Department of Surgery, Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200127, P.R. China.
Department of Hematology, Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200127, P.R. China.
J Assist Reprod Genet. 2024 Oct;41(10):2831-2841. doi: 10.1007/s10815-024-03270-y. Epub 2024 Sep 24.
Clinical specialists are supposed to inform childhood cancer patients of infertility risk and conduct fertility preservation (FP). However, little is known about whether doctors in China are fully prepared. This study aimed to investigate behavior, attitude, perception, and knowledge regarding FP among pediatric oncological specialists in a nation wide survey, to set the stage for improvements in current clinical practice patterns.
This study was conducted on physicians and surgeons specialized in pediatric oncology using a questionnaire through the WeChat platform. The behavior, attitude, perception, and knowledge were assessed by Likert questions and results were quantified to obtain scores. Data were then described and analyzed using R and GraphPad.
Totally 373 specialists in pediatric tumors were included in the analysis. Hematologists, oncological surgeons, and reproductive medicine specialists won most trusts to be responsible for FP job. Most respondents did not have habits of delivering FP information or cooperating with FP specialists during treatment though they were well equipped with FP knowledge and desired for uniform national guideline for FP procedures. The severity of illness was regarded as the primary barrier of FP delivery. When a doctor was more educated and experienced, he was more likely to have better performance in FP. The total score, the knowledge score, and the single score concerning frequency of patients' inquiry showed aggregational trend on geographic distribution.
Chinese pediatric oncologists demonstrated unsatisfactory practice behaviors based upon this self-reporting survey, although their attitude towards FP was generally positive.
临床专家应该向儿童癌症患者告知不孕风险并进行生育力保存（FP）。然而，目前尚不清楚中国的医生是否已做好充分准备。本研究旨在通过全国范围内的调查，调查儿科肿瘤专家在 FP 方面的行为、态度、认知和知识，为改善当前的临床实践模式奠定基础。
本研究通过微信平台对专门从事儿科肿瘤学的医生和外科医生进行问卷调查。采用李克特量表评估行为、态度、认知和知识，并对结果进行量化以获得分数。然后使用 R 和 GraphPad 对数据进行描述和分析。
共纳入 373 名儿科肿瘤专家进行分析。血液学家、肿瘤外科医生和生殖医学专家最受信任负责 FP 工作。尽管大多数受访者具备 FP 知识且渴望制定统一的 FP 程序国家指南，但他们在治疗过程中没有传递 FP 信息或与 FP 专家合作的习惯。疾病的严重程度被认为是提供 FP 的主要障碍。医生接受的教育程度和经验越高，在 FP 方面的表现就越好。总评分、知识评分和患者咨询频率的单项评分在地域分布上呈聚集趋势。
尽管中国儿科肿瘤医生对 FP 的态度普遍较为积极，但根据这项自我报告调查，他们的实践行为并不令人满意。
