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The purpose of this study was to evaluate the proportion of patients who do not complete the BREAST\u2010Q Sexual Well\u2010being relative to other BREAST\u2010Q modules and compare responders versus nonresponders of Sexual Well\u2010being. We secondarily examined variables associated with Sexual Well\u2010being at 1\u2010year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of patients who underwent breast reconstruction from January 2018 to December 2021 and completed any of the BREAST\u2010Q modules postoperatively at 1\u2010year was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 2941 patients were included. Of the four BREAST\u2010Q domains, Sexual Well\u2010being had the highest rate of nonresponse (47%). Patients who were separated (vs. married, OR\u2009=\u20090.69), whose primary language was not English (vs. English, OR\u2009=\u20090.60), and had Medicaid insurance (vs. commercial, OR\u2009=\u20090.67) were significantly less likely to complete the Sexual Well\u2010being. Postmenopausal patients were significantly more likely to complete the survey than premenopausal patients. Lastly, autologous reconstruction patients were 2.93 times more likely to respond than implant\u2010based reconstruction patients (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) while delayed (vs. immediate, OR\u2009=\u20090.70, <jats:italic>p<\/jats:italic>\u2009=\u20090.022) and unilateral (vs. bilateral, OR\u2009=\u20090.80, <jats:italic>p<\/jats:italic>\u2009=\u20090.008) reconstruction patients were less likely to respond. History of psychiatric diagnosis, aromatase inhibitors, and immediate breast reconstruction were significantly associated with lower Sexual Well\u2010being at 1\u2010year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sexual Well\u2010being is the least frequently completed BREAST\u2010Q domain, and there are demographic and clinical differences between responders and nonresponders. We encourage providers to recognize patterns in nonresponse data for Sexual\u2010Well\u2010being to ensure that certain patient population's sexual health concerns are not overlooked.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27639","type":"journal-article","created":{"date-parts":[[2024,4,7]],"date-time":"2024-04-07T15:44:35Z","timestamp":1712504675000},"page":"1192-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Nonresponse data in sexual well\u2010being among breast reconstruction patients\u2014who are we overlooking?"],"prefix":"10.1002","volume":"129","author":[{"given":"Minji","family":"Kim","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery Service, Department of Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perri","family":"Vingan","sequence":"additional","affiliation":[{"name":"Plastic 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