Fertility decision-making under certainty and uncertainty in cancer patients

Hiroko Komatsu, Kaori Yagasaki, Hideko Yamauchi

研究成果: Article

2 引用 (Scopus)

抄録

Objective The objective of this study was to understand how reproductive-age women with breast cancer make fertility-related decisions. Methods Using grounded theory methodology, we collected data from 11 reproductive-age women with breast cancer between March and August 2016. Verbatim transcriptions were analyzed using constant comparative analysis and open, axial, and selective coding. Results “Fertility Decision-Making under Certainty and Uncertainty” emerged as a core category. Fertility decision-making started with the participants’ “values and preferences” about having a child. In making a decision, there were certainty (“Information” and “Emotional support”) and uncertainty (“Time constraints,” “Recurrent risk,” “Labeling,” and “Unmet needs”) factors. Participants had more uncertainty factors than certainty factors, and healthcare professionals’ services accounted for one of the uncertainty factors. Conclusions After fertility preservation counseling, women with cancer made difficult decisions in stressful situations without sufficient healthcare information and support. Tailored information should be provided to individual women in collaboration between oncology and reproductive health professionals.

元の言語English
ページ(範囲)40-45
ページ数6
ジャーナルSexual and Reproductive Healthcare
15
DOI
出版物ステータスPublished - 2018 3 1

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Uncertainty
Fertility
Decision Making
Neoplasms
Fertility Preservation
Breast Neoplasms
Delivery of Health Care
Reproductive Health
Counseling

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Maternity and Midwifery

これを引用

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N2 - Objective The objective of this study was to understand how reproductive-age women with breast cancer make fertility-related decisions. Methods Using grounded theory methodology, we collected data from 11 reproductive-age women with breast cancer between March and August 2016. Verbatim transcriptions were analyzed using constant comparative analysis and open, axial, and selective coding. Results “Fertility Decision-Making under Certainty and Uncertainty” emerged as a core category. Fertility decision-making started with the participants’ “values and preferences” about having a child. In making a decision, there were certainty (“Information” and “Emotional support”) and uncertainty (“Time constraints,” “Recurrent risk,” “Labeling,” and “Unmet needs”) factors. Participants had more uncertainty factors than certainty factors, and healthcare professionals’ services accounted for one of the uncertainty factors. Conclusions After fertility preservation counseling, women with cancer made difficult decisions in stressful situations without sufficient healthcare information and support. Tailored information should be provided to individual women in collaboration between oncology and reproductive health professionals.

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