Evidence map›Paper›PMID 35025688›Full record

ArticleJCO global oncology2022

Knowledge, Practice, and Attitudes of Physicians in Low- and Middle-Income Countries on Fertility and Pregnancy-Related Issues in Young Women With Breast Cancer.

Shah Zeb Khan, Luca Arecco, Cynthia Villarreal-Garza, Bhawna Sirohi, Noam F Ponde, Baker Habeeb, Mariana Brandão, Hatem A Azim, Arman Reza Chowdhury, Ivana Bozovic-Spasojevic and 20 more

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.0field-weighted citation impact, top 4% of its field
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, 26 citations in OpenAlex.

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  10. Management ofEcancermedicalscience · 2024
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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

30 authors at 20 institutions in 19 countries.

Shah Zeb KhanDepartment of Clinical Oncology, BINOR, Bannu, Pakistan.ORCID 0000-0002-3692-6150
Luca AreccoDepartment of Medical Oncology, U.O. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID 0000-0002-3818-0364
Cynthia Villarreal-GarzaBreast Cancer Center, Hospital Zambrano Hellion, Tecnologico de Monterrey, San Pedro Garza Garcia, Nuevo Leon, Mexico.ORCID 0000-0003-3587-339X
Bhawna SirohiDepartment of Medical Oncology, Apollo Proton Cancer Centre, Chennai, India.ORCID 0000-0001-8093-1531
Noam F PondeAC Camargo Cancer Center, Sao Paulo, Brazil.
Baker HabeebDepartment of Medical Oncology, Shaqlawa Teaching Hospital, Erbil, Iraq.ORCID 0000-0001-8070-8532
Mariana BrandãoDepartment of Medical Oncology, Institut Jules Bordet, Brussels, Belgium.ORCID 0000-0002-1653-3544
Hatem A AzimBreast Cancer Center, Hospital Zambrano Hellion, Tecnologico de Monterrey, San Pedro Garza Garcia, Nuevo Leon, Mexico.ORCID 0000-0003-4865-3193
Arman Reza ChowdhuryDepartment of Oncology, Evercare Cancer Centre, Evercare Hospital, Dhaka, Bangladesh.ORCID 0000-0002-3900-2914
Ivana Bozovic-SpasojevicInstitute for Oncology and Radiology of Serbia, Belgrade, Serbia.
Iryna KovalenkoDobrobut Medical Network, Kyiv, Ukraine.
Andrew OdhiamboUnit of Medical Oncology, Department of Clinical Medicine, University of Nairobi, Kenya.ORCID 0000-0002-7275-2186
Fahmi Usman SeidDepartment of Oncology, Hawassa University School of Medicine and Health Sciences, Hawassa, Sidama, Ethiopia.
Alex Baleka MutomboKinshasa University Hospital, Kinshasa, Democratic Republic of the Congo.ORCID 0000-0002-6948-5013
Fernando PetracciInstituto Alexander Fleming, Buenos Aires, Argentina.ORCID 0000-0002-7701-3331
Radu VidraOncology Department, The Regional Institute of Gastroenterology and Hepatology "Prof Dr Octavian Fodor," Cluj-Napoca, Romania.
Sara C AltunaOncomédica C.A., Caracas, Venezuela.
Mila PetrovaMHAT Nadezhda Department of Medical Oncology, Sofia, Bulgaria.
Hampig Raphael KourieHematology-Oncology Department, Saint Joseph University of Beirut, Lebanon.
Mehmet Akif OzturkBahçeşehir University Faculty of Medicine, Department of Internal Medicine, Istanbul, Turkey.ORCID 0000-0003-1365-7944
Maria Grazia RazetiDepartment of Medical Oncology, U.O. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Csongor György LengyelHead and Neck Surgery, National Institute of Oncology, Budapest, Hungary.
Narmin TalibovaDepartment of Medical Oncology, National Oncology Center, Baku, Azerbaijan.ORCID 0000-0002-9553-1976
Elene MariamidzeDepartment of Oncology and Hematology, Todua Clinic, Tbilisi, Georgia.ORCID 0000-0001-8838-9193
Karina Perez SacardoMedical Oncologist at Sírio-Libanês Hospital, Sao Paulo, Brazil.ORCID 0000-0001-5108-4150
Narjust DumaThe Cancer Care Equity Program, Lowe Center For Thoracic Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-7814-1773
Bishal GyawaliDepartment of Oncology, Queen's University, Canada.ORCID 0000-0001-7444-8594
Dario TrapaniEuropean Institute of Oncology IRCCS, Milan, Italy.
Marco TagliamentoDepartment of Medical Oncology, U.O. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID 0000-0001-7461-023X
Matteo LambertiniDepartment of Medical Oncology, U.O. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID 0000-0003-1797-5296
Ospedale Policlinico San Martino · ITHospital Zambrano Hellion · MXAC Camargo Hospital · BRApollo Proton Cancer Centre · INBahçeşehir University · TRDana-Farber Cancer Institute · USEuropean Institute of Oncology · ITHawassa University · ETHospital Sírio-Libanês · BRInstitut Jules Bordet · BEInstituto Alexander Fleming · ARIuliu Hațieganu University of Medicine and Pharmacy · ROKyiv Medical University · UANational Institute of Oncology · HUOncology Institute of Vojvodina · RSQueen's University · CASaint Joseph University · LBShaqra University · SAUniversity of Kinshasa · CDUniversity of Nairobi · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFertility and pregnancy-related issues are highly relevant for young (≤ 40 years) patients with breast cancer. Limited evidence exists on knowledge, practice, and attitudes of physicians from low- and middle-income countries (LMICs) regarding these issues.

methodsA 19-item questionnaire adapted from an international survey exploring issues about fertility preservation and pregnancy after breast cancer was sent by e-mail between November 2019 and January 2020 to physicians from LMICs involved in breast cancer care. Descriptive analyses were performed.

resultsA total of 288 physicians from Asia, Africa, America, and Europe completed the survey. Median age was 38 years. Responders were mainly medical oncologists (44.4%) working in an academic setting (46.9%). Among responders, 40.2% and 53.8% reported having never consulted the available international guidelines on fertility preservation and pregnancy after breast cancer, respectively. 25.0%, 19.1%, and 24.3% of responders answered to be not at all knowledgeable about embryo, oocyte, or ovarian tissue cryopreservation, respectively; 29.2%, 23.6%, and 31.3% declared that embryo, oocyte, and ovarian tissue cryopreservation were not available in their countries, respectively. 57.6% of responders disagreed or were neutral on the statement that controlled ovarian stimulation can be considered safe in patients with breast cancer. 49.7% and 58.6% of responders agreed or were neutral on the statement that pregnancy in breast cancer survivors may increase the risk of recurrence overall or only in those with hormone receptor-positive disease, respectively.

conclusionThis survey showed suboptimal knowledge, practice, and attitudes of physicians from LMICs on fertility preservation and pregnancy after treatment completion in young women with breast cancer. Increasing awareness and education on these aspects are needed to improve adherence to available guidelines and to promote patients' oncofertility counseling.

Indexed as

Breast NeoplasmsPhysiciansAttitude of Health PersonnelDeveloping CountriesFemaleHealth Knowledge, Attitudes, PracticeHumansPregnancy

Identifiers

PMID35025688
PMCPMC8769103
OpenAlexW4205935802

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.