDepartment of Radiotherapy, Catharina Hospital, Eindhoven, The Netherlands.
Emiel L W G van HarenDepartment of Plastic- and Reconstructive Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Marjolein L SmidtDepartment of Surgery, Maastricht UMC+, Maastricht, The Netherlands.
Grard A P NieuwenhuijzenDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Robert-Jan SchipperDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Dutch Snapshot Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with ipsilateral breast tumor recurrence (IBTR) previously treated with breast-conserving surgery (BCS) followed by radiotherapy, salvage mastectomy (SM) is still considered standard of care. Currently, there is little evidence available about complication rates of repeat BCS or salvage mastectomy in patients with IBTR and possible differences.

aimThe primary aim was to report postoperative complication rates after IBTR treatment with salvage mastectomy or repeat BCS after previous BCS (± radiotherapy). Secondary, risk factors associated with complications were examined.

methodsComplication rates were reported using descriptive statistics. Complications were classified between short-term (less than 3 months after surgery) and long-term (more than 3 months after surgery). Logistic regression was used to evaluate possible risk factors after salvage mastectomy to report an odds ratio (OR) with a 95% confidence interval (CI).

resultsA total of 549 cases with IBTR after primary BCS were included. Short-term complications occurred in 200 (45.2%) of 442 patients treated with salvage mastectomy and in 9 (16.4%) of 55 patients treated with repeat BCS. Seroma and surgical site infection (SSI) were most common in salvage mastectomy (31.7% and 10.9%, respectively). Long-term complications were reported in 16.7% treated with salvage mastectomy and in 14.5% with repeat BCS. The risk of short-term postoperative complications after salvage mastectomy increased significantly with higher BMI. The regression analysis showed that adjuvant radiotherapy after IBTR surgery was associated with long-term postoperative complications.

conclusionsSalvage mastectomy in case of IBTR after primary BCS is associated with high short-term complication rates, especially seroma. The risk of short-term complications after salvage mastectomy increased with increasing BMI, while adjuvant radiotherapy after salvage mastectomy is associated with long-term complications.

Indexed as

Breast NeoplasmsMastectomyMastectomy, SegmentalNeoplasm Recurrence, LocalPostoperative ComplicationsSalvage TherapyAdultAgedFemaleHumansMiddle AgedReoperationRetrospective StudiesRisk FactorsComplicationsIBTRSalvage mastectomy

Identifiers

PMID41636939
PMCPMC12872630

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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.