ArticleBreast (Edinburgh, Scotland)2018
Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal.
Article in Breast (Edinburgh, Scotland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Influencing factors of fertility concerns in cancer patients of childbearing age: a systematic review and meta-analysis.Frontiers in oncology · 2026Pooled it
- Decisional Regret in Female Oncofertility Decision Making-An Integrative Narrative Review.Cancers · 2021Review
- Integration of partners of young women with cancer in oncofertility evidence-based informational resources.Cancer medicine · 2020Review
- Protocol for the development and acceptability of a fertility-related decision aid for young women with breast cancer in Portugal.BMJ open · 2019Article
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo compare fertility and childbearing attitudes and decisions of Portuguese and American female reproductive aged breast cancer survivors.
methodsThis was a cross-sectional study of 102 young breast cancer survivors (59 from Portugal and 43 from USA). Demographic, clinical and reproductive information were collected. Fertility and parenthood attitudes and decisions were assessed through a self-report questionnaire devised specifically for the study.
resultsFertility issues became very important after the diagnosis for most of the women (51%). Few differences existed between USA and Portuguese participants. USA participants were more likely to undergo FP (23% USA vs Portugal 5%, p = 0.01). Portuguese women were more dissatisfied with their physician's explanations about fertility (Portugal: 23% vs USA: 3%; p = 0.01). Overall, women relied on their oncologist for fertility information (70%); only Portuguese women discussed fertility with their family medicine physician (11%). Overall, women showed positive attitudes towards motherhood. Portuguese women were more likely to report their partners placed more value on the family after their illness (Portuguese agree: 55% vs USA agree: 14%; p < 0.001).
conclusionsFertility and childbearing after breast cancer are important issues regardless of culture, background or country's heath care system. Overall, few differences across the USA and Portuguese samples were found on fertility and childbearing attitudes and decisions.
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