PT  - JOURNAL ARTICLE
AU  - Awan, Basim A.
AU  - Samargandi, Osama A.
AU  - Alghamdi, Hattan A.
AU  - Sayegh, Anas A.
AU  - Hakeem, Yasir J.
AU  - Merdad, Leena
AU  - Merdad, Adnan A.
TI  - The desire to utilize postmastectomy breast reconstruction in Saudi Arabian women
AID  - 10.15537/smj.2015.3.10688
DP  - 2015 Mar 01
TA  - Saudi Medical Journal
PG  - 304--309
VI  - 36
IP  - 3
4099  - http://smj.org.sa/content/36/3/304.short
4100  - http://smj.org.sa/content/36/3/304.full
SO  - Saudi Med J2015 Mar 01; 36
AB  - Objectives: To study factors that influence the desire to utilize breast reconstruction after mastectomy, and to investigate the barriers to reconstruction among women in Saudi Arabia.Methods: We conducted a cross-sectional study at 2 surgical centers in Jeddah, Saudi Arabia. A self-administered questionnaire was distributed to all breast cancer patients attending the surgery clinics for follow-up after mastectomy between January and March 2013. Ninety-one patients met the study inclusion criteria. The first part of the questionnaire covered the demographic and socioeconomic information regarding factors that might influence the desire to utilize breast reconstruction including possible barriers. Multivariate logistic regression was used to determine the significant predictors of the desire to undergo reconstruction.Results: Overall, 16.5% of patients underwent breast reconstruction after mastectomy. Young age and high educational attainment were significantly associated with an increased desire to undergo reconstruction. The main barriers to reconstruction were the lack of adequate information on the procedure (63%), concerns on the complications of the procedure (68%), and concerns on the reconstruction interfering with the detection of recurrence (54%).Conclusion: Age and educational level were significant predictors of the desire to utilize breast reconstruction. Furthermore, modifiable barriers included the lack of knowledge and misconceptions on the procedure. Addressing these issues may increase the rate of breast reconstruction in Saudi Arabia.