Physician perceptions and practice patterns regarding fertility preservation in hematopoietic cell transplant recipients
| Autor: | Maria H. Gilleece, John R. Wingard, Joseph Pidala, Navneet S. Majhail, Hillard M. Lazarus, Eric J. Chow, Gwendolyn P. Quinn, Joerg Halter, David A. Jacobsohn, Anne B. Warwick, Gregory A. Hale, Philip L. McCarthy, Linda J. Burns, Gérard Socié, Zhiwei Wang, Sarita Joshi, Ruta Brazauskas, Jane F. Apperley, Brandon Hayes-Lattin, Christine Duncan, Alison W. Loren, Rammurti T. Kamble, Brian J. Bolwell, Vijay Reddy, Mohamed L. Sorror |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Gerontology Infertility Health Knowledge Attitudes Practice medicine.medical_specialty Referral fertility preservation media_common.quotation_subject Fertility autologous Article 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Physician perception Humans Medicine 030212 general & internal medicine Fertility preservation Practice Patterns Physicians' Aged media_common allogeneic Transplantation Hematopoietic cell transplantation Hematopoietic cell Practice patterns business.industry Data Collection Hematopoietic Stem Cell Transplantation practice patterns Hematology Middle Aged medicine.disease United States 3. Good health Health Care Surveys 030220 oncology & carcinogenesis Family medicine Female pregnancy business |
| Zdroj: | Bone marrow transplantation |
| ISSN: | 1476-5365 0268-3369 |
| Popis: | Physician practice variation may be a barrier to informing hematopoietic cell transplant (HCT) recipients about fertility preservation (FP) options. We surveyed HCT physicians in the United States to evaluate FP knowledge, practices, perceptions and barriers. Of the 1035 physicians invited, 185 completed a 29-item web-survey. Most respondents demonstrated knowledge of FP issues and discussed and felt comfortable discussing FP. However, only 55% referred patients to an infertility specialist. Most did not provide educational materials to patients and only 35% felt that available materials were relevant for HCT. Notable barriers to discussing FP included perception that patients were too ill to delay transplant (63%), patients were already infertile from prior therapy (92%) and time constraints (41%). Pediatric HCT physicians and physicians with access to an infertility specialist were more likely to discuss FP and to discuss FP even when prognosis was poor. On analyses that considered physician demographics, knowledge and perceptions as predictors of referral for FP, access to an infertility specialist and belief that patients were interested in FP were observed to be significant. We highlight variation in HCT physician perceptions and practices regarding FP. Physicians are generally interested in discussing fertility issues with their patients but lack educational materials. |
| Databáze: | OpenAIRE |
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