Heeg E, Jensen MB, Hölmich LR, et al. Rates of re-excision and conversion to mastectomy after breast-conserving surgery with or without oncoplastic surgery: a nationwide population-based study. Br J Surg. 2020;107(13):1762-1772. doi:10.1002/bjs.11838
Methodological Reviewer: May Lynn Quan, MD, MSc, FRCSC, University of Calgary
Clinical Reviewer: Angel Arnaout, MD, MSc, FRCSC, FACS, University of Ottawa
Clinical Reviewer: Anna Weiss, MD, FACS, Brigham and Women’s Hospital
Please read the above articles and be prepared to discuss the following:
- What is the clinical question being addressed?
- Was the assignment of patients to treatment randomized and concealed?
- Were all patients who entered the trial properly accounted for and attributed for at its conclusion?
- Were patients, their clinicians and study personnel “blind” to treatment?
- Were the groups similar at the start of the trial?
- Aside from the experimental intervention, were the groups treated equally?
- How large and precise was the treatment effect?
- Were the study patients similar to my patients?
- Were the measured outcomes clinically relevant?
- Were all clinically important outcomes considered?
- Are my surgical skills similar to those of the study surgeons?
- State the conclusion. Have the authors addressed the clinical question?
- Does the evidence support the conclusion?