Attitudes and practices about fertility preservation discussions among young adults with cancer treated at a comprehensive cancer center: patient and oncologist perspectives.
Attitudes and practices about fertility preservation discussions among young adults with cancer treated at a comprehensive cancer center: patient and oncologist perspectives.
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DOI：
10.1007/s00520-021-06158-0
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发表时间：
2021-10
影响因子：
3.1
通讯作者：
Victorson, David
中科院分区：
文献类型：
--
作者：
Salsman, John M.;Yanez, Betina;Snyder, Mallory A.;Avina, Alexis R.;Clayman, Marla L.;Smith, Kristin N.;Purnell, Khouri;Victorson, David
被诊断患有癌症的年轻人（YAs，18-39岁）面临着影响其健康相关生活质量的多重挑战，包括癌症相关不孕症的可能性。提供有关不孕风险和维持生育能力的选择的信息对于新诊断的YAs至关重要。然而，肿瘤学家和他们的病人之间存在有效沟通的障碍。本研究的目的是采访来自同一癌症中心的医学肿瘤学家和YAs，以检查有关生育保留的态度和做法。在治疗后2年内与医学肿瘤学家（N=12）和YA（N=24）进行半结构化访谈，代表影响YA的最常见癌症。访谈录音，转录，并使用定性方法与分析软件NVivo 10编码。12名肿瘤学家（50%女性，67% <50岁）和24名青年（67%女性，M=29岁）完成了访谈。肿瘤学家和YA访谈的共同主题是癌症类型或阶段以及患者兴趣或奇偶性在影响决策中的作用。对青年人来说，最重要的因素是获得准确、深入的信息。肿瘤学家的独特主题集中在患者疾病的临床方面。对于YAs，他们分享了癌症相关不孕症的情感影响以及对信任他人支持的渴望。结果提供了一个更好的理解的态度和做法，约生育保存YAs之间的讨论。考虑到影响生育保留决策的共同因素，共享决策模型可能是YAs和肿瘤学家的理想选择。未来的干预措施应该探索这种方法在新诊断出癌症的YAs中的定制应用。
Young adults (YAs, ages 18–39) diagnosed with cancer face multiple challenges that affect their health-related quality of life, including the potential for cancer-related infertility. Providing information about the risk of infertility and options to maintain fertility is critical for YAs who are newly diagnosed. However, barriers to effective communication exist for oncologists and their patients. The purpose of this study was to interview medical oncologists and YAs from the same cancer center to examine attitudes and practices about fertility preservation. Semi-structured interviews were conducted with medical oncologists (N=12) and YAs within 2 years post-treatment (N=24), representing the most common cancers affecting YAs. Interviews were audio-recorded, transcribed, and coded using qualitative methodologies with the analysis software NVivo 10. Twelve oncologists (50% female, 67% <50 years) and 24 YAs (67% female, M=29 years) completed interviews. Common themes across oncologist and YA interviews were the roles of cancer type or stage and patient interest or parity in influencing the decision. The most important factor for YAs was to receive accurate, in-depth information. Unique themes for oncologists focused on clinical aspects of their patient’s disease. For YAs, they shared about the emotional impact of cancer-related infertility and desire for support from trusted others. Results provide a better understanding of the attitudes and practices about fertility preservation discussions among YAs. Given the common factors affecting fertility preservation decisions, models of shared decision-making may be ideal for YAs and oncologists. Future interventions should explore tailored applications of this approach for YAs newly diagnosed with cancer.
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影响因子：
3.2
作者：
Nahata, Leena;Morgan, Taylor L.;Gerhardt, Cynthia A.
通讯作者：
Gerhardt, Cynthia A.
DOI：
10.1097/spc.0000000000000185
发表时间：
2016-03
影响因子：
2.1
作者：
Benedict C;Thom B;Kelvin JF
通讯作者：
Kelvin JF
影响因子：
2.1
作者：
Crawshaw, M. A.;Sloper, P.
通讯作者：
Sloper, P.
影响因子：
6.2
作者：
Letourneau, Joseph M.;Smith, James F.;Rosen, Mitchell P.
通讯作者：
Rosen, Mitchell P.
影响因子：
3.1
作者：
Bowman-Curci, Meghan;Quinn, Gwendolyn P.;Vadaparampil, Susan T.
通讯作者：
Vadaparampil, Susan T.