Fertility counseling information adequacy as a moderator of regret among adolescent and young adult breast cancer survivors.
Fertility counseling information adequacy as a moderator of regret among adolescent and young adult breast cancer survivors.
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在青少年和年轻的成年乳腺癌幸存者中，生育咨询信息适当作为遗憾的主持人。
DOI：
10.1007/s00520-020-05771-9
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Hillemeier M
中科院分区：
文献类型：
--
作者：
Campbell AG;Hillemeier M
目前的文献不同意生育咨询是否减少或增加年轻乳腺癌幸存者的决定后悔。本研究调查是否生育咨询提供给绝经前乳腺癌患者不孕症由于治疗与治疗后的决定后悔，以及这种关系是如何缓和的信息充分性。调查了2007年至2012年期间在宾夕法尼亚州癌症登记处诊断的18-35岁乳腺癌患者。进行了基本的描述性分析，并估计了线性回归模型。接受生育咨询与决定后悔没有直接关系。然而，随着生育信息充分性的增加，在完成治疗后或治疗前后接受生育咨询的妇女中，决定后悔显着减少。平均而言，一名在治疗前后接受生育咨询的妇女，其信息充足性得分为1.5，遗憾得分为2.68。相比之下，在治疗前后接受生育咨询的女性，生育信息充分性评分为5分，平均遗憾评分仅为1.26分。信息充分性是生育咨询与决策后悔之间关系的重要调节变量。这表明了一个可能的解释，在文献中的分歧，生育咨询的好处，并强调需要更加注重所提供的信息的充分性。年轻的成年乳腺癌患者和幸存者应该寻求生育咨询，只要他们对所收到的信息的满意度得到监测，并保持较高的水平。
Current literature disagrees on whether fertility counseling decreases or increases decision regret among young breast cancer survivors. This study investigates whether fertility counseling provided to pre-menopausal breast cancer patients regarding infertility due to treatment is associated with decision regret post-treatment, and how that relationship is moderated by information adequacy. Breast cancer patients aged 18–35 listed in the Pennsylvania cancer registry as diagnosed between 2007 and 2012 were surveyed. Basic descriptive analyses were conducted, and linear regression models were estimated. Receipt of fertility counseling was not directly associated with decision regret. However, as fertility information adequacy increased, decision regret significantly decreased among women who received fertility counseling after finishing treatment or before and after finishing treatment. On average, a woman who receives fertility counseling before and after treatment with an information adequacy score of 1.5 had a regret score of 2.68. In contrast, a woman who received fertility counseling before and after treatment who had a fertility information adequacy score of 5 had a regret score of only 1.26 on average. Information adequacy is a significant moderator in the relationship between fertility counseling and decision regret. This suggests a possible explanation for disagreement in the literature regarding the benefits of fertility counseling and highlights the need for an increased focus on the adequacy of the information provided. Fertility counseling should be pursued for young adult breast cancer patients and survivors, provided that their satisfaction with the information received is monitored and remains high.
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影响因子：
3.6
作者：
Brehaut, JC;O'Connor, AM;Feldman-Stewart, D
通讯作者：
Feldman-Stewart, D
影响因子：
2.1
作者：
Crawshaw, M. A.;Glaser, A. W.;Sloper, P.
通讯作者：
Sloper, P.
影响因子：
6.2
作者：
Letourneau JM;Ebbel EE;Katz PP;Katz A;Ai WZ;Chien AJ;Melisko ME;Cedars MI;Rosen MP
通讯作者：
Rosen MP
影响因子：
3.6
作者：
HolmesRovner, M;Kroll, J;Talarczyk, G
通讯作者：
Talarczyk, G
影响因子：
3.4
作者：
Kaplowitz, MD;Hadlock, TD;Levine, R
通讯作者：
Levine, R