Oncologists' confidence in knowledge of fertility issues for young women with cancer.

Oncologists' confidence in knowledge of fertility issues for young women with cancer.
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DOI:
10.1007/s13187-011-0304-1
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发表时间:
2012-06
影响因子:
1.6
通讯作者:
Dickersin, Kay
Dickersin, Kay
中科院分区:
医学4区
文献类型:
--
作者:
Duffy, Christine;Allen, Susan M.;Dube, Catherine;Dickersin, Kay

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我们试图在一项全国肿瘤学家调查中确定与癌症相关的生育知识相关的因素。我们对344名肿瘤学家进行了调查,这些肿瘤学家是从AMA主档案中随机抽取的。我们进行了多元线性回归来确定知识信心与肿瘤学家特征之间的关系。受访者的平均年龄为48.5岁,男性占75.3%。知识总结得分的平均置信度为23.8 (SD 6.4,范围8-40)。在多变量回归中,拥有更多信息资源、有责任感讨论生育问题的肿瘤学家以及妇科肿瘤学家与其他肿瘤学专业相比,信心更高。医生的年龄、性别和执业环境与生育相关知识无关。肿瘤学家对患有乳腺癌的年轻女性的生育问题缺乏信心。增加讨论生育问题的专业责任和更多的信息获取可以提高肿瘤学家及其年轻患者对生育问题的教育的深度和广度。
We sought to identify factors associated with greater cancer-related fertility knowledge in a national survey of oncologists. We surveyed 344 oncologists from a sampling pool drawn randomly from the AMA Masterfile. We conducted multiple linear regression to determine the relationship between confidence in knowledge and oncologists’ characteristics. Respondents’ average age was 48.5, and 75.3% were male. The average confidence in knowledge summary score was 23.8 (SD 6.4, range 8–40). In multivariable regression, confidence was higher among oncologists with more information resources, a sense of responsibility to discuss fertility issues and among gynecologic oncologists vs. other oncology specialties. Physician age, gender, and practice setting were not associated with fertility-related knowledge. Oncologists lack confidence in their knowledge of fertility issues in young women with breast cancer. Increasing professional responsibility to discuss fertility and greater information access could improve the depth and breadth of education regarding fertility issues among oncologists and their young patients.
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