{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:58:56Z","timestamp":1792799936811,"version":"4.5.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Helsinki University Hospital Musculoskeletal and Plastic Surgery Research Centre","id":[{"id":"https:\/\/ror.org\/02e8hzf44","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Patient expectations can influence satisfaction and health-related quality of life (HRQL) after breast reconstruction. The aim of this study was to evaluate both patient expectations before breast reconstruction and HRQL after a 1-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cohort study was performed on patients awaiting delayed breast reconstruction at Helsinki University Hospital in April 2020. The BREAST-Q Reconstruction Expectations module was translated into Finnish following accepted guidelines for preoperative assessment of expectations. One-year outcomes were assessed using the BREAST-Q Reconstruction module. Correlation analyses were performed to evaluate associations between expectations and postoperative HRQL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 145 patients approached, 57 patients (39%) participated. Median preoperative age was 54\u2009years (interquartile range (IQR) = 47\u201363). Expectations for coping were high (median = 100, IQR = 68\u2013100). At 1\u2009year, appearance, shape, and clothing fit were expected to return to near normal (median = 69, IQR = 53\u201391), and donor site appearance and function were expected to normalize (median = 6, IQR = 5\u20137). At 1 year, 38 patients (67%) completed follow-up. Median scores (IQR) were psychosocial well-being 62 (48\u201380), satisfaction with breasts 60 (47\u201376), physical well-being of the chest 85 (64\u201392), and physical well-being of the abdomen 72 (62\u201381), indicating generally favorable outcomes. High expectations for coping were associated with better psychosocial well-being postoperatively. In addition, patients expecting more pain reported lower physical well-being of the chest at 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Breast cancer patients reported high expectations regarding the upcoming breast reconstruction, and the HRQL after a 1-year follow-up reflected attainment of these goals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration:<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969261428789","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:13:52Z","timestamp":1774433632000},"page":"218-225","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Preoperative expectations and quality of life after breast reconstruction: Finnish validation of the BREAST-Q Reconstruction Expectations module"],"prefix":"10.1177","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7322-8856","authenticated-orcid":false,"given":"Charlotta","family":"Kuhlefelt","sequence":"first","affiliation":[{"name":"Division of Musculoskeletal and Plastic Surgery Department of Plastic Surgery University of Helsinki and Helsinki University Hospital Park Hospital, Stenb\u00e4ckinkatu 11, PB 281 00029 Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jussi P.","family":"Repo","sequence":"additional","affiliation":[{"name":"Unit of Musculoskeletal Disease, Department of Orthopedics and Traumatology, Tampere University Hospital and University of Tampere, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiina","family":"Jahkola","sequence":"additional","affiliation":[{"name":"Division of Musculoskeletal and Plastic Surgery, Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Kauhanen","sequence":"additional","affiliation":[{"name":"Division of Musculoskeletal and Plastic Surgery, Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5454-3313","authenticated-orcid":false,"given":"Pauliina","family":"Homsy","sequence":"additional","affiliation":[{"name":"Division of Musculoskeletal and Plastic Surgery, Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"ECIS European Cancer Information System https:\/\/ecis.jrc.ec.europa.eu (accessed 15 December 2024)."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-15-0578"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2019.08.016"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12282-020-01076-1"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-021-06426-4"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1586\/erp.11.105"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1376"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181f44580"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.38.5.471"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(93)71886-1"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-023-07240-3"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-011-1582-x"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2005.04054.x"},{"key":"e_1_3_3_15_2","unstructured":"BREAST-Q-Breast Cancer\u2014Q-Portfolio Adaptable To Your Needs https:\/\/qportfolio.org\/breast-q\/breast-cancer\/ (accessed 23 February 2022)."},{"key":"e_1_3_3_16_2","article-title":"From BREAST-Q \u00a9 to Q-SCORE \u00a9: Using Rasch measurement to better capture breast surgery outcome","author":"Cano S","year":"2011","unstructured":"Cano S, Klassen A, Cano SJ, et al: From BREAST-Q \u00a9 to Q-SCORE \u00a9: Using Rasch measurement to better capture breast surgery outcome. 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