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首页> 外文期刊>Gynecologie, obstetrique & fertilit >Regional state-of-the-art of the access to oncofertility consultation for young women with breast cancer
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Regional state-of-the-art of the access to oncofertility consultation for young women with breast cancer

机译：区域最先进的患有乳腺癌的年轻女性的识别咨询

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Objectives. - According to the 2004 Bioethics Act, oncofertility counselling must be systematically offered to all women of childbearing age before they are exposed to potentially gonadotoxic treatment. The main objective of this study was to evaluate the proportion of women under 40 years of age treated with chemotherapy for breast cancer in Midi-Pyrenees who have received an oncofertility consultation. A secondary objective was to assess practitioners' knowledge on the subject. Methods. - A cross-reference was made between the databases of the oncology network in Midi-Pyrenees and the two approved centres for the preservation of fertility in the region. A computerized practitioner questionnaire was sent to all surgeons and oncologists who could manage these patients. Results. - From 2012 and 2017, 667 women aged < 40 years received (neo)adjuvant chemotherapy treatment: only 156 (23.4%) had access to an oncofertility consultation and 58 (8.7%) received preservation. This rate (23.4%) varied according to the age of the patients, ranging from 56.9% for those aged 25-29 to 13.4% for those aged 35-39 and the managing institution. Of the 85 practitioners surveyed, 45 (55%) responded to the questionnaire, and of these 20 (44%) knew that ovarian stimulation treatment could be used even in hormone-dependent breast cancer situations and 13 (29%) of practitioners believed that the time required to preserve fertility was more than 1 month. Conclusion. - Our study revealed a significant disparity in access to oncofertility consultation. It is essential to set up information and awareness-raising actions on the subject.
机译：目标。 - 根据2004年的生物伦理法案，在暴露于潜在的促毒毒性治疗之前，必须系统地向所有育龄妇女系统提供忠告。本研究的主要目标是评估40岁以下的女性的比例，治疗乳腺癌治疗的乳腺癌中，在核心癌症患者中获得了闭合性咨询。次要目标是评估从业者对该主题的知识。方法。 - 在Midi-Pyrenees的肿瘤网络数据库和两个批准的中心之间进行交叉引用，以保存该地区的生育能力。将计算机化的从业者调查问卷发送给可以管理这些患者的所有外科医生和肿瘤学家。结果。 - 从2012年和2017年开始，667名患者（Neo）辅助化疗治疗（Neo）辅助化疗治疗：仅156名（23.4％）可以获得历史咨询，58（8.7％）收到保存。此速度（23.4％）根据患者的年龄而变化，为35-29岁及35-39岁及董事会的人数为13.4％的56.9％。在调查的85名从业者中，45（55％）回应问卷，其中20名（44％）即使在激素依赖性乳腺癌情况下也可以使用卵巢刺激治疗，并认为13名（29％）的从业者认为保护生育能力所需的时间超过1个月。结论。 - 我们的研究揭示了对Oncofertility咨询的巨大差异。必须为该主题建立信息和提高认识行动。

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