Breast Cancer

, Volume 20, Issue 3, pp 230–240

Physicians’ knowledge, attitude, and behavior regarding fertility issues for young breast cancer patients: a national survey for breast care specialists

  • Chikako Shimizu
  • Hiroko Bando
  • Tomoyasu Kato
  • Yuri Mizota
  • Seiichiro Yamamoto
  • Yasuhiro Fujiwara
Original Article

DOI: 10.1007/s12282-011-0328-8

Cite this article as:
Shimizu, C., Bando, H., Kato, T. et al. Breast Cancer (2013) 20: 230. doi:10.1007/s12282-011-0328-8

Abstract

Background

Fertility is one of the key aspects of quality of life for breast cancer patients of childbearing age. The objective of this study was to describe fertility-related practice for young breast cancer patients in Japan and to identify healthcare provider factors that contribute to physicians’ behavior towards fertility preservation.

Methods

A cross-sectional survey was developed in order for Japanese breast cancer specialists (n = 843) to self-evaluate their knowledge, attitude, and behavior regarding fertility preservation. Survey items included questions regarding knowledge of and attitude toward fertility issues in cancer patients, fertility-related practice, potential barriers for the discussion of fertility with patients, and responding physicians’ socio-demographic background.

Results

Four hundred and thirty-four (52%) breast oncologists responded to the survey. Female and younger oncologists (age less than 50 years) had significantly higher probability of referring patients to reproductive specialists. Physicians who had better knowledge score and positive attitudes toward fertility preservation were more likely to discuss potential fertility issues with cancer patients. This was significantly associated with consultation and referral to reproduction specialists when encountering fertility issues with cancer patients. Risk of recurrence, lack of collaborating reproductive specialists, and time constraints in the clinic were identified as major barriers to discussion of fertility preservation with breast cancer patients.

Conclusion

Female and younger physicians as well as physicians working in a multidisciplinary environment had positive attitudes and behavior towards fertility preservation in breast cancer patients. The development of comprehensive and interdisciplinary programs for healthcare providers is necessary to meet the expectations and fertility needs of breast cancer patients.

Keywords

Fertility preservationBreast cancerSurvivorship

Copyright information

© The Japanese Breast Cancer Society 2012

Authors and Affiliations

  • Chikako Shimizu
    • 1
  • Hiroko Bando
    • 2
  • Tomoyasu Kato
    • 3
  • Yuri Mizota
    • 4
  • Seiichiro Yamamoto
    • 4
  • Yasuhiro Fujiwara
    • 1
  1. 1.Breast and Medical Oncology DivisionNational Cancer Center HospitalTokyoJapan
  2. 2.Breast and Endocrine Surgery, Graduate School of Comprehensive Human SciencesUniversity of TsukubaTsukubaJapan
  3. 3.Division of GynecologyNational Cancer Center HospitalTokyoJapan
  4. 4.Center for Cancer Control and Information ServicesNational Cancer HospitalTokyoJapan