잠시만 기다려 주세요. 로딩중입니다.

Current Practices toward Fertility Issues for Young Breast Cancer Patients: A Survey of the Korean Breast Cancer Society; The SMARTSHIP Study

Journal of Breast Disease 2020년 8권 2호 p.100 ~ 107
손해영, 이학민, 양윤정, 윤현조, 이종원, 이지현, 정소연, 이민혁, 이일균,
소속 상세정보
손해영 ( Son Hai-Young ) - Catholic Kwandong University College of Medicine International St. Mary’s Hospital Department of Surgery
이학민 ( Lee Hak-Min ) - Catholic Kwandong University College of Medicine International St. Mary’s Hospital Department of Surgery
양윤정 ( Yang Yun-Jung ) - Catholic Kwandong University International St. Mary’s Hospital Institute of Biomedical Science
윤현조 ( Youn Hyun-Jo ) - Chonbuk National University Medical School Chonbuk National University Hospital Department of Surgery
이종원 ( Lee Jong-Won ) - University of Ulsan College of Medicine Asan Medical Center Department of Surgery
이지현 ( Lee Ji-Hyoun ) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Surgery
정소연 ( Jung So-Youn ) - National Cancer Center Breast Cancer Center
이민혁 ( Lee Min-Hyuk ) - Soonchunhyang University College of Medicine Soonchunhyang University Seoul Hospital Department of Surgery
이일균 ( Lee Il-Kyun ) - Catholic Kwandong University College of Medicine International St. Mary’s Hospital Department of Surgery

Abstract


Purpose: This study aimed to investigate and analyze the current fertility-related practices for breast cancer patients; the results are intended to help improve the quality of life of young patients and survivors.

Methods: This study collected voluntary responses to a questionnaire that was used to survey Korean breast cancer specialists. The questionnaire consisted of five categories: knowledge, practice behaviors regarding fertility preservation, barriers to discussing fertility preservation, attitude toward fertility issues, and demographics and medical background.

Results: A total of 120 copies of the questionnaire were distributed; the response rate was 89%. The section of the questionnaire regarding knowledge indicated that most respondents had adequate fertility preservation knowledge for cancer patients. However, 13.1% of the respondents indicated that they thought pregnancy increased the cancer recurrence risk. Respondents’ knowledge and attitudes about fertility preservation were not correlated with actual practice. The absence of patient’s expressions (24.30%), high recurrence risk (27.10%), insufficient time in the clinic (21.50%), and hospital conditions such as no reproductive specialists or infertility clinic (16.82%), were considered major barriers to discussing fertility issues.

Conclusions: Although more than 50% of the respondents thought that cancer treatment is more important than fertility preservation and it is complex and difficult, the Korean breast surgical oncologists were generally encouraging when discussing fertility issues with young breast cancer patients. Hence, breast clinicians should share with young patients the updated evidence regarding the feasibility and safety of pregnancy after cancer treatment and the available options so that the best decisions can be made.

키워드

Breast neoplasms; Fertility preservation; Survivorship

원문 및 링크아웃 정보

등재저널 정보