Department of Psychology, Stony Brook University, Stony Brook, NY.
Department of Lymphoma/Myeloma, MD Anderson Cancer Center, Houston, TX.
Oncology (Williston Park). 2020 Nov 12;34(11):494-499. doi: 10.46883/ONC.2020.3411.0494.
Adolescents and young adults (AYAs) with cancer constitute approximately 70,000 patients diagnosed each year. Survival rates for AYAs with cancer have increased steadily in recent decades due to improvements in therapeutic regimens and early detection. Given the large and growing number of AYA cancer survivors, additional research is needed on the immediate and long-term psychosocial support required for this population including family planning and fertility. Fertility and fertility preservation in female AYAs, in particular, is historically understudied and has psychologically relevant ramifications distinct from male AYAs. Decision science can contribute to this area of oncological care and has implications for clinical encounters and research concerning female AYA patients with cancer. Patient-centered care and shared decision-making that integrates recent research regarding fertility preservation in the context of cancer.
青少年和青年癌症患者（AYAs）每年约有 7 万人被诊断出来。由于治疗方案的改进和早期发现，近年来 AYA 癌症患者的生存率稳步提高。鉴于大量且不断增加的 AYA 癌症幸存者，需要对这一人群所需的即时和长期心理社会支持进行更多的研究，包括计划生育和生育能力。特别是在女性 AYA 中，生育和生育保护的研究历来不足，并且具有与男性 AYA 不同的心理相关影响。决策科学可以为肿瘤学护理的这一领域做出贡献，并对涉及癌症的女性 AYA 患者的临床接触和研究产生影响。以患者为中心的护理和共同决策，将最近关于癌症背景下生育保护的研究结合起来。
