{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T13:35:05Z","timestamp":1793367305657,"version":"4.5.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100012665","name":"Institute for Clinical Evaluative Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100025092","name":"Ministry of Health, Ontario","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100025092","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100025090","name":"Ministry of Long-Term Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100025090","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejso.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.ejso.2026.112055","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T06:00:48Z","timestamp":1785996048000},"page":"112055","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient-reported longitudinal symptom patterns following breast-conserving surgery versus mastectomy with or without immediate breast reconstruction: A retrospective cohort study"],"prefix":"10.1016","volume":"52","author":[{"given":"Han","family":"Zeng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingxuan","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4793-4620","authenticated-orcid":false,"given":"Nancy N.","family":"Baxter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie G.","family":"Coburn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anam","family":"Liaqat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejso.2026.112055_bib1","first-page":"209","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"10.1016\/j.ejso.2026.112055_bib2","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1007\/s10549-019-05196-x","article-title":"Patient-reported symptoms following mastectomy alone or lumpectomy plus radiation for early stage breast cancer: a cohort study","volume":"175","author":"Davis","year":"2019","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.ejso.2026.112055_bib3","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.1097\/SLA.0000000000000908","article-title":"Patient-reported quality of life and satisfaction with cosmetic outcomes after breast conservation and mastectomy with and without reconstruction: results of a survey of breast cancer survivors","volume":"261","author":"Jagsi","year":"2015","journal-title":"Ann Surg"},{"key":"10.1016\/j.ejso.2026.112055_bib4","doi-asserted-by":"crossref","first-page":"2444","DOI":"10.1245\/s10434-019-07251-9","article-title":"Psychosocial functioning in women with early breast cancer treated with breast surgery with or without immediate breast reconstruction","volume":"26","author":"Retrouvey","year":"2019","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ejso.2026.112055_bib5","first-page":"2191","article-title":"Quality of life and symptom burden in patients with breast cancer treated with mastectomy and lumpectomy","volume":"24","author":"Chow","year":"2016","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.ejso.2026.112055_bib6","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1007\/s10549-024-07396-6","article-title":"Patient-reported outcomes and quality of life after breast-conserving surgery, mastectomy, and breast reconstruction assessed using the BREAST-Q questionnaire","volume":"207","author":"Tomita","year":"2024","journal-title":"Breast Cancer Res Treat"},{"key":"10.1016\/j.ejso.2026.112055_bib7","doi-asserted-by":"crossref","DOI":"10.1001\/jamasurg.2022.0631","article-title":"Long-term quality of life in patients with breast cancer after breast conservation vs mastectomy and reconstruction","volume":"157","author":"Hanson","year":"2022","journal-title":"JAMA Surg"},{"key":"10.1016\/j.ejso.2026.112055_bib8","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1200\/JCO.2015.63.0830","article-title":"Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial","volume":"34","author":"Basch","year":"2016","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ejso.2026.112055_bib9","first-page":"3025","article-title":"Does routine symptom screening with ESAS decrease ED visits in breast cancer patients undergoing adjuvant chemotherapy","volume":"23","author":"Barbera","year":"2015","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.ejso.2026.112055_bib10","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1038\/s41591-025-03507-y","article-title":"Symptom monitoring with electronic patient-reported outcomes during cancer treatment: final results of the PRO-TECT cluster-randomized trial","volume":"31","author":"Basch","year":"2025","journal-title":"Nat Med"},{"key":"10.1016\/j.ejso.2026.112055_bib11","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/j.jpainsymman.2016.10.370","article-title":"The Edmonton symptom assessment system 25 years later: past, present, and future developments","volume":"53","author":"Hui","year":"2017","journal-title":"J Pain Symptom Manag"},{"key":"10.1016\/j.ejso.2026.112055_bib12","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.jpainsymman.2009.06.010","article-title":"A single set of numerical cutpoints to define moderate and severe symptoms for the Edmonton symptom assessment system","volume":"39","author":"Selby","year":"2010","journal-title":"J Pain Symptom Manag"},{"key":"10.1016\/j.ejso.2026.112055_bib13","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1002\/sim.4780131106","article-title":"Analysis of repeated categorical data using generalized estimating equations","volume":"13","author":"Lipsitz","year":"1994","journal-title":"Stat Med"},{"key":"10.1016\/j.ejso.2026.112055_bib14","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1093\/biomet\/70.1.41","article-title":"The central role of the propensity score in observational studies for causal effects","volume":"70","author":"Rosenbaum","year":"1983","journal-title":"Biometrika"},{"key":"10.1016\/j.ejso.2026.112055_bib15","doi-asserted-by":"crossref","first-page":"3083","DOI":"10.1002\/sim.3697","article-title":"Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples","volume":"28","author":"Austin","year":"2009","journal-title":"Stat Med"},{"key":"10.1016\/j.ejso.2026.112055_bib16","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1080\/00273171.2011.568786","article-title":"An introduction to propensity score methods for reducing the effects of confounding in observational studies","volume":"46","author":"Austin","year":"2011","journal-title":"Multivariate Behav Res"},{"key":"10.1016\/j.ejso.2026.112055_bib17","doi-asserted-by":"crossref","first-page":"3027","DOI":"10.1002\/cncr.29437","article-title":"Minimal clinically important differences in the Edmonton symptom assessment scale in cancer patients: a prospective, multicenter study","volume":"121","author":"Hui","year":"2015","journal-title":"Cancer"},{"key":"10.1016\/j.ejso.2026.112055_bib18","doi-asserted-by":"crossref","first-page":"8030","DOI":"10.1245\/s10434-024-15294-w","article-title":"Breast-conserving therapy versus postmastectomy breast reconstruction: propensity score-matched analysis","volume":"31","author":"Kim","year":"2024","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ejso.2026.112055_bib19","doi-asserted-by":"crossref","first-page":"e1096","DOI":"10.1097\/SLA.0000000000005920","article-title":"Patient-reported quality of life after breast-conserving surgery with radiotherapy versus mastectomy and reconstruction","volume":"278","author":"Diao","year":"2023","journal-title":"Ann Surg"},{"key":"10.1016\/j.ejso.2026.112055_bib20","first-page":"155","article-title":"Self-reported pain in breast cancer patients receiving adjuvant radiotherapy","volume":"29","author":"Lam","year":"2021","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.ejso.2026.112055_bib21","first-page":"1283","article-title":"Impact of adjuvant breast radiotherapy on patient-reported fatigue","volume":"30","author":"Lam","year":"2022","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.ejso.2026.112055_bib22","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1007\/s12282-020-01076-1","article-title":"Health-related quality of life following breast reconstruction compared to total mastectomy and breast-conserving surgery among breast cancer survivors: a systematic review and meta-analysis","volume":"27","author":"Zehra","year":"2020","journal-title":"Breast Cancer"},{"key":"10.1016\/j.ejso.2026.112055_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.breast.2023.103600","article-title":"Key factors in the decision-making process for mastectomy alone or breast reconstruction: a qualitative analysis","volume":"73","author":"Blackmore","year":"2024","journal-title":"Breast"},{"key":"10.1016\/j.ejso.2026.112055_bib24","doi-asserted-by":"crossref","DOI":"10.1001\/jamasurg.2021.3758","article-title":"Association of local therapy with quality-of-life outcomes in young women with breast cancer","volume":"156","author":"Dominici","year":"2021","journal-title":"JAMA Surg"},{"key":"10.1016\/j.ejso.2026.112055_bib25","doi-asserted-by":"crossref","first-page":"767","DOI":"10.21037\/gs-20-532","article-title":"Quality of life and related risk factors after breast reconstruction in breast cancer patients","volume":"9","author":"Wang","year":"2020","journal-title":"Gland Surg"},{"key":"10.1016\/j.ejso.2026.112055_bib26","doi-asserted-by":"crossref","first-page":"2569","DOI":"10.1016\/j.bjps.2022.02.050","article-title":"Comparing costs of standard breast-conserving surgery to oncoplastic breast-conserving surgery and mastectomy with immediate two-stage implant-based breast reconstruction","volume":"75","author":"Witmer","year":"2022","journal-title":"J Plast Reconstr Aesthetic Surg"},{"key":"10.1016\/j.ejso.2026.112055_bib27","doi-asserted-by":"crossref","first-page":"19","DOI":"10.21037\/abs-23-33","article-title":"The psychological impacts of post-mastectomy breast reconstruction: a systematic review","volume":"8","author":"Roy","year":"2024","journal-title":"Ann Breast Surg"},{"key":"10.1016\/j.ejso.2026.112055_bib28","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/SLA.0000000000003467","article-title":"Long-term patient-reported outcomes following postmastectomy breast reconstruction: an 8-year examination of 3268 patients","volume":"270","author":"Nelson","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.ejso.2026.112055_bib29","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s12955-020-1283-x","article-title":"Menopausal symptoms in relationship to breast cancer-specific quality of life after adjuvant cytotoxic treatment in young breast cancer survivors","volume":"18","author":"Yeo","year":"2020","journal-title":"Health Qual Life Outcome"},{"key":"10.1016\/j.ejso.2026.112055_bib30","first-page":"409","article-title":"Quality of life (QOL) and symptom burden (SB) in patients with breast cancer","volume":"25","author":"Hamer","year":"2017","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.ejso.2026.112055_bib31","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2024.1404270","article-title":"Associations of the Charlson comorbidity index with depression and mortality among the U.S. adults","volume":"12","author":"Wang","year":"2024","journal-title":"Front Public Health"},{"key":"10.1016\/j.ejso.2026.112055_bib32","first-page":"24","article-title":"Short-term and long-term financial toxicity from breast cancer treatment: a qualitative study","volume":"32","author":"Lee","year":"2023","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.ejso.2026.112055_bib33","doi-asserted-by":"crossref","first-page":"4794","DOI":"10.1002\/cam4.5283","article-title":"Association between depression and anxiety status of breast cancer patients before adjuvant chemotherapy and chemotherapy-induced adverse events","volume":"12","author":"Lv","year":"2023","journal-title":"Cancer Med"},{"key":"10.1016\/j.ejso.2026.112055_bib34","doi-asserted-by":"crossref","first-page":"3133","DOI":"10.1245\/s10434-019-07548-9","article-title":"A comparison of patient-reported outcomes after breast-conserving surgery and mastectomy with implant breast reconstruction","volume":"26","author":"Flanagan","year":"2019","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.ejso.2026.112055_bib35","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1200\/JCO.18.01160","article-title":"Adjuvant endocrine therapy for women with hormone receptor-positive breast cancer: ASCO clinical practice guideline focused update","volume":"37","author":"Burstein","year":"2019","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ejso.2026.112055_bib36","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1200\/JCO.2015.64.3809","article-title":"American Cancer Society\/American Society of Clinical Oncology breast cancer survivorship care guideline","volume":"34","author":"Runowicz","year":"2016","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.ejso.2026.112055_bib37","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.bjps.2015.11.013","article-title":"The BREAST-Q in surgical research: a review of the literature 2009-2015","volume":"69","author":"Cohen","year":"2016","journal-title":"J Plast Reconstr Aesthetic Surg"}],"container-title":["European Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798326006748?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0748798326006748?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:45:36Z","timestamp":1793364336000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0748798326006748"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":37,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0748798326006748"],"URL":"https:\/\/doi.org\/10.1016\/j.ejso.2026.112055","relation":{},"ISSN":["0748-7983"],"issn-type":[{"value":"0748-7983","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Patient-reported longitudinal symptom patterns following breast-conserving surgery versus mastectomy with or without immediate breast reconstruction: A retrospective cohort study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Surgical Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejso.2026.112055","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"112055"}}