ReviewAnnals of surgical oncology2026
The Architecture of Shared Decision-Making in Postmastectomy Breast Reconstruction: A Systematic Review of Concepts, Measures, and Clinical Realities.
Review in Annals of surgical oncology, 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
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision-making (SDM) is central to postmastectomy breast reconstruction (PMBR), yet its conceptualization, implementation, and evaluation remain heterogeneous. This study aimed to systematically synthesize the evidence on SDM processes, interventions, measurement approaches, and implementation in PMBR.
methodsFollowing a preregistered protocol (OSF; https://osf.io/mu9hv ), we searched PubMed, Embase, Web of Science, Scopus, Trip, and Cochrane from inception to November 2025. Eligible studies included original quantitative, qualitative, or mixed-methods research evaluating SDM in women considering or undergoing PMBR. Methodological quality was assessed using QualSyst, and findings were narratively synthesized within a thematic framework.
resultsFifty-six studies met the inclusion criteria. Randomized and quasi-experimental studies generally reported improvements in patient knowledge and values clarification following decision-support interventions, although effects on decisional conflict and preference concordance were heterogeneous. PMBR decisions were influenced by patient preferences, cultural factors, and clinical context. Major implementation barriers included time constraints, workflow limitations, and variable clinician engagement.
conclusionsSDM can facilitate informed and preference-concordant PMBR decisions but remains inconsistently implemented. Greater integration of structured decision-support strategies and standardized outcome measurement may strengthen its implementation in routine practice.
Indexed as
Identifiers
42829411What 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.