{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T12:40:22Z","timestamp":1779885622145,"version":"3.53.1"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Studies focusing on disease severity and reconstructive surgical treatment's impact on health\u2010related quality of life (HRQOL) are lacking, particularly in low\u2010 and middle\u2010income countries (LMICs). This study aims to assess the impact of reconstructive surgery\u2010related conditions on basic indicators of quality of life and social integration within the context of limited resources and short\u2010term surgical missions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a pre\u2010post cohort study at Tumbi Regional Referral Hospital in Tanzania from July 2023 to July 2024. Patients undergoing reconstructive surgery for postburn contractures (PBC), congenital malformations, and trauma\u2010related conditions were included. Surgical outcomes and HRQOL were assessed using patient\u2010reported outcome measures (PROMs) preoperatively and at 12\u00a0months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 120 scheduled patients, 82 were included, with a 12\u2010month follow\u2010up rate of 77.7% and a median age of 3.5 years old. PBC accounted for 73.2% of cases. The patients' primary expectation after surgery was functional recovery (64%). Patient\u2010reported disabilities improved significantly, decreasing from 72% to 9% postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). The impact on family life improved from 58.8% to 6% (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), and reductions in social exclusion and discrimination were observed. Notably, perceptions of witchcraft association declined from 23% to 7.8% (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.014).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Assessing the impact of disabilities and surgical outcomes on HRQOL using PROMs is feasible and seems essential during short\u2010term surgical missions. The findings suggest that reconstructive surgery restores functionality and improves quality of life 1\u00a0year after the procedure, highlighting its positive impact on patients' social lives and overall well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.12696","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T04:29:36Z","timestamp":1752121776000},"page":"2794-2800","source":"Crossref","is-referenced-by-count":2,"title":["Health\u2010Related Quality of Life and Social Reintegration Indicators Following Reconstructive Surgery: A Prospective Observational Study"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1658-4947","authenticated-orcid":false,"given":"Shireen","family":"Dumont","sequence":"first","affiliation":[{"name":"Division of Dermatology and Venereology Geneva University Hospitals  Geneva Switzerland"},{"name":"2<sup>ND<\/sup> Chance Association  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silas","family":"Msangi","sequence":"additional","affiliation":[{"name":"2<sup>ND<\/sup> Chance Association  Geneva Switzerland"},{"name":"Department of Surgery Tumbi Regional Referral Hospital  Kibaha Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Ponthus","sequence":"additional","affiliation":[{"name":"2<sup>ND<\/sup> Chance Association  Geneva Switzerland"},{"name":"Division of Anaesthesiology Department of Acute Care Medicine Geneva University Hospitals  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Elahi","sequence":"additional","affiliation":[{"name":"2<sup>ND<\/sup> Chance Association  Geneva Switzerland"},{"name":"Department of Plastic and Reconstructive Surgery Institut Curie  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roba","family":"Khundkar","sequence":"additional","affiliation":[{"name":"2<sup>ND<\/sup> Chance Association  Geneva Switzerland"},{"name":"Department of Plastic Surgery Sheffield Teaching Hospitals NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Wayi","sequence":"additional","affiliation":[{"name":"2<sup>ND<\/sup> Chance Association  Geneva Switzerland"},{"name":"Department of Surgery Tumbi Regional Referral Hospital  Kibaha Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lionel","family":"Dumont","sequence":"additional","affiliation":[{"name":"2<sup>ND<\/sup> Chance Association  Geneva Switzerland"},{"name":"Division of Anaesthesiology Department of Acute Care Medicine Geneva University Hospitals  Geneva Switzerland"},{"name":"Department of Anaesthesiology Pharmacology Intensive Care and Emergency Medicine Faculty of Medicine University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)61081\u20102"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.BCR.0000245652.26648.36"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2014.19.13.4190"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010017\u20104296\u20109"},{"key":"e_1_2_11_6_1","first-page":"47","article-title":"Surgery on Burns Sequelae in Developing Countries","volume":"30","author":"El E. 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