title: Evaluation of patient knowledge, desire, and psychosocial background regarding postmastectomy breast reconstruction in Hungary: a questionnaire study of 500 cases.
abstract: BACKGROUND
  According to European guidelines, breast cancer patients requiring mastectomy should be informed about available options regarding breast reconstruction. There are clear differences in the quality standards of oncoplastic care throughout Europe, with slight improvements in Central European countries like Hungary. The aim of the present investigation was to evaluate patients' knowledge and demand for postmastectomy breast reconstruction, as well as their psychosocial background regarding decision-making.
  
  
  METHODS
  A questionnaire containing 15 structured questions was given to 500 breast cancer patients on the day before undergoing mastectomy. The questions focused on the emotional impact of the malignant disease and the loss of a breast; the importance of environmental conditions; the desire for breast reconstruction; and patients' knowledge and sources of information about the procedure. All answers were statistically analyzed in the context of patient age, marital status, educational level, and place of residence.
  
  
  RESULTS
  Descriptive statistical results of the answers to all questions, as well as associations of the different aspects of the decision-making process, are presented.
  
  
  CONCLUSIONS
  Hungarian breast cancer patients have very limited knowledge regarding breast reconstruction. We confirmed that patients scheduled for mastectomy have a great degree of anxiety due to their disease and breast loss. Almost 50% of the responders declared their desire for postmastectomy breast reconstruction. Patient's age, residence, educational level, marital status, and profession were confirmed as predictive factors in the decision-making process for breast reconstruction.
authors.affiliation: Department of Breast and Sarcoma Surgery, National Institute of Oncology, Budapest, Hungary.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Mátrai
authors.affiliation: 2nd Department of Pathology, Semmelweis University, Budapest, Hungary.
authors.forename: István
authors.initials: I
authors.lastname: Kenessey
authors.affiliation: Department of Breast and Sarcoma Surgery, National Institute of Oncology, Budapest, Hungary.
authors.forename: Akos
authors.initials: A
authors.lastname: Sávolt
authors.affiliation: Department of Breast and Sarcoma Surgery, National Institute of Oncology, Budapest, Hungary.
authors.forename: Mihály
authors.initials: M
authors.lastname: Ujhelyi
authors.affiliation: Institutional Pharmacy, National Institute of Oncology, Budapest, Hungary.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Bartal
authors.affiliation: Department of Head and Neck Surgery, National Institute of Oncology, Budapest, Hungary.
authors.forename: Miklós
authors.initials: M
authors.lastname: Kásler
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D006814:Hungary; D016462:Mammaplasty / Q000523:psychology*; D017533:Marital Status; D008408:Mastectomy; D008875:Middle Aged; D012111:Residence Characteristics; D011795:Surveys and Questionnaires