Women undergoing mastectomy did not have an accurate idea of their future well-being, according to the results of a study published in JAMA Surgery. Women who underwent mastectomy without immediate reconstruction underestimated their future well-being and those who did get reconstruction overestimated their well-being.

“Misprediction was associated with greater regret but not with satisfaction with decisions,” wrote Clara Nan-hi Lee, MD, MPP, of the Ohio State University in Columbus, and colleagues. “Decision support for mastectomy and breast reconstruction should address expectations about future well-being.”