Daneshi Kian, Ruccia Francesca, Merh Radhika, Barlattani Tommaso, Alderhalli Raed, Clemens Mark Warren, Khajuria Ankur
School of Medicine and Population Health, The University of Sheffield, Sheffield, United Kingdom.
Department of Plastic and Reconstructive Surgery, The Royal Marsden NHS Foundation Trust, London, United Kingdom.
Front Oncol. 2024 Aug 8;14:1429885. doi: 10.3389/fonc.2024.1429885. eCollection 2024.
Implant-based breast reconstruction (IBR), following mastectomy, significantly impacts patients' quality of life (QoL), necessitating accurate measurement through psychometrically robust patient-reported outcome measure (PROM) tools. This bibliometric analysis aims to discern trends, identify gaps, and evaluate the use of such tools in the IBR literature.
The 100 most cited publications regarding QoL in implant-based reconstruction were identified on Web of Science, across all available journal years (from 1977 to 2024) on 10 March 2024. Study details, including the citation count, main content focus, outcome measures, and usage of psychological questionnaires, were extracted and tabulated from each publication. The Oxford Centre for Evidence-Based Medicine (OCEBM) levels of evidence (LOE) of each study were assessed.
The 100 most cited publications on QoL in implant-based reconstruction were identified, encompassing 64,192 patients and 28,114 reconstructed breasts. Citations per publication ranged from 62 to 457 (mean, 124.95 ± 73.05), with the highest-cited study being authored by Al-Ghazal (n = 457). The vast majority of publications were LOE II (n = 52), representative of prospective cohort studies, systematic reviews of non-randomised studies, and systematic review and meta-analysis. The number of publications for LOE V, IV, III, and I was 0, 7, 41, and 0, respectively. The main content focus was "quality of life" in 83 publications, with significant utilisation of the BREAST-Q questionnaire. A total of 80 publications used validated questionnaires with psychometric development.
This analysis demonstrates that the research methodologies within IBR mostly consist of moderate-quality publications; however, notably, there was a lack of LOE I studies, underscoring a gap in high-quality research within the field. Moreover, only 62/100 used validated PROM tools. Future IBR research studies should be focussed on most robust methodologies, incorporating validated PROM tools, to optimise shared-decision making and informed consent.
乳房切除术后基于植入物的乳房重建（IBR）对患者的生活质量（QoL）有重大影响，因此需要通过心理测量稳健的患者报告结局测量（PROM）工具进行准确测量。本文献计量分析旨在识别趋势、找出差距，并评估此类工具在IBR文献中的使用情况。
于2024年3月10日在Web of Science上确定了100篇关于基于植入物重建中生活质量的被引用次数最多的出版物，涵盖所有可用期刊年份（从1977年到2024年）。从每篇出版物中提取并制成表格的研究细节包括被引用次数、主要内容重点、结局测量以及心理问卷的使用情况。评估了每项研究的牛津循证医学中心（OCEBM）证据水平（LOE）。
确定了100篇关于基于植入物重建中生活质量的被引用次数最多的出版物，涉及64192名患者和28114个重建乳房。每篇出版物的被引用次数从62到457不等（平均为124.95±73.05），被引用次数最多的研究由Al-Ghazal撰写（n = 457）。绝大多数出版物为LOE II（n = 52），代表前瞻性队列研究、非随机研究的系统评价以及系统评价和荟萃分析。LOE V、IV、III和I的出版物数量分别为0、7、41和0。83篇出版物的主要内容重点是“生活质量”，大量使用了BREAST-Q问卷。共有80篇出版物使用了经过心理测量学开发验证的问卷。
该分析表明，IBR领域内的研究方法大多由中等质量的出版物组成；然而，值得注意的是，缺乏LOE I级别的研究，这凸显了该领域高质量研究的差距。此外，100篇中只有62篇使用了经过验证的PROM工具。未来的IBR研究应侧重于最稳健的方法，纳入经过验证的PROM工具，以优化共同决策和知情同意。
