Skip to main content
Erschienen in: Breast Cancer 3/2013

01.07.2013 | Original Article

Physicians’ knowledge, attitude, and behavior regarding fertility issues for young breast cancer patients: a national survey for breast care specialists

verfasst von: Chikako Shimizu, Hiroko Bando, Tomoyasu Kato, Yuri Mizota, Seiichiro Yamamoto, Yasuhiro Fujiwara

Erschienen in: Breast Cancer | Ausgabe 3/2013

Einloggen, um Zugang zu erhalten

Abstract

Background

Fertility is one of the key aspects of quality of life for breast cancer patients of childbearing age. The objective of this study was to describe fertility-related practice for young breast cancer patients in Japan and to identify healthcare provider factors that contribute to physicians’ behavior towards fertility preservation.

Methods

A cross-sectional survey was developed in order for Japanese breast cancer specialists (n = 843) to self-evaluate their knowledge, attitude, and behavior regarding fertility preservation. Survey items included questions regarding knowledge of and attitude toward fertility issues in cancer patients, fertility-related practice, potential barriers for the discussion of fertility with patients, and responding physicians’ socio-demographic background.

Results

Four hundred and thirty-four (52%) breast oncologists responded to the survey. Female and younger oncologists (age less than 50 years) had significantly higher probability of referring patients to reproductive specialists. Physicians who had better knowledge score and positive attitudes toward fertility preservation were more likely to discuss potential fertility issues with cancer patients. This was significantly associated with consultation and referral to reproduction specialists when encountering fertility issues with cancer patients. Risk of recurrence, lack of collaborating reproductive specialists, and time constraints in the clinic were identified as major barriers to discussion of fertility preservation with breast cancer patients.

Conclusion

Female and younger physicians as well as physicians working in a multidisciplinary environment had positive attitudes and behavior towards fertility preservation in breast cancer patients. The development of comprehensive and interdisciplinary programs for healthcare providers is necessary to meet the expectations and fertility needs of breast cancer patients.
Literatur
1.
Zurück zum Zitat Canada AL, Schover LR. The psychosocial impact of interrupted childbearing in long-term female cancer survivors. Psychooncology. 2010 (Epub ahead of print). Canada AL, Schover LR. The psychosocial impact of interrupted childbearing in long-term female cancer survivors. Psychooncology. 2010 (Epub ahead of print).
2.
Zurück zum Zitat Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K, et al. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;2429:17–2931. Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K, et al. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;2429:17–2931.
3.
Zurück zum Zitat Kubo A, Koido K, Sawada M, Ryushima Y, Shimizu C, Kato T, Ando M, et al. Survey on oncologists provided information on treatment-related infertility to breast cancer patients. Gan to Kagakuryoho (Cancer Chemother). 2011 (in press). Kubo A, Koido K, Sawada M, Ryushima Y, Shimizu C, Kato T, Ando M, et al. Survey on oncologists provided information on treatment-related infertility to breast cancer patients. Gan to Kagakuryoho (Cancer Chemother). 2011 (in press).
4.
Zurück zum Zitat Quinn GP, Vadaparampil ST, Lee JH, Jacobsen PB, Belper G, Lancaster J, et al. Physician referral for fertility preservation in oncology patients: a national study of practice behaviors. J Clin Oncol. 2009;27:5952–7.CrossRefPubMed Quinn GP, Vadaparampil ST, Lee JH, Jacobsen PB, Belper G, Lancaster J, et al. Physician referral for fertility preservation in oncology patients: a national study of practice behaviors. J Clin Oncol. 2009;27:5952–7.CrossRefPubMed
5.
Zurück zum Zitat Arafa MA, Rabah DM. Attitudes and practices of oncologists toward fertility preservation. J Pediatr Hematol Oncol. 2011;33:203–7.CrossRefPubMed Arafa MA, Rabah DM. Attitudes and practices of oncologists toward fertility preservation. J Pediatr Hematol Oncol. 2011;33:203–7.CrossRefPubMed
6.
Zurück zum Zitat Collins IM, Fay L, Kennedy MJ. Strategies for fertility preservation after chemotherapy: awareness among Irish cancer specialists. Ir Med J. 2011;104:6–9.PubMed Collins IM, Fay L, Kennedy MJ. Strategies for fertility preservation after chemotherapy: awareness among Irish cancer specialists. Ir Med J. 2011;104:6–9.PubMed
7.
Zurück zum Zitat Peate M, Meiser B, Friedlander M, Zorbas H, Rovelli S, Sansom-Daly U, et al. It’s now or never: fertility-related knowledge, decision-making preferences, and treatment intentions in young women with breast cancer—an Australian Fertility Decision Aide Collaborative Group Study. J Clin Oncol. 2011 (Epub ahead of print). Peate M, Meiser B, Friedlander M, Zorbas H, Rovelli S, Sansom-Daly U, et al. It’s now or never: fertility-related knowledge, decision-making preferences, and treatment intentions in young women with breast cancer—an Australian Fertility Decision Aide Collaborative Group Study. J Clin Oncol. 2011 (Epub ahead of print).
8.
Zurück zum Zitat Quinn GP, Vadaparamil ST, King L, Miree CA, Wilson C, Raj O, et al. Impact of physicians’ personal discomfort and patient prognosis on discussion of fertility preservation with young cancer patients. Patient Educ Couns. 2009;77:338–43.CrossRefPubMed Quinn GP, Vadaparamil ST, King L, Miree CA, Wilson C, Raj O, et al. Impact of physicians’ personal discomfort and patient prognosis on discussion of fertility preservation with young cancer patients. Patient Educ Couns. 2009;77:338–43.CrossRefPubMed
9.
Zurück zum Zitat Japanese Breast Cancer Society. Breast cancer treatment guideline for patients 2009. Tokyo: Kanehara Shoten; 2010 (Japanese). Japanese Breast Cancer Society. Breast cancer treatment guideline for patients 2009. Tokyo: Kanehara Shoten; 2010 (Japanese).
10.
Zurück zum Zitat Japanese Breast Cancer Society. Breast cancer treatment guideline 2010. Tokyo: Kanehara Shoten; 2010 (Japanese). Japanese Breast Cancer Society. Breast cancer treatment guideline 2010. Tokyo: Kanehara Shoten; 2010 (Japanese).
11.
Zurück zum Zitat Lee S, Heytens E, Moy F, Ozkavukcu S, Otkay K. Determinants of access to fertility preservation in women with breast cancer. Fertil Steril. 2011;95:1932–6.CrossRefPubMed Lee S, Heytens E, Moy F, Ozkavukcu S, Otkay K. Determinants of access to fertility preservation in women with breast cancer. Fertil Steril. 2011;95:1932–6.CrossRefPubMed
12.
Zurück zum Zitat Lee S, Ozkavukcu S, Heytens E, Moy F, Otkay K. Value of early referral to fertility preservation in young women with breast cancer. J Clin Oncol. 2010;28:4683–6.CrossRefPubMed Lee S, Ozkavukcu S, Heytens E, Moy F, Otkay K. Value of early referral to fertility preservation in young women with breast cancer. J Clin Oncol. 2010;28:4683–6.CrossRefPubMed
13.
Zurück zum Zitat Gerber B, Dieterich M, Muller H, Remer T. Controversies in preservation of ovary function and fertility in patients with breast cancer. Breast Cancer Res Treat. 2008;108:1–8.CrossRefPubMed Gerber B, Dieterich M, Muller H, Remer T. Controversies in preservation of ovary function and fertility in patients with breast cancer. Breast Cancer Res Treat. 2008;108:1–8.CrossRefPubMed
14.
Zurück zum Zitat Goldfarb S, Dickler M, McCabe M, Thom B, Jia X, Hudis C, et al. Oncology clinicians knowledge, attitude and practices regarding fertility preservation. J Clin Oncol. 2010;28(15 Suppl):e19525. Goldfarb S, Dickler M, McCabe M, Thom B, Jia X, Hudis C, et al. Oncology clinicians knowledge, attitude and practices regarding fertility preservation. J Clin Oncol. 2010;28(15 Suppl):e19525.
15.
Zurück zum Zitat Kranick MA, Schaefer C, Rowell S, Desai M, Petrek JA, Hiatt RA, Senie RT. Is pregnancy after breast cancer safe? Breast J. 2010;16:404–11.PubMed Kranick MA, Schaefer C, Rowell S, Desai M, Petrek JA, Hiatt RA, Senie RT. Is pregnancy after breast cancer safe? Breast J. 2010;16:404–11.PubMed
16.
Zurück zum Zitat Oakman C, Santarpia L, Di Leo A. Breast cancer assessment tools and optimizing adjuvant therapy. Nat Rev Clin Oncol. 2010;7:725–32.CrossRefPubMed Oakman C, Santarpia L, Di Leo A. Breast cancer assessment tools and optimizing adjuvant therapy. Nat Rev Clin Oncol. 2010;7:725–32.CrossRefPubMed
17.
Zurück zum Zitat Goldhirsch A, Ingle JN, Gelber RD, Coates AS, Thurlimann B, Senn HJ, Panel Members. Thresholds for therapies: highlights of the St Galln International Expert Consensus on the primary therapy of early breast cancer 2009. Ann Oncol. 2009;20:1319–29.CrossRefPubMed Goldhirsch A, Ingle JN, Gelber RD, Coates AS, Thurlimann B, Senn HJ, Panel Members. Thresholds for therapies: highlights of the St Galln International Expert Consensus on the primary therapy of early breast cancer 2009. Ann Oncol. 2009;20:1319–29.CrossRefPubMed
Metadaten
Titel
Physicians’ knowledge, attitude, and behavior regarding fertility issues for young breast cancer patients: a national survey for breast care specialists
verfasst von
Chikako Shimizu
Hiroko Bando
Tomoyasu Kato
Yuri Mizota
Seiichiro Yamamoto
Yasuhiro Fujiwara
Publikationsdatum
01.07.2013
Verlag
Springer Japan
Erschienen in
Breast Cancer / Ausgabe 3/2013
Print ISSN: 1340-6868
Elektronische ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-011-0328-8

Weitere Artikel der Ausgabe 3/2013

Breast Cancer 3/2013 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.