Knowledge, attitudes, and behaviors of practitioners supporting cancer patients in fertility preservation in DKI Jakarta: A cross-sectional study

Abstract Background: More than ۱۳۵,۰۰۰ people aged under ۴۵ yr are diagnosed with cancer annually worldwide. Good detection and management of cancer increase the quality of life. Objective: To determine the knowledge, attitudes, and behaviors of practitioners supporting cancer patients in fertility preservation. Materials and Methods: This cross-sectional study was conducted in ۱۸ type D government hospitals and Dr. Cipto Mangunkusumo Hospital, in Jakarta, Indonesia, between January ۲۰۱۸ and August ۲۰۱۹. This study involved practitioners providing care to cancer patients. Data were described descriptively. Results: Most of the general practitioners, specialists, and subspecialists who participated in this study were aged ۲۶-۳۰ yr (۶۵.۴%), ۳۱-۳۵ yr (۷۰.۴%), and ۳۱-۴۰ yr (۵۳.۰%), respectively. The fertility treatment most known by general practitioners was in vitro fertilization with embryo cryopreservation (۱۲.۱%); for specialists it was sperm cryopreservation (۲۴.۵%). 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 (۱۳%). A positive attitude towards fertility preservation as an important priority for cancer patients was shown in ۷۲.۰% of general practitioners, ۷۳.۳% of specialists, and ۱۰۰% of subspecialists. General practitioners mostly referred patients to fertility specialists (۴۴.۴%). Many specialists (۵۴.۹%) and subspecialists (۶۷%) discussed the possible impact of the patient’s condition and / or treatment on fertility. Conclusion: The knowledge of and practices related to fertility preservation differed among general practitioners, specialists, and subspecialists. However, positive attitudes among them were similar.  

Keywords:

Knowledge , Attitude , Practice , Doctor , Fertility preservation. , دانش , نگرش , تمرین , پزشک , حفظ باروری.