Evidence map›Paper›PMID 42244966›Full record

ArticleJPRAS open2026

DIEP flap breast reconstruction at a low-volume center: bringing high-quality autologous breast reconstruction to the community.

Kenneth K Kao, Paul D Faringer, Scott M Nishikawa, Dorien R Romanchak

Abstract read
In one paragraph

Article in JPRAS open, 2026. 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

4 authors.

Kenneth K KaoDepartment of Plastic Surgery, Kaiser Permanente Moanalua Medical Center, 3288 Moanalua Road, Honolulu, HI 96819, United States.
Paul D FaringerDepartment of Plastic Surgery, Kaiser Permanente Moanalua Medical Center, 3288 Moanalua Road, Honolulu, HI 96819, United States.
Scott M NishikawaDepartment of Plastic Surgery, Kaiser Permanente Moanalua Medical Center, 3288 Moanalua Road, Honolulu, HI 96819, United States.
Dorien R RomanchakDepartment of Plastic Surgery, Kaiser Permanente Moanalua Medical Center, 3288 Moanalua Road, Honolulu, HI 96819, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study presents surgical and patient reported outcomes (PRO) after deep inferior epigastric perforator (DIEP) flap breast reconstruction at a community hospital to determine if high-quality care can be delivered despite low surgical volume. Methods: A prospective database and BREAST-Q were obtained from 87 patients (137 DIEP flaps). Pre/post-operative PRO and complications were compared with published normative data, and multi-institutional series. Regression analysis using BREAST-Q scores was performed. Results: BREAST-Q response rates were 57.5% and 93.1% for pre-operative and post-operative surveys. Flap survival was 97.8%. Breast and donor site complications (14.6%, 13.1%) were lower than larger published series ( Conclusion: DIEP breast reconstruction at a low-volume center can be performed with high quality and patient satisfaction.

Indexed as

Autologous breast reconstructionBreast QDIEPMicrovascularPatient reported outcomesVolume outcome relationship

Identifiers

PMID42244966
PMCPMC13231062

What OpenQuestion holds

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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.