Vesztergom Dóra, Téglás Gyöngyvér, Nánássy László, Mátrai Zoltán, Novák Zoltán
1 Semmelweis Egyetem, Általános Orvostudományi Kar, Szülészeti és Nőgyógyászati Klinika, Asszisztált Reprodukciós Centrum Budapest Magyarország.
2 Universitäres Kinderwunschzentrum Lübeck Deutschland.
Orv Hetil. 2022 Feb 6;163(6):246-252. doi: 10.1556/650.2022.32375.
Introduction: Fertility preservation or oncofertility is a relatively new interdisciplinary field dealing with the preservation of female and male reproductive functions before the administration of gonadotoxic therapy. Despite recommendations from different international scientific bodies, Hungary still does not have a national fertility preservation network, patient referral is unorganised. Objective: As the first step towards establishing a national fertility preservation program, a study was designed to evaluate the Hungarian oncologists' knowledge, attitudes and practice in the field of oncofertility. Method: A national online survey was sent to the physician members of the Hungarian Society of Clinical Oncology between November 2020 and February 2021. The survey was completed by 94 physicians and the results were analysed statistically. Results: The majority of the oncologists (77%) discusses reproductive health issues before starting gonadotoxic therapy. However, almost half of these physicians do not refer patients for fertility preservation consultation or treatment. Physicians report lack of organised fertility preservation network, lack of knowledge and clinical practice guidelines as major barriers in referring their patients for fertility preservation. The majority (86%) proposes that a better col-laboration between cancer and fertility centers needs to be organized in Hungary. Conclusion: This study is the first nationwide survey to assess oncologists' attitude, knowledge and practice in the field of oncofertility in Hungary. It highlights the need for more education and increased collaboration between oncologists and reproductive specialists. This is an important step towards the establishment of a national fertility preservation network which is our ultimate goal.
生育力保存或肿瘤生育学是一个相对较新的跨学科领域，涉及在进行性腺毒性治疗之前保存男性和女性的生殖功能。尽管有不同国际科学机构的建议，但匈牙利仍没有全国性的生育力保存网络，患者转诊也没有组织。目的：作为建立全国生育力保存计划的第一步，设计了一项研究来评估匈牙利肿瘤学家在肿瘤生育学领域的知识、态度和实践。方法：2020年11月至2021年2月期间，向匈牙利临床肿瘤学会的医师会员发送了一项全国性在线调查。94名医生完成了调查，并对结果进行了统计分析。结果：大多数肿瘤学家（77%）在开始性腺毒性治疗前会讨论生殖健康问题。然而，这些医生中几乎有一半不会将患者转诊进行生育力保存咨询或治疗。医生们报告称，缺乏有组织的生育力保存网络、知识和临床实践指南是将患者转诊进行生育力保存的主要障碍。大多数人（86%）提议在匈牙利需要组织癌症中心和生育中心之间更好的合作。结论：本研究是匈牙利首次评估肿瘤学家在肿瘤生育学领域态度、知识和实践的全国性调查。它强调了加强教育以及肿瘤学家与生殖专家之间加强合作的必要性。这是朝着建立全国生育力保存网络迈出的重要一步，而这是我们的最终目标。
