Different types of implants for reconstructive breast surgery

Rocco, Nicola; Rispoli, Corrado; Moja, Lorenzo; Amato, Bruno; Iannone, Loredana; Testa, Serena; Spanò, Andrea; Catanuto, Giuseppe; Accurso, Antonello; Nava, Maurizio

doi:10.1002/14651858.cd010895.pub2

Cited by 44 publications

(36 citation statements)

References 58 publications

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“…Table reports the basic characteristics of the included studies, including information on the size of the meta‐analyses and the types of effect sizes studied. Overall, we reviewed 64 meta‐analyses: 24 in PB, 13 in RER, four in JAP, and 23 in Cochrane . Not surprisingly, reviews conducted in education and psychology tended to include more primary studies (with averages ranging from 69 to 99 studies per synthesis) than those in medicine (average of 26 included studies).…”

Section: Resultsmentioning

confidence: 99%

Current practices in meta‐regression in psychology, education, and medicine

Tipton

Pustejovsky

Ahmadi

2019

Research Synthesis Methods

104

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Having surveyed the history and methods of meta-regression in a previous paper, in this paper, we review which and how meta-regression methods are applied in recent research syntheses. To do so, we reviewed studies published in 2016 across four leading research synthesis journals: Psychological Bulletin, the Journal of Applied Psychology, Review of Educational Research, and the Cochrane Library. We find that the best practices defined in the previous review are rarely carried out in practice. In light of the identified discrepancies, we consider how to move forward, first by identifying areas where further methods development is needed to address persistent problems in the field and second by discussing how to more effectively disseminate points of methodological consensus. technical, conceptual, and practical developments in methodology from the past 40 years. We begin by reviewing consensus points from our review of methodological developments and best practices. We then summarize findings from previous reviews of methodological practice conducted over the past 15 years, focusing on findings that shed light on the practice of meta-regression. Finally, we conduct a new-albeit limited-review of the applied literature, examining 64 meta-analyses published during the year 2016 in four leading journals: Psychological Bulletin, the Review of Educational Research, the Journal of Applied Psychology, and the Cochrane Library. Our review examines current practices in light of the technical, conceptual, and practical areas of methodological development, as identified in our companion paper. We conclude by considering the disconnects between meta-regression methodology and meta-regression practice and suggesting possible avenues to move forward as a field.

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Section: Resultsmentioning

confidence: 99%

Current practices in meta‐regression in psychology, education, and medicine

Tipton

Pustejovsky

Ahmadi

2019

Research Synthesis Methods

104

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“…First, providers may lack the necessary data to adequately inform patients of pros and cons of reconstruction. For example, even though the number of implant-based reconstructions has increased dramatically in the past 10 years (Albornoz et al, 2013), surgeons lack evidence from randomized controlled trials to help women identify the best implant (e.g., silicone vs. saline, variable-volume vs. fixed-volume) (Rocco et al, 2016). Providers need patient-reported outcomes data to help them evaluate new reconstruction methods (e.g., prepectoral implants) (Caputo et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Met and Unmet Expectations for Breast Reconstruction in Early Posttreatment Breast Cancer Survivors

Steffen

Johnson

Levine

et al. 2017

Plastic Surgical Nursing

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Background The purpose of this study was to evaluate the prevalence of met and unmet expectations after breast reconstruction among breast cancer survivors following mastectomy. A secondary objective was to examine women’s reasons their experiences of reconstructive surgery were better or worse than expected. Methods As part of a larger study of breast cancer survivors, participants completed self-administered questionnaires within 8 months of diagnosis and at 6, 12, and 18 months later. At the 18-month follow-up, women who had breast reconstruction were asked whether their reconstruction was better, the same, or worse than expected. Results The sample consisted of 130 survivors (mean age 48.5 years) who had breast reconstruction following a mastectomy and completed the 18-month follow-up, 42% of whom reported their reconstruction was worse than expected and only 25% reported it was better. Most frequently reported reasons for reconstruction being worse than expected were related to appearance of the reconstructed breast and pain. Conclusions A high percentage of breast cancer patients undergoing breast reconstruction following a mastectomy report the results as worse than expected with the primary reasons for dissatisfaction related to the feel and appearance of the reconstructed breast. Breast cancer patients considering breast reconstruction need better pre-operative education or understanding about what to expect from reconstruction.

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“… 6 , 12 , 22 , 23 Furthermore, the use of anatomical implants was closely associated with a decreased rate of CC. 24 Based on these previously published studies, we performed a subgroup analysis of the patient cohorts by excluding cases associated with a periareolar incision, revision or reoperation, and anatomic implants. Then, we compared a 1-year incidence of complications and complication-free survival between the breast implants.…”

Section: Methodsmentioning

confidence: 99%

Short-term Safety of a Silicone Gel–filled Breast Implant: A Manufacturer-sponsored, Retrospective Study

Yoon¹,

Chang

2020

Plastic and Reconstructive Surgery - Global Open

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Background: Currently, 8 different brands of a silicone gel–filled breast implant are commercially available in Korea. But the superiority of short-term safety has not been established. Methods: A total of 709 patients (1,418 breasts) received an implant-based augmentation mammaplasty. We compared a 1-year incidence of complications and complication-free survival among the breast implants. Moreover, we performed a subgroup analysis of the patient cohorts by excluding cases associated with a periareolar incision, revision or reoperation, and anatomic implants. Results: In our series, 1-year incidences of complications were 0.55% (1/182), 3.14% (5/159), 5.19% (7/135), and 6.58% (10/152) in patients receiving the BellaGel/BellaGel SmoothFine, the Mentor CPG, the Matrix, and the Motiva Ergonomix, respectively. Moreover, the incidence of capsular contracture was 0.55%, 0.63%, 1.32%, and 3.70% in patients receiving the BellaGel/BellaGel SmoothFine, the Mentor CPG, the Motiva Ergonomix, and the Matrix, respectively. Furthermore, a complication-free survival was 24.82 ± 0.18, 22.23 ± 1.09, 22.15 ± 0.77, and 22.12 ± 1.07 months in patients receiving the BellaGel/BellaGel SmoothFine, the Motiva Ergonomix, the Mentor CPG, and the Matrix, respectively, except for the 2 other remaining products used for a smaller number of patients. However, a subgroup analysis showed no significant differences in a 1-year incidence of complication and complication-free survival among the BellaGel SmoothFine, the Motiva Ergonomix, and the Naturgel. Conclusion: It is impossible to draw a definite conclusion about the superiority of the short-term safety among the silicone gel–filled breast implants that are commercially available in Korea.

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Different types of implants for reconstructive breast surgery

Cited by 44 publications

References 58 publications

Current practices in meta‐regression in psychology, education, and medicine

Current practices in meta‐regression in psychology, education, and medicine

Met and Unmet Expectations for Breast Reconstruction in Early Posttreatment Breast Cancer Survivors

Short-term Safety of a Silicone Gel–filled Breast Implant: A Manufacturer-sponsored, Retrospective Study

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