{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T12:13:42Z","timestamp":1783685622175,"version":"3.55.0"},"reference-count":47,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"unspecified","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,6,29]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to evaluate the knowledge, attitudes and practices (KAP) of Jordanian women regarding post-mastectomy breast reconstruction (PMBR), and to recognise key sociodemographic factors influencing these outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A descriptive cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community-based settings across Jordan, representing a general population sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 752 adult women were enrolled in the study. Eligible participants were women aged 18 years or older who were living in Jordan. Recruitment took place across a variety of community settings. Data were collected on sociodemographic variables such as age, level of education, insurance coverage and any personal history of breast disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>The primary outcomes were KAP related to PMBR, measured using a standardised, pretested Arabic questionnaire. Secondary outcomes included identifying sociodemographic factors associated with KAP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants demonstrated moderate knowledge (56.2%), a generally positive attitude (48.6%) and moderate practice levels (42.0%) toward PMBR. Regression analysis indicated that age, level of education, insurance status and personal history of breast disease were significant predictors of KAP outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Awareness and use of PMBR among Jordanian women remain inadequate. These results highlight the need for culturally tailored educational initiatives, improved communication between patients and healthcare providers, and the establishment of national guidelines to facilitate informed decision-making. Further studies are warranted to identify barriers to PMBR uptake and to evaluate the impact of targeted awareness interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-108900","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:20:16Z","timestamp":1783682416000},"page":"e108900","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes and practices regarding immediate breast reconstruction after mastectomy: a cross-sectional study in Jordan"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9136-5504","authenticated-orcid":false,"given":"Aseel O","family":"Rataan","sequence":"first","affiliation":[{"name":"Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Yarmouk University, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1369-6620","authenticated-orcid":false,"given":"Mariam","family":"Alameri","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Yarmouk University, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghaith M","family":"Al-Taani","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Yarmouk University, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadeel K","family":"Shreim","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Yarmouk University, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leen H","family":"Al-Shalakhti","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Yarmouk University, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bara\u2019ah A","family":"AlRefai","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Yarmouk University, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lian","family":"Shqeer","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Yarmouk University, Irbid, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,10]]},"reference":[{"key":"2026071004201086000_16.7.e108900.1","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2019.20.7.2015"},{"key":"2026071004201086000_16.7.e108900.2","doi-asserted-by":"crossref","first-page":"100985","DOI":"10.1016\/j.eclinm.2021.100985","article-title":"Global breast cancer incidence and mortality trends by region, age-groups, and fertility patterns","volume":"38","author":"Lima","year":"2021","journal-title":"EClinicalMedicine"},{"key":"2026071004201086000_16.7.e108900.3","unstructured":"Manzano A , Gral\u00e9n K , Wilking N , et al . 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