Oncologists' attitudes and practices regarding banking sperm before cancer treatment
Oncologists' attitudes and practices regarding banking sperm before cancer treatment
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DOI：
10.1200/jco.2002.07.174
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发表时间：
2002-04-01
影响因子：
45.3
通讯作者：
Jeha, S
中科院分区：
文献类型：
--
作者：
Schover, LR;Brey, K;Jeha, S
目的：本研究的目的是在三种不同的实践环境中对肿瘤科医生进行调查，以确定他们在癌症治疗前将患者转介至精子库的知识、态度和实践。方法：向两个癌症中心和社区临床肿瘤学项目的 718 名肿瘤科工作人员医生和研究员发送了一份有关癌症治疗前储存精子的知识、态度和实践的邮寄调查。结果：返回率为 24%， 不因机构、肿瘤学专业或性别而异。研究员 (37%) 比专职医生 (20%) 更有可能参与。 91% 的受访者同意，应向所有因癌症治疗而面临不孕风险的男性提供精子库，但 48% 的受访者要么从未提出过这个话题，要么向不到四分之一的合格男性提及。对精子库的更多了解和每年见到大量符合条件的男性都不会增加讨论该选项的可能性。提到的障碍包括缺乏讨论时间、感知成本高以及缺乏便利设施。肿瘤学家报告称，他们不太可能向同性恋、艾滋病毒呈阳性、预后不良或患有侵袭性肿瘤的男性提供精子库。肿瘤学家高估了精子库的成本以及冷冻保存所需的样本数量。结论：精子库应该作为所有因癌症治疗而面临不孕风险的男性的一种选择。更清晰的实践标准可以帮助肿瘤学家增加对精子库的了解，并避免依赖有偏见的患者选择标准。
Purpose: The goal of this study was to survey oncologists in three different practice settings to determine their knowledge, attitudes, and practices regarding referring patients to bank sperm before cancer treatment.Method: A postal survey about knowledge, attitudes, and practices regarding banking sperm before cancer treatment was sent to 718 oncology staff physicians and fellows at two cancer centers and at sites in a Community Clinical Oncology Program.Results: The return rate was 24% and did not differ by institution, oncologic specialty, or sex. Fellows were significantly more likely to participate (37%) than staff physicians (20%). Ninety-one percent of respondents agreed that sperm banking should be offered to all men at risk of infertility as a result of cancer treatment, but 48% either never bring up the topic or mention it to less than a quarter of eligible men. Neither greater knowledge about sperm banking nor seeing large numbers of eligible men yearly increased the likelihood of discussing the option. Barriers cited included lack of time for the discussion, perceived high cost, and lack of convenient facilities. Oncologists reported they would be less likely to offer sperm banking to men who were homosexual, HIV-positive, had a poor prognosis, or had aggressive tumors. Oncologists overestimated the costs of sperm banking and the number of samples needed to make cryopreservation worthwhile.Conclusion: Sperm banking should be offered as an option to all men at risk of infertility because of their cancer treatment. Clearer practice standards could help oncologists increase their knowledge about sperm banking and avoid dependence on biased patient selection criteria.