Kemal Harzif Achmad, Surya Raymond, Muharam Raden, Pratama Gita, Putri Meutia Alfa
Division of Immuno-Endocrinology and Fertility, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, DKI Jakarta Province, Indonesia.
Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, DKI Jakarta Province, Indonesia.
Int J Reprod Biomed. 2022 Mar 21;20(2):145-150. doi: 10.18502/ijrm.v20i2.10506. eCollection 2022 Mar.
More than 135,000 people aged under 45 yr are diagnosed with cancer annually in Indonesia. Good detection and management of cancer increase the quality of life.
To determine the knowledge, attitudes, and behaviors of practitioners supporting cancer patients in fertility preservation.
This cross-sectional study was conducted in 18 type D government hospitals and Dr. Cipto Mangunkusumo Hospital, in Jakarta, Indonesia, between January 2018 and August 2019. This study involved practitioners providing care to cancer patients. Data were described descriptively.
Most of the general practitioners, specialists, and subspecialists who participated in this study were aged 26-30 yr (65.4%), 31-35 yr (70.4%), and 31-40 yr (53.0%), respectively. The fertility treatment most known by general practitioners was in vitro fertilization with embryo cryopreservation (12.1%); for specialists it was sperm cryopreservation (24.5%). Meanwhile, subspecialists knew most about in vitro fertilization with embryo cryopreservation and sperm cryopreservation using a GnRH agonist (such as leuprolide injection) pre-cancer treatment (13%). A positive attitude towards fertility preservation as an important priority for cancer patients was shown in 72.0% of general practitioners, 73.3% of specialists, and 100% of subspecialists. General practitioners mostly referred patients to fertility specialists (44.4%). Many specialists (54.9%) and subspecialists (67%) discussed the possible impact of the patient's condition and / or treatment on fertility.
The knowledge of and practices related to fertility preservation differed among general practitioners, specialists, and subspecialists. However, positive attitudes among them were similar.
印度尼西亚每年有超过13.5万名45岁以下的人被诊断出患有癌症。癌症的良好检测和管理可提高生活质量。
确定支持癌症患者进行生育力保存的从业者的知识、态度和行为。
本横断面研究于2018年1月至2019年8月在印度尼西亚雅加达的18家D类政府医院和西托·曼古库苏莫博士医院进行。本研究涉及为癌症患者提供护理的从业者。数据进行描述性分析。
参与本研究的大多数全科医生、专科医生和亚专科医生的年龄分别为26 - 30岁（65.4%）、31 - 35岁（70.4%）和31 - 40岁（53.0%）。全科医生最了解的生育治疗方法是胚胎冷冻保存的体外受精（12.1%）；专科医生是精子冷冻保存（24.5%）。同时，亚专科医生最了解癌症治疗前使用促性腺激素释放激素激动剂（如亮丙瑞林注射）进行胚胎冷冻保存的体外受精和精子冷冻保存（13%）。72.0%的全科医生、73.3%的专科医生和100%的亚专科医生对生育力保存作为癌症患者的重要优先事项持积极态度。全科医生大多将患者转诊至生育专科医生（44.4%）。许多专科医生（54.9%）和亚专科医生（67%）讨论了患者病情和/或治疗对生育力的可能影响。
全科医生、专科医生和亚专科医生在生育力保存的知识和实践方面存在差异。然而，他们的积极态度相似。
