{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T04:58:49Z","timestamp":1785214729867,"version":"3.55.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breast reconstruction surgery (BRS) following mastectomy offers psychological and physical benefits; however, its acceptance remains limited among patients. Cultural perceptions, lack of awareness, and limited communication with healthcare providers may contribute to this gap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To assess knowledge, misconceptions, attitudes, barriers, and motivators related to BRS among mastectomy patients in Eastern Saudi Arabia, and to explore associations with demographic and clinical factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional survey was conducted from February to June 2025 at King Fahd Hospital of the University, Al Khobar, Saudi Arabia, and included all women who underwent mastectomy for breast cancer between 2016 and 2025. Data were elicited using a self-administered questionnaire assessing demographics, breast cancer history, knowledge and misconceptions about BRS, attitudes, and perceived barriers and motivators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 144 eligible patients, 100 completed the questionnaire (response rate: 69.4%). Only 15% of patients had undergone BRS. Most patients had moderate misconceptions (85%), while 22% had excellent knowledge about BRS. Nonetheless, 65% had a positive attitude and 52% expressed willingness to undergo BRS. Key barriers included fear of additional surgery (42.4%) and lack of knowledge (38.8%), while key motivators were restoring body image (93.3%) and improving self-esteem (80%). In the univariate analysis, significant associations were observed between knowledge levels and factors such as age (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010), education (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), income (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.008), and current\/past employment in healthcare (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.008). However, in the multivariate logistic regression analysis, no variable was found to be an independent predictor of high knowledge of BRS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In breast cancer patients who underwent mastectomy in Eastern Saudi Arabia, there is positive attitude and willingness toward breast reconstruction surgery, yet the proportion of patients who underwent the surgery is low. The primary barriers identified are modifiable, and thus enhanced patient education and counseling may improve decision-making about breast reconstruction surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sjmms.sjmms_919_25","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T20:00:10Z","timestamp":1784664010000},"page":"244-253","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Mastectomy Patients\u2019 Perspectives on Breast Reconstruction at a Tertiary Care Center in Eastern Saudi Arabia"],"prefix":"10.4103","volume":"14","author":[{"given":"Raseel B.","family":"Almutairi","sequence":"first","affiliation":[{"name":"College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Batool Y.","family":"Altayeb","sequence":"additional","affiliation":[{"name":"College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra N.","family":"Alqarrashi","sequence":"additional","affiliation":[{"name":"College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyan M.","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra H.","family":"Alghazwi","sequence":"additional","affiliation":[{"name":"College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seba Samer","family":"Abduljabbar","sequence":"additional","affiliation":[{"name":"College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila H.","family":"Alshawaf","sequence":"additional","affiliation":[{"name":"Nursing Department, King Fahd Hospital of the University, Al-Khobar, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reem K.","family":"Aljehani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam M.","family":"AlQurashi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiman Mohammed","family":"AlShammari","sequence":"additional","affiliation":[{"name":"Department of Surgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"R4-20260728","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.3390\/medicina60071169","article-title":"Post-mastectomy breast reconstruction disparities: A systematic review of sociodemographic and economic barriers","volume":"60","author":"Vangsness","year":"2024","journal-title":"Medicina (Kaunas)"},{"key":"R5-20260728","doi-asserted-by":"crossref","first-page":"e3750","DOI":"10.1097\/GOX.0000000000003750","article-title":"Patient perceptions and determinants of choice for breast reconstruction after mastectomy among Saudi patients","volume":"9","author":"Aljaaly","year":"2021","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"R6-20260728","first-page":"9","article-title":"Patients opting for breast reconstruction following mastectomy: An analysis of uptake rates and benefit","volume":"5","author":"Howard-McNatt","year":"2013","journal-title":"Breast Cancer (Dove Med Press)"},{"key":"R7-20260728","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.jamcollsurg.2014.12.004","article-title":"De-mythifying breast reconstruction: A review of common misconceptions about breast reconstruction","volume":"220","author":"Schneider","year":"2015","journal-title":"J Am Coll Surg"},{"key":"R8-20260728","doi-asserted-by":"crossref","first-page":"496","DOI":"10.26502\/jcsct.5079133","article-title":"The impact of mastectomy on self-concept and social life: Decisional conflicts for breast reconstruction","volume":"5","author":"Alsanad","year":"2021","journal-title":"J Cancer Sci Clin Ther"},{"key":"R9-20260728","doi-asserted-by":"crossref","first-page":"304","DOI":"10.15537\/smj.2015.3.10688","article-title":"The desire to utilize postmastectomy breast reconstruction in Saudi Arabian women. 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