Salama Mahmoud, Ataman Lauren, Taha Tamer, Azmy Osama, Braham Marouen, Douik Fatma, Khrouf Mohamed, Rodrigues Jhenifer Kliemchen, Reis Fernando M, Sánchez Flor, Romero Sergio, Vega Mario, Woodruff Teresa K
National Research Center, Cairo, Egypt.
Northwestern University, Chicago, IL.
J Glob Oncol. 2018 Feb 7;4. doi: 10.1200/JGO.17.00121. eCollection 2018.
Little is known about oncofertility practice in developing countries that usually suffer from a shortage of health services, especially those related to cancer care.
To learn more about oncofertility practice in developing countries, we generated a survey to explore the barriers and opportunities associated with oncofertility practice in five developing countries from Africa and Latin America within our Oncofertility Consortium Global Partners Network. Responses from Egypt, Tunisia, Brazil, Peru, and Panama were collected, reviewed, and discussed.
Common barriers were identified by each country, including financial barriers (lack of insurance coverage and high out-of-pocket costs for patients), lack of awareness among providers and patients, cultural and religious constraints, and lack of funding to help to support oncofertility programs.
Despite barriers to care, many opportunities exist to grow the field of oncofertility in these five developing countries. It is important to continue to engage stakeholders in developing countries and use powerful networks in the United States and other developed countries to aid in the acceptance of oncofertility on a global level.
在通常卫生服务短缺，尤其是癌症护理相关服务短缺的发展中国家，人们对肿瘤生育学实践了解甚少。
为了更多地了解发展中国家的肿瘤生育学实践，我们设计了一项调查，以探究在我们的肿瘤生育学联盟全球合作伙伴网络中，非洲和拉丁美洲五个发展中国家与肿瘤生育学实践相关的障碍和机遇。收集、审查并讨论了来自埃及、突尼斯、巴西、秘鲁和巴拿马的回复。
每个国家都确定了常见障碍，包括经济障碍（患者缺乏保险覆盖且自付费用高昂）、医疗服务提供者和患者缺乏认识、文化和宗教限制以及缺乏支持肿瘤生育学项目的资金。
尽管存在护理障碍，但在这五个发展中国家，肿瘤生育学领域仍有许多发展机遇。继续让发展中国家的利益相关者参与进来，并利用美国和其他发达国家的强大网络，以促进全球对肿瘤生育学的接受，这一点很重要。
