Abstract
We sought to identify factors associated with greater cancer-related fertility knowledge in a national survey of oncologists. We surveyed 344 oncologists from a sampling pool drawn randomly from the AMA Masterfile. We conducted multiple linear regression to determine the relationship between confidence in knowledge and oncologists’ characteristics. Respondents’ average age was 48.5, and 75.3% were male. The average confidence in knowledge summary score was 23.8 (SD 6.4, range 8–40). In multivariable regression, confidence was higher among oncologists with more information resources, a sense of responsibility to discuss fertility issues and among gynecologic oncologists vs. other oncology specialties. Physician age, gender, and practice setting were not associated with fertility-related knowledge. Oncologists lack confidence in their knowledge of fertility issues in young women with breast cancer. Increasing professional responsibility to discuss fertility and greater information access could improve the depth and breadth of education regarding fertility issues among oncologists and their young patients.
Similar content being viewed by others
References
Siegel R, Ward E, Brawley O, Jemal A, Cancer statistics (2011) The impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA Cancer J Clin 61:212–236
Horner M, Ries L, Krapscho M, SEER (2009) Cancer statistics review, 1975–2006. National Cancer Institute http://SEER.cancer.gov/csr/1975_2006/ September 2
Peate M, Meiser B, Hickey M, Friedlander M (2009) The fertility-related concerns, needs and preferences of younger women with breast cancer: a systematic review. Breast Cancer Res Treat 116:215–223
Lee SJ, Schover LR, Partridge AH, Patrizio P, Wallace WH, Hagerty K et al (2006) American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol 24:2917–2931
Quinn GP, Vadaparampil ST, Gwede CK, Miree C, King LM, Clayton HB et al (2007) Discussion of fertility preservation with newly diagnosed patients: oncologists’ views. J Cancer Surviv 1:146–155
Vadaparampil S, Quinn G, King L, Wilson C, Nieder M (2008) Barriers to fertility preservation among pediatric oncologists. Patient Educ Couns 72:402–410
Roberts JE, Oktay K (2005) Fertility preservation: a comprehensive approach to the young woman with cancer. J Natl Cancer Inst Monogr 57–59
Marhhom E, Cohen I (2007) Fertility preservation options for women with malignancies. Obstet Gynecol Surv 62:58–72
Smitz J, Dolmans MM, Donnez J, Fortune JE, Hovatta O, Jewgenow K et al (2010) Current achievements and future research directions in ovarian tissue culture, in vitro follicle development and transplantation: implications for fertility preservation. Hum Reprod Update 16:395–414
Bradley KA, Curry SJ, Koepsell TD, Larson EB (1995) Primary and secondary prevention of alcohol problems: US internist attitudes and practices. J Gen Intern Med 10:67–72
Cook RL, Wiesenfeld HC, Ashton MR, Krohn MA, Zamborsky T, Scholle SH (2001) Barriers to screening sexually active adolescent women for chlamydia: a survey of primary care physicians. J Adolesc Health 28:204–210
Harris JM Jr, Kutob RM, Surprenant ZJ, Maiuro RD, Delate TA (2002) Can Internet-based education improve physician confidence in dealing with domestic violence? Fam Med 34:287–292
Bennett NL, Casebeer LL, Zheng S, Kristofco R (2006) Information-seeking behaviors and reflective practice. J Contin Educ Health Prof 26:120–127
Quinn GP, Vadaparampil ST, Lee JH, Jacobsen PB, Bepler G, Lancaster J et al (2009) Physician referral for fertility preservation in oncology patients: a national study of practice behaviors. J Clin Oncol 27:5952–5957
Schover LR, Brey K, Lichtin A, Lipshultz LI, Jeha S (2002) Knowledge and experience regarding cancer, infertility, and sperm banking in younger male survivors. J Clin Oncol 20:1880–1889
Standard definitions: final dispositions of case codes and outcome rates for surveys. 5th edition Lenexa, Kansas: AAPOR
Erikson C, Salsberg E, Forte G, Bruinooge S, Goldstein M (2007) Future supply and demand for oncologists: challenges to assuring access to oncology services. J Oncol Pract 3:79–86
Bandura A (1977) Antecedent determinants. In: Bandura A (ed) Social learning theory. Prentice-Hall, Englewood Cliffs, pp 59–93
Sulmasy DP, Sood JR, Texiera K, McAuley RL, McGugins J, Ury WA (2006) A prospective trial of a new policy eliminating signed consent for do not resuscitate orders. J Gen Intern Med 21:1261–1268
Frojd C, Von Essen L (2006) Is doctors’ ability to identify cancer patients’ worry and wish for information related to doctors’ self-efficacy with regard to communicating about difficult matters? Eur J Cancer Care (Engl) 15:371–378
Forsetlund L, Bjorndal A, Rashidian A, Jamtvedt G, O’Brien MA, Wolf F et al. (2009) Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev CD003030
Dawes M, Sampson U (2003) Knowledge management in clinical practice: a systematic review of information seeking behavior in physicians. Int J Med Inform 71:9–15
Davies K, Harrison J (2007) The information-seeking behaviour of doctors: a review of the evidence. Health Info Libr J 24:78–94
Ousley AL, Swarz JA, Milliken EL, Ellis S (2010) Cancer education and effective dissemination: information access is not enough. J Cancer Educ 25:196–205
Smitz J, Dolmans MM, Donnez J, Fortune JE, Hovatta O, Jewgenow K et al. (2010) Current achievements and future research directions in ovarian tissue culture, in vitro follicle development and transplantation: implications for fertility preservation. Hum Reprod Update 16:395–414
Minter RM, Gruppen LD, Napolitano KS, Gauger PG (2005) Gender differences in the self-assessment of surgical residents. Am J Surg 189:647–650
Oakley Browne M, Lee A, Prabhu R (2007) Self-reported confidence and skills of general practitioners in management of mental health disorders. Aust J Rural Health 15:321–326
Kohler TS, Kondapalli LA, Shah A, Chan S, Woodruff TK, Brannigan RE (2011) Results from the survey for preservation of adolescent reproduction (SPARE) study: gender disparity in delivery of fertility preservation message to adolescents with cancer. J Assist Reprod Genet 28:269–277
Anderson RA, Weddell A, Spoudeas HA, Douglas C, Shalet SM, Levitt G et al (2008) Do doctors discuss fertility issues before they treat young patients with cancer? Hum Reprod 23:2246–2251
McCloskey SA, Tao ML, Rose CM, Fink A, Amadeo AM (2007) National survey of perspectives of palliative radiation therapy: role, barriers, and needs. Cancer J 13:130–137
Schrag D, Hanger M (2007) Medical oncologists’ views on communicating with patients about chemotherapy costs: a pilot survey. J Clin Oncol 25:233–237
Schover LR, Brey K, Lichtin A, Lipshultz LI, Jeha S (2002) Oncologists’ attitudes and practices regarding banking sperm before cancer treatment. J Clin Oncol 20:1890–1897
Author information
Authors and Affiliations
Corresponding author
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
ESM 1
(DOCX 16 kb)
Rights and permissions
About this article
Cite this article
Duffy, C., Allen, S.M., Dube, C. et al. Oncologists’ Confidence in Knowledge of Fertility Issues for Young Women with Cancer. J Canc Educ 27, 369–376 (2012). https://doi.org/10.1007/s13187-011-0304-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-011-0304-1