Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country

Background: In Mexico, up to 15% of breast cancer (BC) patients are 40 years or younger. Therefore, fertility preservation and pregnancy after cancer treatment are major concerns in this population. However, no data are available regarding Mexican physicians’ knowledge and attitudes toward these iss...

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Autores principales:	Cynthia Villarreal-Garza, Bertha Alejandra Martinez-Cannon, Regina Barragan-Carrillo, Juan Enrique Bargallo-Rocha, Alejandra Platas, Omar Peña-Curiel, Juan Torres, Andrea Castro-Sanchez, Alejandro Mohar, Samuel Rivera-Rivera
Formato:	article
Lenguaje:	EN
Publicado:	Permanyer 2021
Materias:	Breast cancer. Young women. Fertility preservation. Pregnancy. Mexico. Internal medicine RC31-1245
Acceso en línea:	https://doaj.org/article/08f93d760d8c4070a2f5fd949e546ba0
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spelling	oai:doaj.org-article:08f93d760d8c4070a2f5fd949e546ba02021-11-09T14:24:04ZPhysicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country10.24875/RIC.200000640034-83762564-8896https://doaj.org/article/08f93d760d8c4070a2f5fd949e546ba02021-01-01T00:00:00Zhttps://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=276https://doaj.org/toc/0034-8376https://doaj.org/toc/2564-8896Background: In Mexico, up to 15% of breast cancer (BC) patients are 40 years or younger. Therefore, fertility preservation and pregnancy after cancer treatment are major concerns in this population. However, no data are available regarding Mexican physicians’ knowledge and attitudes toward these issues. Objective: The objective of the study was to describe physicians’ attitudes, knowledge, and perceived barriers toward fertility preservation among young women with BC (YWBC) in a developing country. Methods: A cross-sectional study was conducted among physicians attending the 2016 Mexican Society of Oncology (SMeO) Annual Meeting or affiliated to SMeO. Chi-squared tests were used to assess factors associated with a higher likelihood of disclosing infertility risks, discussing fertility preservation methods, referring to specialists, and effective counseling. Results: Of the 314 participants, 83% reported a high sense of responsibility about informing treatment-related infertility risks, 58% always informed patients about those risks, 38% always discussed fertility preservation procedures, 52% always referred interested patients to fertility specialists, and 24% wrongly considered pregnancy and GnRH analogs detrimental in YWBC. Barriers for discussing fertility preservation were costs, lack of specialists, and prognosis. Conclusions: It is crucial to promote physicians’ knowledge and to endorse policies to overcome barriers obstructing universal access to fertility preservation for YWBC in Mexico. Cynthia Villarreal-GarzaBertha Alejandra Martinez-CannonRegina Barragan-CarrilloJuan Enrique Bargallo-RochaAlejandra PlatasOmar Peña-CurielJuan TorresAndrea Castro-SanchezAlejandro MoharSamuel Rivera-RiveraPermanyerarticleBreast cancer. Young women. Fertility preservation. Pregnancy. Mexico.Internal medicineRC31-1245ENRevista de Investigación Clínica, Vol 73, Iss 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Breast cancer. Young women. Fertility preservation. Pregnancy. Mexico. Internal medicine RC31-1245
spellingShingle	Breast cancer. Young women. Fertility preservation. Pregnancy. Mexico. Internal medicine RC31-1245 Cynthia Villarreal-Garza Bertha Alejandra Martinez-Cannon Regina Barragan-Carrillo Juan Enrique Bargallo-Rocha Alejandra Platas Omar Peña-Curiel Juan Torres Andrea Castro-Sanchez Alejandro Mohar Samuel Rivera-Rivera Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country
description	Background: In Mexico, up to 15% of breast cancer (BC) patients are 40 years or younger. Therefore, fertility preservation and pregnancy after cancer treatment are major concerns in this population. However, no data are available regarding Mexican physicians’ knowledge and attitudes toward these issues. Objective: The objective of the study was to describe physicians’ attitudes, knowledge, and perceived barriers toward fertility preservation among young women with BC (YWBC) in a developing country. Methods: A cross-sectional study was conducted among physicians attending the 2016 Mexican Society of Oncology (SMeO) Annual Meeting or affiliated to SMeO. Chi-squared tests were used to assess factors associated with a higher likelihood of disclosing infertility risks, discussing fertility preservation methods, referring to specialists, and effective counseling. Results: Of the 314 participants, 83% reported a high sense of responsibility about informing treatment-related infertility risks, 58% always informed patients about those risks, 38% always discussed fertility preservation procedures, 52% always referred interested patients to fertility specialists, and 24% wrongly considered pregnancy and GnRH analogs detrimental in YWBC. Barriers for discussing fertility preservation were costs, lack of specialists, and prognosis. Conclusions: It is crucial to promote physicians’ knowledge and to endorse policies to overcome barriers obstructing universal access to fertility preservation for YWBC in Mexico.
format	article
author	Cynthia Villarreal-Garza Bertha Alejandra Martinez-Cannon Regina Barragan-Carrillo Juan Enrique Bargallo-Rocha Alejandra Platas Omar Peña-Curiel Juan Torres Andrea Castro-Sanchez Alejandro Mohar Samuel Rivera-Rivera
author_facet	Cynthia Villarreal-Garza Bertha Alejandra Martinez-Cannon Regina Barragan-Carrillo Juan Enrique Bargallo-Rocha Alejandra Platas Omar Peña-Curiel Juan Torres Andrea Castro-Sanchez Alejandro Mohar Samuel Rivera-Rivera
author_sort	Cynthia Villarreal-Garza
title	Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country
title_short	Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country
title_full	Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country
title_fullStr	Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country
title_full_unstemmed	Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country
title_sort	physicians' attitudes, knowledge, and perceived barriers toward fertility preservation in young breast cancer patients in a developing country
publisher	Permanyer
publishDate	2021
url	https://doaj.org/article/08f93d760d8c4070a2f5fd949e546ba0
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Physicians' Attitudes, Knowledge, and Perceived Barriers toward Fertility Preservation in Young Breast Cancer Patients in a Developing Country

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