Patient Attitudes Toward Fertility Preservation
Patient Attitudes Toward Fertility Preservation
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DOI：
10.1002/pbc.22001
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发表时间：
2009-08-01
影响因子：
3.2
通讯作者：
Schover, Leslie R.
中科院分区：
文献类型：
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作者：
Schover, Leslie R.
儿科癌症患者和一些在年轻人中常见的恶性肿瘤（如睾丸癌和霍奇金病）的生存率增加，导致所有焦点油保持生育能力增加。对癌症相关不孕症的心理社会方面的研究是最近的发展，但我们知道，年轻男性和女性在癌症后都重视父母身份。至少有75%的在诊断时没有孩子的幸存者希望将来有后代。对于那些没有成为父母的人来说，长期的苦恼，是常见的。年轻的青少年可能很难评估父母身份对他们未来是否重要，知情同意协议需要尊重他们的愿望，而不是听从父母的意见。我们不知道养育一个非亲生的孩子（收养的，通过第三方生殖怀孕的，或者继子）是否能像拥有自己的遗传后代一样减少痛苦。幸存者通常对孩子的健康风险有夸大的担忧，但如果可能的话，他们仍然更喜欢生孩子。需要更多的研究来确定参与生育保护是否可以减少与癌症相关的生育能力的长期困扰。需要更好的循证方案来教育家庭和减少决策冲突。儿科血液癌症2009;53：281-284。(C)2009 Wiley-Liss，Inc.
The increased survival rates for pediatric cancer patients and for some malignancies that are common in young adults, such as, testicular cancer and Hodgkin disease have led to all increased focus oil preserving fertility. Research on the psychosocial aspects of cancer-related infertility is a recent development, but we know that both young men and women value parenthood after cancer. At least 75%, of survivors who were childless at diagnosis would like future offspring. For those who do not become parents, long-term distress, is common. Younger teens may have difficulty assessing whether parenthood will be important to them in the future, and informed consent protocols need to respect their desires rather than deferring 100 Much to parents. We do not know whether parenting a non-biological child (adopted, conceived through third-party reproduction, or a stepchild) reduces distress as Much as being able to have one's own genetic offspring. Survivors often have exaggerated concerns about their children's health risks, but still prefer to have biological children if possible. More research is needed oil whether participating in fertility preservation reduces long-term distress about cancer-related fertility. Better evidence-based programs to educate families and reduce decisional conflict are needed. Pediatr Blood Cancer 2009;53:281-284. (C) 2009 Wiley-Liss, Inc.