{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:54:39Z","timestamp":1777618479004,"version":"3.51.4"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","license":[{"start":{"date-parts":[[2016,10,1]],"date-time":"2016-10-01T00:00:00Z","timestamp":1475280000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T00:00:00Z","timestamp":1538352000000},"content-version":"vor","delay-in-days":730,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","journals.elsevierhealth.com","clinicalkey.com","clinicalkey.es","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Surgery"],"published-print":{"date-parts":[[2016,10]]},"DOI":"10.1016\/j.ijsu.2016.08.022","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T16:06:15Z","timestamp":1472054775000},"page":"73-80","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":33,"special_numbering":"C","title":["Recommendation for axillary lymph node dissection in women with early breast cancer and sentinel node metastasis: A systematic review and meta-analysis of randomized controlled trials using the GRADE system"],"prefix":"10.1097","volume":"34","author":[{"given":"Tsai-Wei","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken N.","family":"Kuo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kee-Hsin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiehfeng","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Hsuan","family":"Hou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei-Hwa","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsu-Yi","family":"Chao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo-Ting","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih-Ming","family":"Su","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Te","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ka-Wai","family":"Tam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"10.1016\/j.ijsu.2016.08.022_bib1","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1200\/JCO.2013.54.1177","article-title":"American Society of Clinical Oncology Clinical Practice. Sentinel lymph node biopsy for patients with early-stage breast cancer: American Society of Clinical Oncology clinical practice guideline update","volume":"32","author":"Lyman","year":"2014","journal-title":"J.\u00a0Clin. Oncol."},{"key":"10.1016\/j.ijsu.2016.08.022_bib2","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1097\/SLA.0b013e3181f08f32","article-title":"Locoregional recurrence after sentinel lymph node dissection with or without axillary dissection in patients with sentinel lymph node metastases: the American College of Surgeons Oncology Group Z0011 randomized trial","volume":"252","author":"Giuliano","year":"2010","journal-title":"Ann. Surg."},{"key":"10.1016\/j.ijsu.2016.08.022_bib3","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1001\/jama.2011.90","article-title":"Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: a randomized clinical trial","volume":"305","author":"Giuliano","year":"2011","journal-title":"JAMA"},{"key":"10.1016\/j.ijsu.2016.08.022_bib4","doi-asserted-by":"crossref","first-page":"3657","DOI":"10.1200\/JCO.2006.07.4062","article-title":"American College of Surgeons Oncology Group. Surgical complications associated with sentinel lymph node dissection (SLND) plus axillary lymph node dissection compared with SLND alone in the American College of Surgeons Oncology Group Trial Z0011","volume":"25","author":"Lucci","year":"2007","journal-title":"J.\u00a0Clin. Oncol."},{"key":"10.1016\/j.ijsu.2016.08.022_bib5","doi-asserted-by":"crossref","first-page":"3901","DOI":"10.1200\/JCO.2014.57.1190","article-title":"Recommendation for omitting axillary lymph node Dissection should be individualized in patients with breast cancer with one or two positive sentinel lymph nodes","volume":"32","author":"Voutsadakis","year":"2014","journal-title":"J.\u00a0Clin. Oncol."},{"key":"10.1016\/j.ijsu.2016.08.022_bib6","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.breast.2013.02.001","article-title":"Which sentinel lymph-node (SLN) positive breast cancer patient needs an axillary lymph-node dissection (ALND)\u2013ACOSOG Z0011 results and beyond","volume":"22","author":"Gatzemeier","year":"2013","journal-title":"Breast"},{"key":"10.1016\/j.ijsu.2016.08.022_bib7","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S1470-2045(13)70035-4","article-title":"International Breast Cancer Study Group Trial23-01 investigators. Axillary dissection versus no axillary dissection in patients with sentinel-nodemicrometastases (IBCSG 23-01): a phase 3 randomised controlled trial","volume":"14","author":"Galimberti","year":"2013","journal-title":"Lancet Oncol."},{"key":"10.1016\/j.ijsu.2016.08.022_bib8","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE Working Group. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"},{"key":"10.1016\/j.ijsu.2016.08.022_bib9","unstructured":"Higgins JPT, Green S, Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration. Available at: http:\/\/handbook.cochrane.org. 7 Feb. 2016."},{"key":"10.1016\/j.ijsu.2016.08.022_bib10","unstructured":"GRADEpro. [Computer program on www.gradepro.org. Version [acessed at 10 Jan. 2016]. McMaster University, 2014."},{"key":"10.1016\/j.ijsu.2016.08.022_bib11","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jclinepi.2009.06.006","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration","volume":"62","author":"Liberati","year":"2009","journal-title":"J.\u00a0Clin. Epidemiol."},{"key":"10.1016\/j.ijsu.2016.08.022_bib12","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/0197-2456(86)90046-2","article-title":"Meta-analysis in clinical trials","volume":"7","author":"DerSimonian","year":"1986","journal-title":"Control Clin. Trials"},{"key":"10.1016\/j.ijsu.2016.08.022_bib13","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1245\/s10434-012-2569-y","article-title":"Complete axillary lymph node dissection versus clinical follow-up in breast cancer patients with sentinel node micrometastasis: final results from the multicenter clinical trial AATRM 048\/13\/2000","volume":"20","author":"Sol\u00e1","year":"2013","journal-title":"Ann. Surg. Oncol."},{"key":"10.1016\/j.ijsu.2016.08.022_bib14","doi-asserted-by":"crossref","first-page":"3902","DOI":"10.1200\/JCO.2014.57.7361","article-title":"Reply to I.A. Voutsadakis et\u00a0al and A. Goyal et\u00a0al","volume":"32","author":"Giuliano","year":"2014","journal-title":"J.\u00a0Clin. Oncol."},{"key":"10.1016\/j.ijsu.2016.08.022_bib15","series-title":"Tracking Medicine. A Researcher's Quest to Understand Health Care","first-page":"191","author":"Wennberg","year":"2010"},{"key":"10.1016\/j.ijsu.2016.08.022_bib16","doi-asserted-by":"crossref","first-page":"2503","DOI":"10.1001\/jama.2013.281422","article-title":"The optimal practice of evidence-based medicine: incorporating patient preferences inpractice guidelines","volume":"310","author":"Montori","year":"2013","journal-title":"JAMA"},{"key":"10.1016\/j.ijsu.2016.08.022_bib17","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1001\/jama.2014.10713","article-title":"Evidence-based practice is not synonymous with delivery of uniform health care","volume":"312","author":"Djulbegovic","year":"2014","journal-title":"JAMA"},{"key":"10.1016\/j.ijsu.2016.08.022_bib18","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1001\/jama.2015.2845","article-title":"Everything you ever wanted to know about evidence-based medicine","volume":"313","author":"Guyatt","year":"2015","journal-title":"JAMA"}],"container-title":["International Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743919116303223?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743919116303223?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T16:02:24Z","timestamp":1677081744000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1743919116303223"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":18,"alternative-id":["S1743919116303223"],"URL":"https:\/\/doi.org\/10.1016\/j.ijsu.2016.08.022","relation":{},"ISSN":["1743-9191"],"issn-type":[{"value":"1743-9191","type":"print"}],"subject":[],"published":{"date-parts":[[2016,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Recommendation for axillary lymph node dissection in women with early breast cancer and sentinel node metastasis: A systematic review and meta-analysis of randomized controlled trials using the GRADE system","name":"articletitle","label":"Article Title"},{"value":"International Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijsu.2016.08.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}]}}