Physicians' undecided attitudes toward posthumous reproduction: fertility preservation in cancer patients with a poor prognosis.
Physicians' undecided attitudes toward posthumous reproduction: fertility preservation in cancer patients with a poor prognosis.
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DOI：
10.1016/j.suponc.2011.09.006
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发表时间：
2012-07
期刊：
影响因子：
--
通讯作者：
Vadaparampil ST
中科院分区：
文献类型：
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作者：
Quinn GP;Knapp CA;Malo TL;McIntyre J;Jacobsen PB;Vadaparampil ST
美国临床肿瘤学会（ASCO）为癌症患者制定了生育保护指南。在美国肿瘤学家的一项全国性研究中，我们检查了预后不良患者对使用生育保留的态度，重点是对死后生殖的态度。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，并测量育龄期癌症患者关于死后生殖和生育能力保留的人口统计学、知识、态度和实践行为。只有16.2%的人支持死后养育子女，而大多数人（51.5%）没有意见。方差分析表明，对死后生殖的态度显着相关的医生执业行为和依赖于肿瘤学家的ASCO指南的知识。医生的态度可能与以下建议的指南相冲突，并可能减少一些患者接受有关生育保留信息的可能性。进一步的教育可能会提高医生对预后不良患者的认识，使他们对这项技术感兴趣。
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 towards the use of fertility preservation among patients with a poor prognosis, focusing on attitudes towards posthumous reproduction. A cross-sectional survey was administered via mail and Internet to a stratified random sample of US oncologists and measured demographics, knowledge, attitude, and practice behaviors regarding posthumous reproduction and fertility preservation with cancer patients of childbearing age. Only 16.2% supported posthumous parenting, while the majority (51.5%) did not have an opinion. ANOVA analyses indicated attitudes towards posthumous reproduction were significantly related to physician practice behaviors and dependent on oncologists’ knowledge of ASCO guidelines. Physician attitudes may conflict with following recommended guidelines and may reduce the likelihood that some patients receive information about fertility preservation. Further education may raise physicians’ awareness of poor prognostic patients’ interest in pursuing this technology.