Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country



Título del documento: Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000453010
ISSN: 0034-8376
Autors: 1
2
3
1
1
2
1
3
1
4
Institucions: 1Instituto Nacional de Cancerología, Departamento de Investigación y Tumores Mamarios, Ciudad de México. México
2Instituto Tecnológico y de Estudios Superiores de Monterrey, Hospital Zambrano Hellion, Monterrey, Nuevo León. México
3Joven & Fuerte: Programa para el Cuidado e Investigación de Mujeres Jóvenes con Cáncer de Mama en México, Ciudad de México. México
4Instituto Nacional de Cancerología, Unidad de Epidemiología e Investigación Biomédica en Cáncer, Ciudad de México. México
Any:
Període: Nov-Dic
Volum: 73
Número: 6
Paginació: 347-353
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Background: In Mexico, up to 15% of breast cancer (BC) patients are 40 years or younger. Therefore, fertility preservation and pregnancy after cancer treatment are major concerns in this population. However, no data are available regarding Mexican physicians' knowledge and attitudes toward these issues. Objective: The objective of the study was to describe physicians' attitudes, knowledge, and perceived barriers toward fertility preservation among young women with BC (YWBC) in a developing country. Methods: A cross-sectional study was conducted among physicians attending the 2016 Mexican Society of Oncology (SMeO) Annual Meeting or affiliated to SMeO. Chi-squared tests were used to assess factors associated with a higher likelihood of disclosing infertility risks, discussing fertility preservation methods, referring to specialists, and effective counseling. Results: Of the 314 participants, 83% reported a high sense of responsibility about informing treatment-related infertility risks, 58% always informed patients about those risks, 38% always discussed fertility preservation procedures, 52% always referred interested patients to fertility specialists, and 24% wrongly considered pregnancy and GnRH analogs detrimental in YWBC. Barriers for discussing fertility preservation were costs, lack of specialists, and prognosis. Conclusions: It is crucial to promote physicians' knowledge and to endorse policies to overcome barriers obstructing universal access to fertility preservation for YWBC in Mexico
Disciplines Medicina
Paraules clau: Oncología,
Ginecología y obstetricia,
Cáncer,
Mama,
Mujeres jóvenes,
Fertilidad,
Embarazo
Keyword: Oncology,
Gynecology and obstetrics,
Cancer,
Breast,
Young women,
Fertility,
Pregnancy
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