Breast Implants and Fibromyalgia: A Review of the Epidemiologic Evidence

@article{Lipworth2004BreastIA,
  title={Breast Implants and Fibromyalgia: A Review of the Epidemiologic Evidence},
  author={Loren Lipworth and RobertE. Tarone and Joseph K. Mclaughlin},
  journal={Annals of Plastic Surgery},
  year={2004},
  volume={52},
  pages={284-287}
}
Although the collective epidemiologic literature does not support an association between silicone breast implants and any well-defined or atypical connective tissue disease, a recent study raised concern regarding an increased risk for fibromyalgia among women with extracapsular ruptured implants. In this review, we examine the results of 6 epidemiologic studies which have evaluated the occurrence of fibromyalgia among women with breast implants. Two large nationwide follow-up studies of women… 
Silicone Breast Implants and Connective Tissue Disease: An Updated Review of the Epidemiologic Evidence
TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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Long-term follow-up of women with cosmetic breast implants: how long is long enough?
TLDR
The claim that there are no or few long-term follow-up studies of women with cosmetic breast implants is factually in error and the large body of nationwide investigations originating in these populations belies the assertion that there is a dearth of data on long- term effects of silicone breast implants.
Breast Implant-Associated Immunological Disorders
TLDR
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The Prevalence of Self-Reported Health Complaints and Health-Related Quality of Life in Women With Breast Implants
TLDR
The findings of this study suggest that results on BII are subject to selection bias, and further studies are needed to prove an association between self-reported complaints and SBIs.
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References

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TLDR
A common, predisposing set of psychosocial characteristics may be shared between those who have FM and those who undergo SBI, and implants appear to be more common in patients with than in those without FM.
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TLDR
Hypermobility was found to be independently associated with both FM and with Breast implantation, but FM and breast implantation were not found to to be independent associated with each other.
Self‐Reported Diseases and Symptoms by Rupture Status among Unselected Danish Women with Cosmetic Silicone Breast Implants
TLDR
This study of unselected women with silicone breast implants could establish no association between silicone implant rupture and specific diseases or symptoms related to connective tissue disease or other rheumatic conditions, except for an excess of capsular contracture among women with extracapsular rupture.
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TLDR
From a public health perspective, breast implants appear to have a minimal effect on the number of women in whom connective-tissue diseases develop, and the elimination of implants would not be likely to reduce the incidence of connectives-Tissue diseases.
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TLDR
No evidence of a rheumatic symptomatology unique to women with silicone breast implants was found, and women with earlier rheumatism had significantly increased frequencies of rhematic conditions than did those without.
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TLDR
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TLDR
The panel found no evidence to support expert testimony suggesting an association between silicone breast implants and connective diseases, and is an early example of the use of independent scientific panels to help courts clarify scientific evidence in legal proceedings.
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TLDR
An association between extracapsular silicone from ruptured silicone breast implants and FM is suggested, and women with silicone gel breast implants should be informed of the potential risk of developing fibromyalgia if their breast implants rupture and the silicone gel escapes the fibrous scar capsule.
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TLDR
The observation of an excess of unspecified rheumatism among women with implants and among control women suggests that women undergoing cosmetic plastic surgery have hospitalization rates for this condition in excess of those from the general population.
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TLDR
Female sex, middle age, less education, lower household income, being divorced, and being disabled are associated with increased odds of having FM, especially among women and persons of lower socioeconomic status.
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