Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Physicians' self-reported practice behaviour regarding fertility-related discussions in paediatric oncology in Sweden
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden..
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden..
Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.;Karolinska Univ Hosp, Reprod Med, Stockholm, Sweden..
Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Paediat Oncol Unit, Stockholm, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden..
Show others and affiliations
2017 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 26, no 10, p. 1684-1690Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to investigate practice behaviours of Swedish physicians with regard to discussing the impact of cancer treatment on fertility with paediatric oncology patients and their parents, and to identify factors associated with such discussions.

Methods: A cross-sectional survey study was conducted targeting all physicians in Sweden working in paediatric oncology care settings. Participants responded to a questionnaire measuring practice behaviour, attitudes, barriers, and confidence in knowledge. Multivariable logistic regression was used to determine factors associated with seldom discussing fertility.

Results: More than half of the physicians routinely talked with their patients/parents about the treatment's potential impact on fertility (male patients: 62%; female patients: 57%; P = 0.570). Factors associated with less frequently discussing fertility with patients/parents were working at a non-university hospital (male patients: OR 11.49, CI 1.98-66.67; female patients: OR 33.18, CI 4.06-271.07), concerns that the topic would cause worry (male patients: OR 8.23, CI 1.48-45.89; female patients: OR 12.38, CI 1.90-80.70), and perceiving the parents as anxious (male patients: OR 7.18, CI 1.20-42.85; female patients: OR 11.65, CI 1.32-103.17).

Conclusions: Based on our findings, we recommend structured training in how to communicate about fertility issues in stressful situations, which in turn might increase fertility-related discussions in paediatric oncology.

Place, publisher, year, edition, pages
2017. Vol. 26, no 10, p. 1684-1690
Keywords [en]
Cancer, Communication, Fertility, Fertility preservation, Oncology, Pediatric oncology, Physician, Survey study
National Category
Cancer and Oncology Obstetrics, Gynecology and Reproductive Medicine Pediatrics
Identifiers
URN: urn:nbn:se:uu:diva-345272DOI: 10.1002/pon.4507ISI: 000417434300036PubMedID: 28734133OAI: oai:DiVA.org:uu-345272DiVA, id: diva2:1189038
Funder
Swedish Cancer Society, 2010/877Swedish Childhood Cancer Foundation, TJ2014-0050The Cancer Research Funds of Radiumhemmet, 121242Forte, Swedish Research Council for Health, Working Life and WelfareAvailable from: 2018-03-09 Created: 2018-03-09 Last updated: 2018-03-09Bibliographically approved

Open Access in DiVA

fulltext(209 kB)7 downloads
File information
File name FULLTEXT01.pdfFile size 209 kBChecksum SHA-512
f3b11767ac9a0a7d42b8b2503976ad459edda2d01d3bf7e43b2cc1df0e63698ccf798ae858dc453a1ca521bf22c2a0b2693f52453592a76ca185ae74c05938b8
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Arvidson, Johan
By organisation
Neuropediatrics/Paediatric oncology
In the same journal
Psycho-Oncology
Cancer and OncologyObstetrics, Gynecology and Reproductive MedicinePediatrics

Search outside of DiVA

GoogleGoogle Scholar
Total: 7 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 48 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf