title: Practice, attitude and knowledge of Dutch paediatric oncologists regarding female fertility.
abstract: BACKGROUND
  Chemotherapy and radiotherapy for childhood cancer can result in a decreased reproductive function. It is therefore important that paediatric oncologists discuss the possible impact of treatment on female fertility and available fertility preservation options with their patients. However, it is unknown what Dutch paediatric oncologists know about of the effect of cancer treatment on female fertility, whether or not they address this issue in clinical practice, what their attitudes are towards addressing fertility after cancer treatment and fertility preservation options, and to what extent they require additional information resources.
  
  
  METHODS
  In this nationwide quantitative cross-sectional study a survey was sent to all registered paediatric oncologists in the Netherlands (n=64).
  
  
  RESULTS
  Thirty-seven paediatric oncologists participated (participation rate 58%). Fertility issues were discussed with patients and/or parents by 97%. Of the paediatric oncologists, 54-76% were aware of possibilities for fertility preservation; however only <25% reported a moderate or high confidence in their knowledge of these techniques. Paediatric oncologists stated that they had little resources to counsel their patients and 92% found educational resources not completely sufficient.
  
  
  CONCLUSIONS
  Paediatric oncologists are well aware of the effect that cancer treatment may have on female fertility and their responsibility to counsel their patients and/or the parents on this issue. They do not (yet) possess the knowledge to sufficiently counsel these patients and, if needed, do not frequently refer them to a fertility specialist.
authors.affiliation: Department of Paediatrics, VU Medical Center, Amsterdam, the Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Overbeek
authors.forename: M
authors.initials: M
authors.lastname: van den Berg
authors.forename: L
authors.initials: L
authors.lastname: Louwé
authors.forename: E
authors.initials: E
authors.lastname: Wendel
authors.forename: M
authors.initials: M
authors.lastname: ter Kuile
authors.forename: G
authors.initials: G
authors.lastname: Kaspers
authors.forename: A
authors.initials: A
authors.lastname: Stiggelbout
authors.forename: E
authors.initials: E
authors.lastname: van Dulmen-Den Broeder
authors.forename: C
authors.initials: C
authors.lastname: Hilders
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D002675:Child, Preschool; D003142:Communication; D003430:Cross-Sectional Studies; D037001:Directive Counseling; D005260:Female; D005298:Fertility / Q000187:drug effects / Q000528:radiation effects; D059247:Fertility Preservation / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008495:Medical Oncology; D008875:Middle Aged; D009426:Netherlands; D010353:Patient Education as Topic; D010372:Pediatrics; D020377:Self Efficacy