Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologists
Abstract Purpose Infertility is a critical late toxicity that impacts adolescent and young adult (AYA, ages 15–39 years) cancer survivors. International oncology societies recommend discussing fertility preservation (FP) for all AYA patients, regardless of stage or prognosis. We aim to understand Ca...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.5023 |
| _version_ | 1811176418127642624 |
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| author | Bader Alshamsan Igal Kushnir Sulaiman Al‐Saadi Amirrtha Srikanthan |
| author_facet | Bader Alshamsan Igal Kushnir Sulaiman Al‐Saadi Amirrtha Srikanthan |
| author_sort | Bader Alshamsan |
| collection | DOAJ |
| description | Abstract Purpose Infertility is a critical late toxicity that impacts adolescent and young adult (AYA, ages 15–39 years) cancer survivors. International oncology societies recommend discussing fertility preservation (FP) for all AYA patients, regardless of stage or prognosis. We aim to understand Canadian medical oncologists' perceptions, attitudes, and knowledge toward FP and pregnancy in patients with cancer, including advanced stages and high risk for recurrence. Methods An anonymous electronic survey utilizing hypothetical scenarios was sent to medical oncologists in the province of Ontario, Canada. Descriptive statistics were used to summarize all data. Logistic regression models were constructed to identify factors that predicted FP discussions and referrals. Results The survey was received by 91 medical oncologists, and the response rate was 44%. Fifty‐eight percent of respondents offer FP for all patients. Physicians are more likely to refer patients for FP before curative intent therapy than before palliative chemotherapy (95% vs. 39.5%, p < 0.001). Most respondents (86%) are comfortable discussing FP; however, only 31% self‐reported feeling up‐to‐date on knowledge of current FP methods. Female physicians were more likely to report up‐to‐date knowledge and confidence discussing FP with patients. Forty percent of respondents identified that concerns about the welfare of the resulting offspring should not be a cause for denying patients assistance in reproduction. Conclusion There is a significant difference in physician attitude toward offering FP based on the cancer stage. Increased awareness of standard of care guidelines and resources for difficult situations may improve the frequency of discussions about FP in motivated cancer patients. |
| first_indexed | 2024-04-10T19:52:17Z |
| format | Article |
| id | doaj.art-eb8e8a9e17b247cd98774334c5f89633 |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-04-10T19:52:17Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-eb8e8a9e17b247cd98774334c5f896332023-01-28T05:30:05ZengWileyCancer Medicine2045-76342023-01-011221912192110.1002/cam4.5023Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologistsBader Alshamsan0Igal Kushnir1Sulaiman Al‐Saadi2Amirrtha Srikanthan3Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario CanadaDivision of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario CanadaDepartment of Medicine The University of Ottawa Ottawa Ontario CanadaDivision of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario CanadaAbstract Purpose Infertility is a critical late toxicity that impacts adolescent and young adult (AYA, ages 15–39 years) cancer survivors. International oncology societies recommend discussing fertility preservation (FP) for all AYA patients, regardless of stage or prognosis. We aim to understand Canadian medical oncologists' perceptions, attitudes, and knowledge toward FP and pregnancy in patients with cancer, including advanced stages and high risk for recurrence. Methods An anonymous electronic survey utilizing hypothetical scenarios was sent to medical oncologists in the province of Ontario, Canada. Descriptive statistics were used to summarize all data. Logistic regression models were constructed to identify factors that predicted FP discussions and referrals. Results The survey was received by 91 medical oncologists, and the response rate was 44%. Fifty‐eight percent of respondents offer FP for all patients. Physicians are more likely to refer patients for FP before curative intent therapy than before palliative chemotherapy (95% vs. 39.5%, p < 0.001). Most respondents (86%) are comfortable discussing FP; however, only 31% self‐reported feeling up‐to‐date on knowledge of current FP methods. Female physicians were more likely to report up‐to‐date knowledge and confidence discussing FP with patients. Forty percent of respondents identified that concerns about the welfare of the resulting offspring should not be a cause for denying patients assistance in reproduction. Conclusion There is a significant difference in physician attitude toward offering FP based on the cancer stage. Increased awareness of standard of care guidelines and resources for difficult situations may improve the frequency of discussions about FP in motivated cancer patients.https://doi.org/10.1002/cam4.5023chemotherapyfertility preservationmedical oncologistspregnancy |
| spellingShingle | Bader Alshamsan Igal Kushnir Sulaiman Al‐Saadi Amirrtha Srikanthan Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologists Cancer Medicine chemotherapy fertility preservation medical oncologists pregnancy |
| title | Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologists |
| title_full | Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologists |
| title_fullStr | Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologists |
| title_full_unstemmed | Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologists |
| title_short | Perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high‐risk cancer patients: A survey among Canadian medical oncologists |
| title_sort | perceptions and attitudes of medical oncologists regarding fertility preservation and pregnancy in high risk cancer patients a survey among canadian medical oncologists |
| topic | chemotherapy fertility preservation medical oncologists pregnancy |
| url | https://doi.org/10.1002/cam4.5023 |
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