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<p>Breast reconstruction following mastectomy offers significant psychosocial and aesthetic benefits, yet awareness and acceptability remain suboptimal in resource-limited settings. This study aimed to assess awareness, acceptability, and decision-making factors regarding breast reconstruction in women undergoing mastectomy. A descriptive cross-sectional survey was conducted among 148 women who had undergone mastectomy for breast cancer at a tertiary care center in South India. A structured, validated questionnaire assessed demographic data, awareness of reconstruction options, information sources, acceptability rates, decision-making influences, and barriers to reconstruction. Data were analyzed using descriptive statistics, Chi-square tests, and binary logistic regression to identify independent predictors of awareness and acceptability. Only 41.9% of participants were aware of breast reconstruction options before surgery. Awareness was particularly low for flap procedures (29.1%) and implant-based reconstruction (18.2%). Physicians were the primary information source (60%). While 52% were offered reconstruction, only 16% would have considered it. Multivariate analysis revealed that higher education (adjusted OR 2.8, 95% CI: 1.5–5.2, <i>p</i>&#xa0;= 0.001) and surgeon counseling (adjusted OR 4.1, 95% CI: 2.3–7.6, <i>p</i>&#xa0;&lt; 0.001) were independent predictors of awareness. Primary barriers included lack of information (20%), low cosmetic priority (22%), and financial constraints (7%). Significant gaps persist in awareness and acceptability of breast reconstruction among mastectomy patients in resource-limited settings. Comprehensive preoperative counseling, family-inclusive decision-making, and survivor support programs are essential to improve informed decision-making and reconstruction uptake.</p>

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Awareness and Acceptability of Whole Breast Reconstruction After Mastectomy: A Cross-Sectional Survey Study

  • 期刊论文

  • 发表日期：

    2026年1月31日

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  • Rahul Dholariya,
  • Chidananda Murthy Giridhar

摘要

Breast reconstruction following mastectomy offers significant psychosocial and aesthetic benefits, yet awareness and acceptability remain suboptimal in resource-limited settings. This study aimed to assess awareness, acceptability, and decision-making factors regarding breast reconstruction in women undergoing mastectomy. A descriptive cross-sectional survey was conducted among 148 women who had undergone mastectomy for breast cancer at a tertiary care center in South India. A structured, validated questionnaire assessed demographic data, awareness of reconstruction options, information sources, acceptability rates, decision-making influences, and barriers to reconstruction. Data were analyzed using descriptive statistics, Chi-square tests, and binary logistic regression to identify independent predictors of awareness and acceptability. Only 41.9% of participants were aware of breast reconstruction options before surgery. Awareness was particularly low for flap procedures (29.1%) and implant-based reconstruction (18.2%). Physicians were the primary information source (60%). While 52% were offered reconstruction, only 16% would have considered it. Multivariate analysis revealed that higher education (adjusted OR 2.8, 95% CI: 1.5–5.2, p = 0.001) and surgeon counseling (adjusted OR 4.1, 95% CI: 2.3–7.6, p < 0.001) were independent predictors of awareness. Primary barriers included lack of information (20%), low cosmetic priority (22%), and financial constraints (7%). Significant gaps persist in awareness and acceptability of breast reconstruction among mastectomy patients in resource-limited settings. Comprehensive preoperative counseling, family-inclusive decision-making, and survivor support programs are essential to improve informed decision-making and reconstruction uptake.