Fertility preservation in female cancer patients in Brazil: perceptions and attitudes of infertility specialists

被引:1
作者
Ranniger, Renata Lack [1 ]
Lamaita, Rivia Mara [2 ,3 ]
D'Abreu, Barbara Flecha [2 ]
Tolentino, Mariana Rodrigues [3 ]
Candido, Eduardo Batista [2 ]
Andrade, Warne Pedro [1 ]
Nogueira-Rodrigues, Angelica [4 ]
Silva-Filho, Agnaldo Lopes [1 ,2 ]
机构
[1] Univ Estadual Paulista, Fac Med Botucatu, Dept Gynecol Obstet & Mastol, Botucatu, SP, Brazil
[2] Univ Fed Minas Gerais, Dept Gynecol & Obstet, Belo Horizonte, MG, Brazil
[3] Mater Dei, Dept Assisted Reprod, Belo Horizonte, MG, Brazil
[4] Univ Fed Minas Gerais, Dept Internal Med, Belo Horizonte, MG, Brazil
来源
REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA | 2024年 / 46卷
关键词
Fertility preservation; Reproduction; Fertility; Neoplasms; Oocyte retrieval; Health knowledge; attitudes; practice; Gynecologists; Oncologists; Surveys; questionnaires; OVARIAN STIMULATION; WOMEN; ADOLESCENT;
D O I
10.61622/rbgo/2024rbgo25rbgo25
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: Fertility preservation is a priority in oncology for female cancer patients. However, there is a lack of communication between infertility specialists and oncologists. This study aimed to evaluate infertility specialists' perceptions and experiences regarding fertility preservation. Methods: Conduct an online survey to profile infertility specialists. Participants were infertility affiliated with the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO]. The specialists received an online survey, which response rate were 30.9%, most of whom were in southern and southeastern. The survey consisted on 14 questions about the infertility specialists' location, techniques in clinical practice, treatment successful rate, patients idea, etc. Results: The average experience in human reproduction were 15.5 +/- 10.2 years (mean +/- standard deviation, range 1-40]. Among reproductive-aged female cancer patients recommended for fertility preservation, 60.3 +/- 28.8% (range 10-100%] underwent preservation procedures. Main barriers were cost (41%], oncologists' knowledge or acceptance (35%] and accessibility (9%]. Most infertility specialists (58%] considered 40 years the limit for fertility preservation. Leukemia, lymphoma, breast and ovarian cancers were prioritized for fertility preservation, while lung, thyroid, gastric, and brain cancers were less relevant. Conclusion: This is the first Brazilian study about infertility specialists' perceptions on oncology patients access to fertility preservation. These patients primarily receive treatment in the public health system, while infertility specialists mainly work in the private healthcare. This healthcare mode is currently fragmented, but integrating these experts is enhancing patient access to fertility preservation. Studies on this topic are still warranted.
引用
收藏
页数:8
相关论文
共 33 条
[1]   How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care [J].
Anazodo, Antoinette ;
Laws, Paula ;
Logan, Shanna ;
Saunders, Carla ;
Travaglia, Jo ;
Gerstl, Brigitte ;
Bradford, Natalie ;
Cohn, Richard ;
Birdsall, Mary ;
Barr, Ronald ;
Suzuki, Nao ;
Takae, Seido ;
Marinho, Ricardo ;
Xiao, Shuo ;
Qiong-Hua, Chen ;
Mahajan, Nalini ;
Patil, Madhuri ;
Gunasheela, Devika ;
Smith, Kristen ;
Sender, Leonard ;
Melo, Claudia ;
Almeida-Santos, Teresa ;
Salama, Mahmoud ;
Appiah, Leslie ;
Su, Irene ;
Lane, Sheila ;
Woodruff, Teresa K. ;
Pacey, Allan ;
Anderson, Richard A. ;
Shenfield, Francoise ;
Ledger, William ;
Sullivan, Elizabeth .
HUMAN REPRODUCTION UPDATE, 2019, 25 (02) :159-179
[2]   Referral for fertility preservation counselling in female cancer patients [J].
Bastings, L. ;
Baysal, O. ;
Beerendonk, C. C. M. ;
Braat, D. D. M. ;
Nelen, W. L. D. M. .
HUMAN REPRODUCTION, 2014, 29 (10) :2228-2237
[3]   Random-start ovarian stimulation in patients with cancer [J].
Cakmak, Hakan ;
Rosen, Mitchell P. .
CURRENT OPINION IN OBSTETRICS & GYNECOLOGY, 2015, 27 (03) :215-221
[4]   Ovarian stimulation in cancer patients [J].
Cakmak, Hakan ;
Rosen, Mitchell P. .
FERTILITY AND STERILITY, 2013, 99 (06) :1476-1484
[5]   Cancer and fecundity issues mandate a multidisciplinary approach [J].
de Ziegler, Dominique ;
Streuli, Isabelle ;
Vasilopoulos, Ioannis ;
Decanter, Christine ;
This, Pascale ;
Chapron, Charles .
FERTILITY AND STERILITY, 2010, 93 (03) :691-696
[6]   EUropean REcommendations for female FERtility preservation (EU-REFER): A joint collaboration between oncologists and fertility specialists [J].
Dolmans, Marie-Madeleine ;
Lambertini, Matteo ;
Macklon, Kirsten Tryde ;
Santos, Teresa Almeida ;
Ruiz-Casado, Ana ;
Borini, Andrea ;
Bordes, Virginie ;
Frith, Lucy ;
Van Moer, Ellen ;
Germeyer, Ariane .
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 2019, 138 :233-240
[7]  
Duncan Francesca E, 2011, US Obstet Gynecol, V6, P24
[8]   Fertility preservation in adolescent and young adult cancer patients: From a part of a national survey on oncofertility in Japan [J].
Furui, Tatsuro ;
Takai, Yasushi ;
Kimura, Fuminori ;
Kitajima, Michio ;
Nakatsuka, Mikiya ;
Morishige, Ken-ichiro ;
Higuchi, Akiko ;
Shimizu, Chikako ;
Ozawa, Miwa ;
Ohara, Akira ;
Tatara, Ryohei ;
Nakamura, Terukazu ;
Horibe, Keizo ;
Suzuki, Nao .
REPRODUCTIVE MEDICINE AND BIOLOGY, 2019, 18 (01) :97-104
[9]   Survey of Reproductive Experiences and Outcomes of Cancer Survivors Who Stored Reproductive Material Before Treatment [J].
Hammarberg, K. ;
Kirkman, M. ;
Stern, C. ;
McLachlan, R. I. ;
Clarke, G. ;
Agresta, F. ;
Gook, D. ;
Rombauts, L. ;
Vollenhoven, B. ;
Fisher, J. R. W. .
HUMAN REPRODUCTION, 2017, 32 (12) :2423-2430
[10]   Genetic polymorphisms in DNA repair genes XRCC1 and 3 are associated with increased risk of breast cancer in Bangladeshi population [J].
Howlader, Nupur Rani ;
Rahman, Md. Mostafizur ;
Hossain, Md. Amir ;
Sultana, Razia ;
Hossain, Syed Mozammel ;
Mazid, Md. Abdul ;
Rahman, Md. Mustafizur .
BREAST CANCER RESEARCH AND TREATMENT, 2020, 182 (03) :739-750