{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:04Z","timestamp":1787797144982,"version":"build-2784847793"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the central role of expectations in informed consent and surgical shared decision\u2010making, patient expectations frequently remain unelicited or underexplored and are often assumed rather than explicitly addressed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore how patients form expectations about high\u2010risk abdominal surgery for cancer and how preoperative expectations influence the experience of surgical recovery and life after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study using semi\u2010structured interviews informed by cognitive task analysis and analysed using an abductive thematic framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Participants<\/jats:title>\n                    <jats:p>\n                      Adults (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200934) at two U.S. academic hospitals who were either scheduled to undergo, or had recently undergone, high\u2010risk abdominal surgery for cancer; interviews were conducted preoperatively (52.9%) and postoperatively (47.1%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analysis of the interviews revealed three overarching themes characterising how patients formed, understood, and experienced expectations around high\u2010risk cancer surgery. Theme 1: Origin of Expectations\u2010 Expectation development was dynamic, context\u2010dependent, and shaped by multiple information sources. Theme 2: The Complexity of Expectations\u2010 Patients varied widely in how much they wanted to know; expectations were often internally inconsistent and frequently conflated with hopes. Theme 3: Contrasting Anticipated and Actual Recovery After Surgery\u2010 Postoperative experiences commonly diverged from preoperative expectations, and many patients expressed uncertainty regarding recovery and prognosis, even in medically uncomplicated recoveries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The wide variation and inconsistency in patient expectations reflect both the complexity of how patients prepare for high\u2010risk abdominal cancer surgery and their need to navigate uncertainty in ways that align with their individual preferences, values, and tolerance for information. Mismatches between anticipated and actual postoperative experiences underscore the need for structured, patient\u2010centred communication strategies that support realistic preparation for surgical recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides insight into how patients with cancer form expectations regarding high\u2010risk abdominal surgery and how these expectations shape preparation for the experience of surgical recovery. Expectations were often incomplete, internally inconsistent, and difficult for patients to articulate, contributing to gaps between anticipated and actual recovery. These findings highlight the need for intentional, patient\u2010centred approaches to elicit, clarify, and better align patient and clinician expectations in surgical oncology. Future work should evaluate intervention strategies to support this goal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Patients participated in in\u2010depth interviews that form the basis of this study. Caregiver interviews were conducted in parallel as part of a related study but were not included in the present analysis. Patients and\/or caregivers were not formally involved in the design of the study or in the analysis of the qualitative data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70764","type":"journal-article","created":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T16:30:45Z","timestamp":1783873845000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Expectations in High\u2010Risk Abdominal Surgery for Cancer"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3346-0612","authenticated-orcid":false,"given":"Kimberly E.","family":"Kopecky","sequence":"first","affiliation":[{"name":"Department of Surgery University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6426-5240","authenticated-orcid":false,"given":"Jacquelyn E. F.","family":"Speer","sequence":"additional","affiliation":[{"name":"Heersink School of Medicine University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8213-443X","authenticated-orcid":false,"given":"Janet","family":"Julson","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alizeh","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0309-5995","authenticated-orcid":false,"given":"Olivia","family":"Monton","sequence":"additional","affiliation":[{"name":"Department of Surgery McMaster University Hamilton Ontario Canada"},{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2794-7179","authenticated-orcid":false,"given":"Fabian M.","family":"Johnston","sequence":"additional","affiliation":[{"name":"Department of Surgery Wake Forest University School of Medicine Winston\u2010Salem North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6764-0254","authenticated-orcid":false,"given":"J. 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