TY  - BOOK
AU  - Bozzuto, Laura M
AU  - Haslinger, Michelle
AU  - Thibodeau, Renee
AU  - Tsiapali, Ekaterini V
AU  - Tung, Shawndeep S
TI  - Physician Perspectives on Fertility Preservation Discussions with Premenopausal Breast Cancer Patients: Results from a Multihospital Health Care System
SN  - 1068-9265
PY  - 2019///
KW  - *Breast Neoplasms/px [Psychology]
KW  - *Communication
KW  - *Fertility Preservation/px [Psychology]
KW  - *Health Knowledge, Attitudes, Practice
KW  - *Medical Oncology/sn [Statistics & Numerical Data]
KW  - *Physicians/sn [Statistics & Numerical Data]
KW  - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data]
KW  - Breast Neoplasms/dt [Drug Therapy]
KW  - Female
KW  - Humans
KW  - Patient Education as Topic
KW  - Physicians/px [Psychology]
KW  - Premenopause
KW  - Referral and Consultation
KW  - MedStar Washington Hospital Center
KW  - Surgery/Plastic Surgery
KW  - Journal Article
N1  - Available online from MWHC library: 1994 - present
N2  - BACKGROUND: Ten percent of new breast cancer diagnoses occur in premenopausal women, and oncologic therapies may compromise fertility. Thus, fertility preservation discussions (FPDs) and referral to fertility specialists are imperative prior to initiation of therapy. A previous retrospective chart review showed 45% FPD rates at our institution. The aim of this study is to investigate physician perspectives and limitations regarding FPD; CONCLUSIONS: Fertility preservation is an integral aspect of breast cancer care, requiring thorough discussion and clear documentation. This study identified that physicians believe the medical oncologist is the most appropriate person to have FPDs with patients and that empowering patients to bring up fertility concerns may improve rates of FPDs. Education of physicians and patients about fertility preservation techniques is likely to improve FPDs; METHODS: An electronic survey was distributed to 30 surgical, medical, and radiation oncologists across ten regional hospitals. Questions addressed provider demographics, and barriers to and facilitators of FPD; RESULTS: The survey response rate was 63.3%. Only 31.6% of physicians reported "always" documenting FPD. Respondents opined that the physician prescribing systemic therapy was the most appropriate person to provide FPD. Patient age, treatment with chemotherapy, and patient desire for FPD were more likely to increase FPD (p < 0.0001, p < 0.05, and p < 0.0001, respectively). The majority of physicians (84.2%) expressed intent to increase FPD rates
UR  - https://dx.doi.org/10.1245/s10434-019-07563-w
ER  -