Evidence map›Paper›PMID 40173420›Full record

ArticleAesthetic surgery journal2025

Beyond the Posts: Analyzing Breast Implant Illness Discourse With Natural Language Processing and Deep Learning.

Arman J Fijany, Cole A Holan, Anthony E Bishay, Michael J Boctor, Lisandro Montorfano, Ronnie N Mubang, Aparna Vijayasekaran, Jorys Martinez-Jorge, Christin A Harless, Wesley P Thayer and 3 more

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Article in Aesthetic surgery journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Cole A Holan
Anthony E Bishay
Michael J Boctor
Lisandro Montorfano
Ronnie N Mubang
Aparna Vijayasekaran
Jorys Martinez-Jorge
Christin A Harless
Wesley P Thayer
Lauren M Connor
William C Lineaweaver
Elizabeth D SlaterORCID 0000-0002-3644-1591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast implant illness (BII) is a spectrum of symptoms some people attribute to breast implants. Although causality remains unproven, patient interest has grown significantly. Understanding patient perceptions of BII on social media is crucial because these platforms increasingly influence healthcare decisions.

objectivesThe purpose of this study is to analyze patient perceptions and emotional responses to BII on social media using Robust optimizing Bidirectional Encoder Representations from Transformers, a natural processing model trained on 124 million X posts.

methodsPosts mentioning BII from 2014 to 2023 were analyzed using 2 natural language processing models: 1 for sentiment (positive/negative) and another for emotions (fear, sadness, anger, disgust, neutral, surprise, and joy). Posts were then classified by their highest scoring emotion. The results were compared over across 2014-2018 and 2019-2023, with correlation analysis (Pearson correlation coefficient) between published implant explantation and augmentation data.

resultsThe analysis of 6099 posts over 10 years showed 75.4% were negative, with monthly averages of 50.85 peaking at 213 in March 2019. Fear and neutral emotions dominated, representing 35.9% and 35.6%, respectively. The strongest emotions were neutral and fear, with an average score of 0.293 and 0.286 per post, respectively. Fear scores increased from 0.219 (2014-2018) to 0.303 (2019-2023). Strong positive correlations (r > 0.70) existed between annual explantation rates/explantation-to-augmentation ratios and total, negative, neutral, and fear posts.

conclusionsBII discourse on X peaked in 2019 characterized predominantly by negative sentiment and fear. The strong correlation between fear/negative-based posts and explantation rates suggests social media discourse significantly influences patient decisions regarding breast implant removal.

Indexed as

Breast ImplantationBreast ImplantsDeep LearningNatural Language ProcessingSocial MediaDevice RemovalEmotionsFemaleHumans

Identifiers

PMID40173420
PMCPMC12168447

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.