{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:00:26Z","timestamp":1791471626657,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>As breast cancer impacts patients\u2019 physical and mental well\u2010being, treatment modalities are expected to enhance both survival rates and overall quality of life. With increasing cosmetic expectations, surgical techniques have been developed to enhance patient satisfaction while ensuring appropriate oncological principles. One such technique is mastectomy combined with implant reconstruction. Evidence\u2010based data comparing patient satisfaction among surgical methods contribute to managing preoperative patient expectations and determining the type of surgery. This study aimed to compare the satisfaction levels of patients undergoing subcutaneous mastectomy with implant reconstruction and those receiving breast\u2010conserving surgery using the BREAST\u2010Q scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Two hundred female patients over the age of 18 who underwent either breast\u2010conserving surgery or subcutaneous mastectomy with implant reconstruction for breast cancer, without concurrent oncoplastic procedures, were included. Patients who experienced implant loss for any reason were excluded. Postoperative patient satisfaction was evaluated using the BREAST\u2010Q scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 200 patients were included, with 115 undergoing breast\u2010conserving surgery and 85 undergoing subcutaneous mastectomy with implant reconstruction. The mastectomy and implant group had a significantly higher proportion of patients under 50\u00a0years old (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001) and ideal body mass index (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.024) compared to the breast\u2010conserving surgery group. While nearly all patients in the breast\u2010conserving surgery group (98%) received radiotherapy, approximately half of the mastectomy group received radiotherapy (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Breast\u2010conserving surgery patients had significantly higher BREAST\u2010Q scores in psychosocial well\u2010being (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), sexual well\u2010being (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), and satisfaction with breast appearance (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) compared to the mastectomy and implant groups. No demographic or clinical factors affected breast satisfaction in the breast\u2010conserving group, whereas smoking, radiotherapy, and chronic disease negatively impacted breast satisfaction in the mastectomy and implant groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Breast satisfaction subscale scores on the BREAST\u2010Q were significantly higher in patients undergoing breast\u2010conserving surgery compared with those undergoing subcutaneous mastectomy with implant reconstruction. Radiotherapy, smoking, and chronic disease history were associated with reduced satisfaction with breast appearance in the mastectomy and implant groups, whereas satisfaction levels in the breast\u2010conserving surgery group were not influenced by any clinical or demographic factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70538","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:42:13Z","timestamp":1791470533000},"source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Patient Satisfaction Using the BREAST\u2010Q Questionnaire in Patients Undergoing Breast\u2010Conserving Surgery and Implant\u2010Based Breast Reconstruction"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5716-416X","authenticated-orcid":false,"given":"Gudrat","family":"Alibalayev","sequence":"first","affiliation":[{"name":"Breast Unit Department of General Surgery Istanbul Faculty of Medicine Istanbul University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3152-044X","authenticated-orcid":false,"given":"Baran","family":"Mollavelioglu","sequence":"additional","affiliation":[{"name":"Breast Unit Department of General Surgery Istanbul Faculty of Medicine Istanbul University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0279-5671","authenticated-orcid":false,"given":"Mahmut","family":"M\u00fcsl\u00fcmanoglu","sequence":"additional","affiliation":[{"name":"Breast Unit Department of General Surgery Istanbul Faculty of Medicine Istanbul University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3879-1982","authenticated-orcid":false,"given":"Mustafa","family":"T\u00fckenmez","sequence":"additional","affiliation":[{"name":"Breast Unit Department of General Surgery Istanbul Faculty of Medicine Istanbul University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.70090"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010019\u201007548\u20109"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2008.19.8424"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010013\u20103011\u20109"},{"key":"e_1_2_10_6_1","volume-title":"Breast\u2013Q Version 2.0","author":"Pusic 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