Perception and needs of reproductive specialists with regard to fertility preservation of young breast cancer patients

Verfasser / Beitragende:
[Chikako Shimizu, Tomoyasu Kato, Nobuko Tamura, Hiroko Bando, Yoshimasa Asada, Yuri Mizota, Seiichiro Yamamoto, Yasuhiro Fujiwara]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/1(2015-02-01), 82-89
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-014-0676-4  |2 doi 
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245 0 0 |a Perception and needs of reproductive specialists with regard to fertility preservation of young breast cancer patients  |h [Elektronische Daten]  |c [Chikako Shimizu, Tomoyasu Kato, Nobuko Tamura, Hiroko Bando, Yoshimasa Asada, Yuri Mizota, Seiichiro Yamamoto, Yasuhiro Fujiwara] 
520 3 |a Background: Treatment-related infertility is one of the important quality-of-life issues in young breast cancer (YBC) patients. Although existing guidelines recommend supporting fertility preservation (FP) of YBC, the perceptions of reproductive specialists (RS) has not been evaluated. We investigated the perceptions and needs of RS with regard to FP of YBC patients. Methods: A cross-sectional survey was sent to 423 certified RS registered to the Japan Society for Reproductive Medicine to self-evaluate their perceptions and needs regarding FP in YBC patients. Results: Two hundred RS (47%) responded to the survey. 99% responded that RS should be engaged in FP of YBC patients. 88% responded that they would like to treat YBC patients, while 46% responded that cancer treatment is more important than childbirth, even when the patient is recurrence-free 5years after primary treatment. Respondents affiliated to private clinics were more likely to accept both fertilized and unfertilized egg preservation than those affiliated with academic or general hospitals. 70% responded that they were anxious about treating breast cancer patients: concerns regarding a greater or unknown risk of recurrence (66%), insufficient knowledge about breast cancer (47%), and lack of a patient's spouse/partner (24%) were identified as major barriers in supporting FP for YBC patients. Conclusions: RS recognize the need for FP in YBC patients and are willing to participate in their care. Affiliation of RS was related to a positive attitude to egg preservation. Various concerns regarding FP among RS indicate the need for evidence that supports the safety of FP, inter-disciplinary communication, and practice guidelines. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Fertility preservation  |2 nationallicence 
690 7 |a Breast cancer  |2 nationallicence 
690 7 |a Reproductive specialist  |2 nationallicence 
690 7 |a Needs  |2 nationallicence 
700 1 |a Shimizu  |D Chikako  |u Breast and Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan  |4 aut 
700 1 |a Kato  |D Tomoyasu  |u Department of Gynecology, National Cancer Center Hospital, Tokyo, Japan  |4 aut 
700 1 |a Tamura  |D Nobuko  |u Breast and Endocrine Surgery Division, Department of Surgical Oncology, Toranomon Hospital, Tokyo, Japan  |4 aut 
700 1 |a Bando  |D Hiroko  |u Breast and Endocrine Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaragi, Japan  |4 aut 
700 1 |a Asada  |D Yoshimasa  |u Asada Ladies Clinic, Nagoya, Japan  |4 aut 
700 1 |a Mizota  |D Yuri  |u Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan  |4 aut 
700 1 |a Yamamoto  |D Seiichiro  |u Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan  |4 aut 
700 1 |a Fujiwara  |D Yasuhiro  |u Breast and Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/1(2015-02-01), 82-89  |x 1341-9625  |q 20:1<82  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0676-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-014-0676-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shimizu  |D Chikako  |u Breast and Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kato  |D Tomoyasu  |u Department of Gynecology, National Cancer Center Hospital, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tamura  |D Nobuko  |u Breast and Endocrine Surgery Division, Department of Surgical Oncology, Toranomon Hospital, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bando  |D Hiroko  |u Breast and Endocrine Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaragi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Asada  |D Yoshimasa  |u Asada Ladies Clinic, Nagoya, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mizota  |D Yuri  |u Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yamamoto  |D Seiichiro  |u Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fujiwara  |D Yasuhiro  |u Breast and Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/1(2015-02-01), 82-89  |x 1341-9625  |q 20:1<82  |1 2015  |2 20  |o 10147