Physicians' undecided attitudes toward posthumous reproduction: fertility preservation in cancer patients with a poor prognosis.

The journal of supportive oncology Pub Date : 2012-07-01 Epub Date: 2012-01-23 DOI:10.1016/j.suponc.2011.09.006

Gwendolyn P Quinn, Caprice A Knapp, Teri L Malo, Jessica McIntyre, Paul B Jacobsen, Susan T Vadaparampil

{"title":"Physicians' undecided attitudes toward posthumous reproduction: fertility preservation in cancer patients with a poor prognosis.","authors":"Gwendolyn P Quinn, Caprice A Knapp, Teri L Malo, Jessica McIntyre, Paul B Jacobsen, Susan T Vadaparampil","doi":"10.1016/j.suponc.2011.09.006","DOIUrl":null,"url":null,"abstract":"Background: The American Society for Clinical Oncology (ASCO) established guidelines for fertility preservation for cancer patients. In a national study of US oncologists, we examined attitudes toward the use of fertility preservation among patients with a poor prognosis, focusing on attitudes toward posthumous reproduction.Method: A cross-sectional survey was administered via mail and Internet to a stratified random sample of US oncologists. The survey measured demographics, knowledge, attitude, and practice behaviors regarding posthumous reproduction and fertility preservation with cancer patients of childbearing age.Results: Only 16.2% supported posthumous parenting, whereas the majority (51.5%) did not have an opinion. Analysis of variance indicated that attitudes toward posthumous reproduction were significantly related to physician practice behaviors and were dependent on oncologists' knowledge of ASCO guidelines.Conclusions: Physician attitudes may conflict with the recommended guidelines and may reduce the likelihood that some patients will receive information about fertility preservation. Further education may raise physicians' awareness of poor-prognostic patients' interest in pursuing this technology.","PeriodicalId":75116,"journal":{"name":"The journal of supportive oncology","volume":"10 4","pages":"160-5"},"PeriodicalIF":0.0000,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.suponc.2011.09.006","citationCount":"19","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The journal of supportive oncology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.suponc.2011.09.006","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2012/1/23 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 19

Abstract

Background: The American Society for Clinical Oncology (ASCO) established guidelines for fertility preservation for cancer patients. In a national study of US oncologists, we examined attitudes toward the use of fertility preservation among patients with a poor prognosis, focusing on attitudes toward posthumous reproduction.

Method: A cross-sectional survey was administered via mail and Internet to a stratified random sample of US oncologists. The survey measured demographics, knowledge, attitude, and practice behaviors regarding posthumous reproduction and fertility preservation with cancer patients of childbearing age.

Results: Only 16.2% supported posthumous parenting, whereas the majority (51.5%) did not have an opinion. Analysis of variance indicated that attitudes toward posthumous reproduction were significantly related to physician practice behaviors and were dependent on oncologists' knowledge of ASCO guidelines.

Conclusions: Physician attitudes may conflict with the recommended guidelines and may reduce the likelihood that some patients will receive information about fertility preservation. Further education may raise physicians' awareness of poor-prognostic patients' interest in pursuing this technology.

查看原文本刊更多论文

医生对死后生殖的不确定态度:预后不良的癌症患者的生育能力保存。

背景:美国临床肿瘤学会(ASCO)制定了癌症患者生育能力保存指南。在一项针对美国肿瘤学家的全国性研究中，我们调查了预后不良患者对保留生育能力的态度，重点是对死后生育的态度。方法:通过邮件和互联网对分层随机抽样的美国肿瘤学家进行横断面调查。该调查测量了育龄癌症患者死后生育和保留生育能力的人口统计学、知识、态度和实践行为。结果:只有16.2%的人支持死后子女教育，大多数人(51.5%)没有意见。方差分析表明，对死后生殖的态度与医师执业行为显著相关，并依赖于肿瘤学家对ASCO指南的了解。结论:医生的态度可能与推荐的指南相冲突，并可能降低一些患者接受有关保留生育能力信息的可能性。进一步的教育可能会提高医生对预后不良患者追求这项技术的兴趣的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

The journal of supportive oncology

自引率

0.00%

发文量