Quinn Gwendolyn P, Knapp Caprice A, Malo Teri L, McIntyre Jessica, Jacobsen Paul B, Vadaparampil Susan T
Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.
J Support Oncol. 2012 Jul-Aug;10(4):160-5. doi: 10.1016/j.suponc.2011.09.006. Epub 2012 Jan 23.
The American Society for Clinical Oncology (ASCO) established guidelines for fertility preservation for cancer patients. In a national study of US oncologists, we examined attitudes toward the use of fertility preservation among patients with a poor prognosis, focusing on attitudes toward posthumous reproduction.
A cross-sectional survey was administered via mail and Internet to a stratified random sample of US oncologists. The survey measured demographics, knowledge, attitude, and practice behaviors regarding posthumous reproduction and fertility preservation with cancer patients of childbearing age.
Only 16.2% supported posthumous parenting, whereas the majority (51.5%) did not have an opinion. Analysis of variance indicated that attitudes toward posthumous reproduction were significantly related to physician practice behaviors and were dependent on oncologists' knowledge of ASCO guidelines.
Physician attitudes may conflict with the recommended guidelines and may reduce the likelihood that some patients will receive information about fertility preservation. Further education may raise physicians' awareness of poor-prognostic patients' interest in pursuing this technology.
美国临床肿瘤学会（ASCO）制定了癌症患者生育力保存指南。在一项针对美国肿瘤学家的全国性研究中，我们调查了预后不良患者对生育力保存的态度，重点关注对死后生殖的态度。
通过邮件和互联网对美国肿瘤学家的分层随机样本进行横断面调查。该调查测量了有关死后生殖以及与育龄癌症患者生育力保存的人口统计学、知识、态度和实践行为。
只有16.2%的人支持死后育儿，而大多数人（51.5%）没有意见。方差分析表明，对死后生殖的态度与医生的实践行为显著相关，并且取决于肿瘤学家对ASCO指南的了解。
医生的态度可能与推荐的指南相冲突，并且可能降低一些患者获得生育力保存信息的可能性。进一步的教育可能会提高医生对预后不良患者对采用这项技术的兴趣的认识。
