Trial reportBMJ (Clinical research ed.)1998
Randomised controlled trial of effects of early discharge after surgery for breast cancer.
Trial report in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03555227 (Ultrasound Guided), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled 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.
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.
Ultrasound Guided (USG) PECS Versus Local Infiltration Anaesthesia (LIA) for Breast Cancer Surgery - A Randomized Quadruple Blinded Efficacy and Safety Study
Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 115 citations in OpenAlex.
- Virtual healthcare compared to hospital care for acute and post-acute illness in adults: A systematic review and meta-analysis of randomized controlled trials.British journal of clinical pharmacology · 2026Pooled it
- Early discharge hospital at home.The Cochrane database of systematic reviews · 2017Pooled it
- Early discharge hospital at home.The Cochrane database of systematic reviews · 2009Pooled it
- Avoiding hospital admission through provision of hospital care at home: a systematic review and meta-analysis of individual patient data.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009Pooled it
- Safety and feasibility of early postmastectomy discharge and home drain care in a low resource setting.Journal of surgical oncology · 2018Trial
- Patient, carer and health service outcomes of nurse-led early discharge after breast cancer surgery: a randomised controlled trial.British journal of cancer · 2004Trial
- Review
- Factors Affecting the Postsurgical Length of Hospital Stay in Patients with Breast Cancer.The journal of breast health · 2015Article
- Patients' perspective on day case breast surgery.Breast care (Basel, Switzerland) · 2015Article
- Axillary Padding without Drainage after Axillary Lymphadenectomy - a Prospective Study of 299 Patients with Early Breast Cancer.Breast care (Basel, Switzerland) · 2012Article
- Cost comparison of axillary sentinel lymph node detection and axillary lymphadenectomy in early breast cancer. A national study based on a prospective multi-institutional series of 985 patients 'on behalf of the Group of Surgeons from the French Unicancer Federation'.Annals of oncology : official journal of the European Society for Medical Oncology · 2012Article
- Efficacy of fibrin glue on seroma formation after breast surgery.International journal of breast cancer · 2012Article
- Risk factors for short- and long-term complications after groin surgery in vulvar cancer.British journal of cancer · 2011Article
- Changes in and predictors of length of stay in hospital after surgery for breast cancer between 1997/98 and 2004/05 in two regions of England: a population-based study.BMC health services research · 2009Article
- Implementation of an ultra-short-stay program after breast cancer surgery in four hospitals: perceived barriers and facilitators.World journal of surgery · 2008Article
- Risk factors for surgical site infection after major breast operation.Journal of the American College of Surgeons · 2008Article
- Surgical site infection among women discharged with a drain in situ after breast cancer surgery.World journal of surgery · 2007Article
- Introduction of a breast cancer care programme including ultra short hospital stay in 4 early adopter centres: framework for an implementation study.BMC cancer · 2007Article
- Postoperative education concerning the use of the upper limb, and exercise and treatment of the upper limb: cross-sectional survey of 105 breast cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2004Article
- The value of the Hospital Anxiety and Depression Scale (HADS) for comparing women with early onset breast cancer with population-based reference women.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2004Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the effect of early discharge from hospital after surgery for breast cancer on physical and psychological illness.
designRandomised controlled trial comparing discharge two days after surgery (before removal of drain) with standard management (discharge after removal of drain).
settingRegional breast unit. SUBJECTS: 100 women with early breast cancer undergoing mastectomy and axillary node clearance (20) or breast conservation surgery (80).
main outcome measuresPhysical illness (infection, seroma formation, shoulder movement) and psychological illness (checklist of concerns, Rotterdam symptom questionnaire, hospital anxiety and depression scale) preoperatively and at one month and three months postoperatively.
resultsWomen discharged early had greater shoulder movement (odds ratio 0.28 (95% confidence interval 0.08 to 0.95); P = 0.042) and less wound pain (odds ratio 0.28 (0.10 to 0.79); P = 0.016) three months after surgery compared with women given standard management. One month after surgery scores were significantly lower on the Rotterdam symptom questionnaire in patients who were discharged early (ratio of geometric mean scores 0.73 (0.55 to 0.98) P = 0.035), but rates of psychological illness generally did not differ between groups.
conclusionsIncreased rates of physical or psychological illness did not result from early discharge after surgery for breast cancer. This policy can be recommended for patients with support at home.
Indexed as
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What 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.