caa a22 4500 605490430 CHVBK 20210128100504.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10147-014-0676-4 doi (NATIONALLICENCE)springer-10.1007/s10147-014-0676-4 Perception and needs of reproductive specialists with regard to fertility preservation of young breast cancer patients [Elektronische Daten] [Chikako Shimizu, Tomoyasu Kato, Nobuko Tamura, Hiroko Bando, Yoshimasa Asada, Yuri Mizota, Seiichiro Yamamoto, Yasuhiro Fujiwara] 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. Japan Society of Clinical Oncology, 2014 Fertility preservation nationallicence Breast cancer nationallicence Reproductive specialist nationallicence Needs nationallicence Shimizu Chikako Breast and Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan aut Kato Tomoyasu Department of Gynecology, National Cancer Center Hospital, Tokyo, Japan aut Tamura Nobuko Breast and Endocrine Surgery Division, Department of Surgical Oncology, Toranomon Hospital, Tokyo, Japan aut Bando Hiroko Breast and Endocrine Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaragi, Japan aut Asada Yoshimasa Asada Ladies Clinic, Nagoya, Japan aut Mizota Yuri Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan aut Yamamoto Seiichiro Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan aut Fujiwara Yasuhiro Breast and Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan aut International Journal of Clinical Oncology Springer Japan 20/1(2015-02-01), 82-89 1341-9625 20:1<82 2015 20 10147 https://doi.org/10.1007/s10147-014-0676-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10147-014-0676-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shimizu Chikako Breast and Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan aut NATIONALLICENCE 700 1- Kato Tomoyasu Department of Gynecology, National Cancer Center Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Tamura Nobuko Breast and Endocrine Surgery Division, Department of Surgical Oncology, Toranomon Hospital, Tokyo, Japan aut NATIONALLICENCE 700 1- Bando Hiroko Breast and Endocrine Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaragi, Japan aut NATIONALLICENCE 700 1- Asada Yoshimasa Asada Ladies Clinic, Nagoya, Japan aut NATIONALLICENCE 700 1- Mizota Yuri Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan aut NATIONALLICENCE 700 1- Yamamoto Seiichiro Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan aut NATIONALLICENCE 700 1- Fujiwara Yasuhiro Breast and Medical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan aut NATIONALLICENCE 773 0- International Journal of Clinical Oncology Springer Japan 20/1(2015-02-01), 82-89 1341-9625 20:1<82 2015 20 10147