title: [Oncofertility and breast cancer: Where have we come from, where are we going?].
abstract: BACKGROUND
  Focusing on the current context of national and international recommendations, techniques development to evaluate and preserve fertility and patients' claims, this study aims to make a survey about the management of patients' breast cancer regarding oncofertility.
  
  
  METHODS
  Retrospective and analytic study of medical practices at Bergonié Institute of health professionals (medical oncologists, surgical oncologists, nurses) dedicated to the care of non-disseminated breast cancer patients younger than 37, needing medical treatment.
  
  
  RESULTS
  The number of participants was 230. The most interested practitioners in fertility theme are those of multidisciplinary consultation and surgeons (P<0.001), with an increasing interest during last years (P<0.05). The information about hypofertilizing risks of treatments are delivered most of the time by oncologists (57.7%). The motherhood project is expressed by 11 patients (4.9%) before treatment, only 4 of them receive information on the risks and 49 patients (21.7%) during follow-up. Only 24 patients (48% of the 49) are encouraged for motherhood.
  
  
  CONCLUSIONS
  To satisfy patients' requests, several improvements have to be made regarding the patients' information, the health professionals' awareness and care coordination.
authors.affiliation: Institut de lutte contre le cancer, institut Bergonié, service de chirurgie, Bordeaux, France; Université de Bordeaux, Bordeaux, France; Université de la Réunion, France.
authors.forename: Aurélie
authors.initials: A
authors.lastname: Chirol
authors.affiliation: Institut de lutte contre le cancer, institut Bergonié, service d'oncologie médicale, Bordeaux, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Debled
authors.affiliation: Institut de lutte contre le cancer, institut Bergonié, service de chirurgie, Bordeaux, France.
authors.forename: Marion
authors.initials: M
authors.lastname: Fournier
authors.affiliation: CHU Pellegrin, service de biologie de la reproduction, Bordeaux, France.
authors.forename: Aline
authors.initials: A
authors.lastname: Papaxanthos
authors.affiliation: Institut de lutte contre le cancer, institut Bergonié, service de biostatistiques, Bordeaux, France.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Hoppe
authors.affiliation: Institut de lutte contre le cancer, institut Bergonié, service de biostatistiques, Bordeaux, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Brouste
authors.affiliation: CHU Pellegrin, service de gynécologie et reproduction, Bordeaux, France.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Conri
authors.affiliation: Institut de lutte contre le cancer, institut Bergonié, service d'oncologie médicale, Bordeaux, France; Université de Bordeaux, Bordeaux, France.
authors.forename: Hervé
authors.initials: H
authors.lastname: Bonnefoi
authors.affiliation: CHU Felix-Guyon, service de gynécologie, 97400 Saint-Denis, Réunion; Université de la Réunion, France.
authors.forename: Peter
authors.initials: P
authors.lastname: Von Théobald
authors.affiliation: Institut de lutte contre le cancer, institut Bergonié, service de biostatistiques, Bordeaux, France; Université de Bordeaux, Bordeaux, France.
authors.forename: Simone
authors.initials: S
authors.lastname: Mathoulin
authors.affiliation: CHU Pellegrin, service de gynécologie et reproduction, Bordeaux, France; Université de Bordeaux, Bordeaux, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Hocké
authors.affiliation: Institut de lutte contre le cancer, institut Bergonié, service de chirurgie, Bordeaux, France. Electronic address: c.tunondelara@bordeaux.unicancer.fr.
authors.forename: Christine
authors.initials: C
authors.lastname: Tunon de Lara
mesh_terms: D000328:Adult; D000367:Age Factors; D001291:Attitude of Health Personnel; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000523:psychology; D002173:Cancer Care Facilities; D018270:Carcinoma, Ductal, Breast / Q000188:drug therapy* / Q000523:psychology; D005260:Female; D059247:Fertility Preservation / Q000379:methods*; D005602:France; D006176:Gynecology / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D007247:Infertility, Female / Q000139:chemically induced / Q000517:prevention & control; D008425:Maternal Behavior; D008495:Medical Oncology / Q000706:statistics & numerical data; D009859:Oncology Nursing; D010353:Patient Education as Topic; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D018787:Radiation Oncology / Q000706:statistics & numerical data; D012189:Retrospective Studies; D055815:Young Adult
keywords: Breast cancer; Cancer du sein; Fertility; Fertilité; Oncofertility; Oncofertilité; Preservation; Préservation; Survey; État des lieux