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Current Awareness and Attitude toward Fertility Preservation in Indonesia: A Nationwide Survey Among Health-care Providers

CONTEXT: Fertility preservation (FP) is necessary for cancer patients who develop infertility due to chemotherapy and radiotherapy. In Indonesia, many systematic steps and long-term continued actions must be taken to establish FP units since there has been an increasing incidence of cancer among peo...

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Autores principales: Ayuandari, Sarrah, Khasanah, Nurida, Riyanti, Ismi W., Dewanto, Agung, Enisar Sangun, Diannisa Ikarumi, Wiweko, Budi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8057139/
https://www.ncbi.nlm.nih.gov/pubmed/34083997
http://dx.doi.org/10.4103/jhrs.jhrs_239_20
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author Ayuandari, Sarrah
Khasanah, Nurida
Riyanti, Ismi W.
Dewanto, Agung
Enisar Sangun, Diannisa Ikarumi
Wiweko, Budi
author_facet Ayuandari, Sarrah
Khasanah, Nurida
Riyanti, Ismi W.
Dewanto, Agung
Enisar Sangun, Diannisa Ikarumi
Wiweko, Budi
author_sort Ayuandari, Sarrah
collection PubMed
description CONTEXT: Fertility preservation (FP) is necessary for cancer patients who develop infertility due to chemotherapy and radiotherapy. In Indonesia, many systematic steps and long-term continued actions must be taken to establish FP units since there has been an increasing incidence of cancer among people under 45 years old. AIMS: This study aimed at a comprehensive evaluation on the awareness and practices of health-care providers (HCPs) toward FP. SETTINGS AND DESIGN: This was a descriptive cross-sectional study. SUBJECTS AND METHODS: A validated nationwide online survey was completed by 160 HCPs as a representative sample from 11 provinces in 2017 that provide medical care to cancer patients at hospitals or clinics. STATISTICAL ANALYSIS USED: Descriptive statistics, analysis of variance, logistic regression, and Pearson correlation tests were used for the statistical analysis. RESULTS: Respondents were specialists (59.4%) and other HCPs (40.6%). Around 60% of the HCPs who performed cancer therapies already discussed the fertility issues with their patients. Meanwhile, the HCPs (60.7%) also tended not to consult and refer their patients to fertility experts (P < 0.05). However, those who discussed the risk of infertility with patients tended to consult with and refer them to a fertility consultant for further FP procedure as the follow-up for their discussions (odds ratio = 8.98, confidence interval 95%, P < 0.05). CONCLUSIONS: In Indonesia, FP awareness of the HCPs who performed cancer therapy was high. Nevertheless, attitudes to refer patients to fertility experts for possible FP management still need to be improved.
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spelling pubmed-80571392021-06-02 Current Awareness and Attitude toward Fertility Preservation in Indonesia: A Nationwide Survey Among Health-care Providers Ayuandari, Sarrah Khasanah, Nurida Riyanti, Ismi W. Dewanto, Agung Enisar Sangun, Diannisa Ikarumi Wiweko, Budi J Hum Reprod Sci Original Article CONTEXT: Fertility preservation (FP) is necessary for cancer patients who develop infertility due to chemotherapy and radiotherapy. In Indonesia, many systematic steps and long-term continued actions must be taken to establish FP units since there has been an increasing incidence of cancer among people under 45 years old. AIMS: This study aimed at a comprehensive evaluation on the awareness and practices of health-care providers (HCPs) toward FP. SETTINGS AND DESIGN: This was a descriptive cross-sectional study. SUBJECTS AND METHODS: A validated nationwide online survey was completed by 160 HCPs as a representative sample from 11 provinces in 2017 that provide medical care to cancer patients at hospitals or clinics. STATISTICAL ANALYSIS USED: Descriptive statistics, analysis of variance, logistic regression, and Pearson correlation tests were used for the statistical analysis. RESULTS: Respondents were specialists (59.4%) and other HCPs (40.6%). Around 60% of the HCPs who performed cancer therapies already discussed the fertility issues with their patients. Meanwhile, the HCPs (60.7%) also tended not to consult and refer their patients to fertility experts (P < 0.05). However, those who discussed the risk of infertility with patients tended to consult with and refer them to a fertility consultant for further FP procedure as the follow-up for their discussions (odds ratio = 8.98, confidence interval 95%, P < 0.05). CONCLUSIONS: In Indonesia, FP awareness of the HCPs who performed cancer therapy was high. Nevertheless, attitudes to refer patients to fertility experts for possible FP management still need to be improved. Wolters Kluwer - Medknow 2021 2021-03-30 /pmc/articles/PMC8057139/ /pubmed/34083997 http://dx.doi.org/10.4103/jhrs.jhrs_239_20 Text en Copyright: © 2021 Journal of Human Reproductive Sciences https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ayuandari, Sarrah
Khasanah, Nurida
Riyanti, Ismi W.
Dewanto, Agung
Enisar Sangun, Diannisa Ikarumi
Wiweko, Budi
Current Awareness and Attitude toward Fertility Preservation in Indonesia: A Nationwide Survey Among Health-care Providers
title Current Awareness and Attitude toward Fertility Preservation in Indonesia: A Nationwide Survey Among Health-care Providers
title_full Current Awareness and Attitude toward Fertility Preservation in Indonesia: A Nationwide Survey Among Health-care Providers
title_fullStr Current Awareness and Attitude toward Fertility Preservation in Indonesia: A Nationwide Survey Among Health-care Providers
title_full_unstemmed Current Awareness and Attitude toward Fertility Preservation in Indonesia: A Nationwide Survey Among Health-care Providers
title_short Current Awareness and Attitude toward Fertility Preservation in Indonesia: A Nationwide Survey Among Health-care Providers
title_sort current awareness and attitude toward fertility preservation in indonesia: a nationwide survey among health-care providers
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8057139/
https://www.ncbi.nlm.nih.gov/pubmed/34083997
http://dx.doi.org/10.4103/jhrs.jhrs_239_20
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