Kim Jayeon, Kim Seul Ki, Hwang Kyung Joo, Kim Seok Hyun
Department of Obstetrics and Gynecology, Cha Fertility Center at Seoul Station, CHA University, Seoul, Korea.
Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.
Clin Exp Reprod Med. 2017 Dec;44(4):171-174. doi: 10.5653/cerm.2017.44.4.171. Epub 2017 Dec 31.
While many fertility preservation (FP) options now exist for reproductive-aged cancer patients, access to these services continues to be limited. A comprehensive FP program should be organized to serve oncofertility patients effectively. Also, much effort is needed from various individuals-patients, specialists from various fields, and consultants-to facilitate FP in a timely manner. Various challenges still exist in improving access to FP programs. To improve access to FP treatment, it is important to educate oncologists and patients via electronic tools and to actively navigate patients through the system. Reproductive endocrinology practices that receive oncofertility referrals must be equipped to provide a full range of options on short notice. A multidisciplinary team approach is required, involving physicians, nurses, mental health professionals, office staff, and laboratory personnel. The bottom line of FP patient care is to understand the true nature of each patient's specific situation and to develop a patient flow system that will help build a successful FP program. Expanding the patient flow system to all comprehensive cancer centers will ensure that all patients are provided with adequate information regarding their fertility, regardless of geography.
虽然现在有多种生育力保存（FP）方案可供育龄期癌症患者选择，但这些服务的可及性仍然有限。应该组织一个全面的FP项目，以便有效地为肿瘤生育患者服务。此外，患者、各领域专家和顾问等各类人员都需要付出很多努力，以便及时推动FP。在改善FP项目的可及性方面，仍然存在各种挑战。为了改善FP治疗的可及性，通过电子工具对肿瘤学家和患者进行教育，并积极引导患者通过该系统，这一点很重要。接收肿瘤生育转诊的生殖内分泌科必须能够在短时间内提供全方位的选择。需要采用多学科团队方法，涉及医生、护士、心理健康专业人员、办公室工作人员和实验室人员。FP患者护理的关键是了解每个患者具体情况的真实性质，并建立一个有助于建立成功FP项目的患者流程系统。将患者流程系统扩展到所有综合癌症中心，将确保所有患者，无论身处何地，都能获得有关其生育力的充分信息。
