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Physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in Sweden

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‐sectiona...

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Autores principales: Armuand, G.M., Nilsson, J., Rodriguez‐Wallberg, K.A., Malmros, J., Arvidson, J., Lampic, C., Wettergren, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5656910/
https://www.ncbi.nlm.nih.gov/pubmed/28734133
http://dx.doi.org/10.1002/pon.4507
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author Armuand, G.M.
Nilsson, J.
Rodriguez‐Wallberg, K.A.
Malmros, J.
Arvidson, J.
Lampic, C.
Wettergren, L.
author_facet Armuand, G.M.
Nilsson, J.
Rodriguez‐Wallberg, K.A.
Malmros, J.
Arvidson, J.
Lampic, C.
Wettergren, L.
author_sort Armuand, G.M.
collection PubMed
description 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.
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spelling pubmed-56569102017-11-01 Physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in Sweden Armuand, G.M. Nilsson, J. Rodriguez‐Wallberg, K.A. Malmros, J. Arvidson, J. Lampic, C. Wettergren, L. Psychooncology Papers 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. John Wiley and Sons Inc. 2017-08-25 2017-10 /pmc/articles/PMC5656910/ /pubmed/28734133 http://dx.doi.org/10.1002/pon.4507 Text en © 2017 The Authors. Psycho‐Oncology published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Papers
Armuand, G.M.
Nilsson, J.
Rodriguez‐Wallberg, K.A.
Malmros, J.
Arvidson, J.
Lampic, C.
Wettergren, L.
Physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in Sweden
title Physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in Sweden
title_full Physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in Sweden
title_fullStr Physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in Sweden
title_full_unstemmed Physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in Sweden
title_short Physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in Sweden
title_sort physicians' self‐reported practice behaviour regarding fertility‐related discussions in paediatric oncology in sweden
topic Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5656910/
https://www.ncbi.nlm.nih.gov/pubmed/28734133
http://dx.doi.org/10.1002/pon.4507
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