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. 2018 Apr 5;2018(4):CD002748. doi: 10.1002/14651858.CD002748.pub4

Hwang 2016.

Methods Retrospective questionnaire
Participants 7619 volunteers from Army of Women aged ≥ 18 years with reported history of BC surgery completed survey;
1598 (21%) reported CRRM and
2379 (31%) reported no CRRM but treatment mastectomy only
3470 (46%) reported BCS and were excluded
87.3% had CRRM at time of initial treatment and
10.5% had CRRM at time of recurrence or new primary diagnosis
Interventions CRRM
Outcomes QoL
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Free of selection bias? High risk Cohort recruited through a call‐to‐action email sent to all Army of Women members from AOW, (relatively affluent, well‐educated population who join AoW)
Free of performance bias? High risk CRRM only self‐reported, no medical record data
Free of detection bias? Low risk Used validated questionnaires (BREAST‐Q) administered electronically
Free of attrition bias? Low risk All women who volunteered to complete surveys did so