Evidence map›Paper›PMID 27889828›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

Physicians' practice of discussing fertility preservation with cancer patients and the associated attitudes and barriers.

Emi Takeuchi, Masashi Kato, Saho Wada, Saran Yoshida, Chikako Shimizu, Yoko Miyoshi

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. The Educational Program for Healthcare Providers Regarding Fertility Preservation for Cancer Patients: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
    Pooled it
  3. The effects of an educational program for non-physician health care providers regarding fertility preservation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Trial
  4. Article
  5. Article
  6. Article
  7. Oncofertility Knowledge Among Internal Medicine Residents in an Academic Center in Mexico.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  8. Article
  9. The Knowledge, Attitude, and Self-Reported Behaviors of Oncology Physicians Regarding Fertility Preservation in Adult Cancer Patients.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
  10. Article
  11. Article
  12. Childbirth and fertility preservation in childhood and adolescent cancer patients: a second national survey of Japanese pediatric endocrinologists.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2017
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Emi TakeuchiDepartment of Consultation, Counseling and Support Service Center, National Cancer Center Hospital, Tokyo, Japan. etakeuch@ncc.go.jp.
Masashi KatoDepartment of Consultation, Counseling and Support Service Center, National Cancer Center Hospital, Tokyo, Japan.
Saho WadaDepartment of Psycho-oncology, National Cancer Center Hospital, Tokyo, Japan.
Saran YoshidaGraduate School of Education/Faculty of Education, Tohoku University, Sendai, Japan.
Chikako ShimizuDepartment of Breast and Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.
Yoko MiyoshiDepartment of Pediatrics, Osaka University School of Medicine, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to describe physicians' clinical practice of discussing fertility issues with cancer patients and determine the factors associated with such discussion.

methodsIn this cross-sectional study, a nationwide Internet survey was conducted among physicians who provided daily medical care to cancer patients at hospitals or clinics. Participants answered a questionnaire assessing characteristics, discussion practices, attitudes, and barriers regarding fertility preservation.

resultsAmong the 180 participants, 42% discussed fertility issues with patients daily, and 30% had experience in referring patients to fertility preservation specialists. A multivariate logistic regression analysis showed that those who agreed or strongly agreed with the statements "physicians are responsible for discussing fertility preservation" (OR = 2.04, 95% CI 1.14-3.63, p < 0.05) and "patients who have an exceedingly aggressive disease and need immediate cancer treatment should not be told about fertility issues" (OR =1.84, 95% CI 1.09-3.10, p < 0.05) were nearly twice as likely to discuss fertility issues with patients.

conclusionsCompared to Western countries, fertility issues are less likely to be discussed in Japan. To increase opportunities for patients to discuss fertility issues, the ASCO guidelines should be widely understood. Additionally, these results suggest that physicians who are more likely to discuss fertility issues might feel more conflicted about whether they in fact should discuss such issues with patients with poor prognosis or insufficient time for cancer treatment.

Indexed as

Physician-Patient RelationsPractice Patterns, Physicians'Attitude of Health PersonnelCross-Sectional StudiesFemaleFertility PreservationHealth Knowledge, Attitudes, PracticeHumansInternetJapanMaleMiddle AgedNeoplasmsPhysiciansReferral and ConsultationSurveys and QuestionnairesAttitudeBarrierCancer survivorDiscussionFertility

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.