Study of the Awareness of Adoption as a Family-Building Option Among Oncofertility Stakeholders in Japan
| Autor: | Kouhei Sugimoto, Tomoe Koizumi, Takayuki Haino, Keiko Kamoshita, Nao Suzuki, Jason Solomon Shapiro, Yuki Ito, Aikou Okamoto, Eriko Shiraishi, Atsuko Kusuhara |
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| Rok vydání: | 2018 |
| Předmět: |
Cancer Research
Process (engineering) Decision tree MEDLINE lcsh:RC254-282 03 medical and health sciences 0302 clinical medicine Cancer Survivors Japan Supportive Care and Quality of Life Neoplasms Original Report Humans Medicine Child Oncofertility Oncologists Medical education 030219 obstetrics & reproductive medicine Health professionals business.industry Fertility Preservation ORIGINAL REPORTS lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Oncology 030220 oncology & carcinogenesis business |
| Zdroj: | Journal of Global Oncology, Vol 4, Pp 1-7 (2018) Journal of Global Oncology JCO Global Oncology |
| ISSN: | 2378-9506 |
| Popis: | Purpose The oncofertility decision tree was developed by the oncofertility consortium as a tool to support healthcare professionals and patients through the complicated process of deciding the most appropriate fertility preservation strategy for patients with cancer. Various strategies include oocyte retrieval, oocyte donation, use of a gestational carrier and adoption. However, differences in the cultural and legal landscape present serious barriers to utilizing some of these strategies in Japan. Patients and Methods We surveyed Japanese oncofertility stakeholders including 60 cancer survivors, 27 oncology facilities, 78 reproductive medicine facilities and 15 adoption agencies by a questionnaire to characterize awareness among oncofertility stakeholders in Japan about parenting options including adoption to inform work to establish guidelines for decision-making by cancer survivors in an oncofertility. Results Our results indicate that oncologists and reproductive endocrinologists in Japan have an insufficient understanding of adoption that prevents them from adequately informing their patients. Japanese cancer survivors self-describe a lack in confidence in finding a suitable partner and raising a child. Contrastingly, of the 9 adoption agencies which responded, no agency included being a cancer survivor as a criterion for disqualification and 4 of 9 (44%) adoption agencies reported at least 1 adoption to a cancer survivor in the last year. Conclusion Our work demonstrates that a cancer survivor’s medical history itself is not a hurdle to adoption and investment in patient-provider education could be a viable strategy to improve the utilization of adoption as a fertility preservation strategy in Japan. |
| Databáze: | OpenAIRE |
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