Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Robert H. Lurie Comprehensive Cancer Center, Suite 10-121, Chicago, IL 60611, USA.
J Assist Reprod Genet. 2010 May;27(5):227-31. doi: 10.1007/s10815-010-9413-8. Epub 2010 Apr 13.
Oncofertility, an emerging discipline at the intersection of cancer and fertility, strives to give cancer patients options when they are confronting potential infertility as a consequence of cancer treatment. Fertility preservation decisions must be made before treatment begins, adding stress to the decision-making process.
Healthcare providers need to be aware of the intricacies involved in oncofertility decision making, and the often tight time line that patients face when making these decisions. Cancer patient's perspectives may also change, as the dual burden of a cancer diagnosis and potential infertility can cause great flux in emotions.
A provider-facing decision tree was created to enhance patient decision-making capacities and outline the multiple potential intervention points.
Decision trees, which highlight the important decision points during which providers can approach patients, can be a useful tool to help providers in counseling patients on fertility preservation.
肿瘤生育力学是一门新兴的学科,处于癌症学和生育力学的交叉点,旨在为癌症患者提供选择,使他们在面临癌症治疗可能导致不孕的情况下能够做出选择。生育力保存决策必须在治疗开始前做出,这给决策过程增加了压力。
医疗保健提供者需要了解肿瘤生育力决策中涉及的复杂性,以及患者在做出这些决策时面临的往往紧张的时间限制。癌症患者的观点也可能会改变,因为癌症诊断和潜在不孕的双重负担会导致情绪的巨大波动。
创建了一个面向提供者的决策树,以增强患者的决策能力,并概述了多个潜在的干预点。
决策树突出了提供者可以接近患者的重要决策点,这可以成为帮助提供者就生育力保存对患者进行咨询的有用工具。