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| Investigation and research on the cognition of the fertility preservation of the oncology and reproductive related physicians and the patients with cancer |
| Reproductive Medicine Center, the Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, 450000 |
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Abstract To investigate the cognition of the fertility preservation (FP) of the young patients with cancer, the oncology related physicians and the reproductive physicians, in order to explore the factors affecting the cognition of the patients and the physicians, so as to provide more support for the implementation of FP. Methods: From November 2022 to June 2023, the physicians and the patients with cancer from 7 hospitals in Henan province were surveyed through a combination of online and offline questionnaire survey. The basic information, the FP cognition and other related data of the physicians and the patients were collected. The cognition and the attitude of the physicians and the patients towards FP were analyzed. Results: The valid questionnaires from 69 patients and 256 physicians were collected. 60.8% patients with cancer knew FP, but only 47.8% patients learned the FP related knowledge from the physicians. 63.8% patients concerned about the cancer recurrence because of the stimulating of FP and 46.4% patients concerned their age. The patients who were nulliparous or who had given birth to girls were more willing to learn about FP. The patients who had been aware of the damage of the chemoradiotherapy of the cancer before treatment had higher cognition on FP. The oncology related physicians with the intermediate professional titles, who had explained the effects of chemoradiotherapy to patients, who had understood the concept and significance of FP, or who had asked about the fertility needs of the young patients were more likely to recommend FP to the patients. Knowing that the patients with cancer could undergo FP of the reproductive physicians is an independent factor affecting their recommend FP to the patients. Conclusion: The patients lack the FP knowledge, the oncology and the reproductive related physicians have insufficient knowledge on FP and some hospitals have not carried out the FP practice, so it is necessary to establish a multidisciplinary collaboration platform of the oncology and reproduction.
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