European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2026
Meeting expectations and its impact on the quality of life following surgery in breast cancer patients.
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Alvarez-Lozada Luis Adrian, Salinas-Martínez Ana María, Peña-Arriaga Magaly Denise, Valencia-Mercado Daniel, Cordero-Franco Hid Felizardo, Quiroga-Garza Alejandro
Аннотация
INTRODUCTION: Patients' and physicians' expectations may not always align, which can potentially impact postoperative quality of life. We evaluated the extent to which expectations of well-being and treatment-related information were fulfilled. We also examined its impact on the immediate and short-term quality of life following surgery in breast cancer patients.
METHODS: We prospectively followed a cohort of non-pregnant breast cancer patients who underwent surgery and had no history of breast reconstruction, prophylactic, palliative, or intensive care admission (n = 100). Expectations and the initial quality-of-life assessment were collected during the first follow-up visit, with a second measurement conducted by phone one month later. Ordinal multiple logistic regression was used, and Odds Ratios (ORs) and 95 % Confidence Intervals (CIs) were estimated.
RESULTS: Physical, treatment-response, and emotional well-being expectations were largely unformed, while social well-being expectations were mostly underestimated or fulfilled as high as expected. Underestimation reduced the odds of good immediate physical well-being (OR 0.12, 95 % CI 0.02, 0.54). Also, underestimation reduced the odds of good immediate and short-term emotional well-being (OR 0.03, 95 % CI 0.01, 0.14 and OR 0.03, 95 % CI 0.01, 0.17, respectively). Meeting expectations as high as anticipated or receiving more social support than expected increased the odds of immediate and short-term social well-being.
CONCLUSIONS: Unformed expectations were prevalent, except in social well-being. Not meeting expectations harmed physical and emotional well-being, while meeting them benefited social well-being. Providing information about surgical treatment is crucial for setting clear and realistic expectations.
METHODS: We prospectively followed a cohort of non-pregnant breast cancer patients who underwent surgery and had no history of breast reconstruction, prophylactic, palliative, or intensive care admission (n = 100). Expectations and the initial quality-of-life assessment were collected during the first follow-up visit, with a second measurement conducted by phone one month later. Ordinal multiple logistic regression was used, and Odds Ratios (ORs) and 95 % Confidence Intervals (CIs) were estimated.
RESULTS: Physical, treatment-response, and emotional well-being expectations were largely unformed, while social well-being expectations were mostly underestimated or fulfilled as high as expected. Underestimation reduced the odds of good immediate physical well-being (OR 0.12, 95 % CI 0.02, 0.54). Also, underestimation reduced the odds of good immediate and short-term emotional well-being (OR 0.03, 95 % CI 0.01, 0.14 and OR 0.03, 95 % CI 0.01, 0.17, respectively). Meeting expectations as high as anticipated or receiving more social support than expected increased the odds of immediate and short-term social well-being.
CONCLUSIONS: Unformed expectations were prevalent, except in social well-being. Not meeting expectations harmed physical and emotional well-being, while meeting them benefited social well-being. Providing information about surgical treatment is crucial for setting clear and realistic expectations.