Silicone breast implants and magnetic resonance imaging screening for rupture: Do U.S. Food and Drug Administration recommendations reflect an evidence-based practice approach to patient care? Journal Article
| Authors: | McCarthy, C. M.; Pusic, A. L.; Kerrigan, C. L. |
| Article Title: | Silicone breast implants and magnetic resonance imaging screening for rupture: Do U.S. Food and Drug Administration recommendations reflect an evidence-based practice approach to patient care? |
| Abstract: | Regular magnetic resonance imaging has been recommended for the purpose of screening for silicone implant rupture. However, when its use as a screening test is critically examined, it appears that evidence to support its use is lacking. For example, there is no conclusive evidence at this time to show that using magnetic resonance imaging screening of asymptomatic women leads to a reduction in patient morbidity. Furthermore, based on existing data, it is unclear whether the potential benefits of screening magnetic resonance imaging tests outweigh the risks and potential costs for the patient. In the face of this uncertainty, shared medical decision making can be recommended. For different women, underlying beliefs and values will sway decision making in different directions. By engaging a woman in the process of shared medical decision making, however, the plastic surgeon and her or his patients can make a mutually agreeable choice that reflects the patient's individual values and health preferences. ©2008American Society of Plastic Surgeons. |
| Keywords: | patient satisfaction; review; risk benefit analysis; united states; united states food and drug administration; nuclear magnetic resonance imaging; magnetic resonance imaging; evidence based medicine; evidence-based medicine; medical decision making; morbidity; prevalence; evidence based practice; food and drug administration; postoperative complication; postoperative complications; health care cost; patient care; screening; clinical effectiveness; breast endoprosthesis; breast implants; risk reduction; rupture; prosthesis failure; uncertainty; silicone; silicone derivative; silicones |
| Journal Title: | Plastic and Reconstructive Surgery |
| Volume: | 121 |
| Issue: | 4 |
| ISSN: | 0032-1052 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2008-04-01 |
| Start Page: | 1127 |
| End Page: | 1134 |
| Language: | English |
| DOI: | 10.1097/01.prs.0000302498.44244.52 |
| PUBMED: | 18349629 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 6" - "Export Date: 17 November 2011" - "CODEN: PRSUA" - "Source: Scopus" |
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