title: [Current situation on fertility preservation in cancer patients in Spain: Level of knowledge, information, and professional involvement].
abstract: BACKGROUND
  The estimated risks of infertility in childhood cancer due to radiation, chemotherapy and surgery are well known. The involvement of professionals and advances in the different methods of preservation are increasing. However, many patients do not receive information or perform any method of preservation.
  
  
  METHODS
  Questionnaires to paediatric onco-haematology institutions throughout Spain. The questionnaire consisted of 22 questions assessing their usual practices and knowledge about fertility preservation.
  
  
  RESULTS
  Fifty members of the Spanish Society of Paediatric Haematology and Oncology, representing 24 of 43 centres, responded. These represented 82% of centres that treated higher numbers of patients. The effect of treatment on fertility was known by 78% of those who responded, with 76% admitting not knowing any guideline on fertility in children or adolescents. As for the ideal time and place to inform the patient and/or family, only 14% thought it should be done in the same cancer diagnosis interview. In clinical practice, 12% of those surveyed never referred patients to Human Reproduction Units, another 12% only did so if the patients showed interest, and 38% only refer patients in puberty. Just over one-third (34%) of those referrals were going to receive highly gonadotoxic treatment.
  
  
  CONCLUSIONS
  There are clear differences between pre-puberty and puberty patients. The frequency with which some method of fertility preservation is performed in patients is low. All respondents believe that the existence of national guidelines on the matter would be of interest.
authors.affiliation: Hospital General Universitario Gregorio Marañón, Instituto de investigación Sanitaria Gregorio Marañón IiSGM, Madrid, España. Electronic address: cgarridoc@salud.madrid.org.
authors.forename: Carmen
authors.initials: C
authors.lastname: Garrido-Colino
authors.affiliation: Hospital Niño Jesús, Madrid, España.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Lassaletta
authors.affiliation: Hospital Torrecardenas, Almería, España.
authors.forename: María Ángeles
authors.initials: MÁ
authors.lastname: Vazquez
authors.affiliation: Hospital de Cruces, Bilbao, España.
authors.forename: Aizpea
authors.initials: A
authors.lastname: Echevarria
authors.affiliation: Hospital Virgen del Rocío, Sevilla, España.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Gutierrez
authors.affiliation: Hospital Niño Jesús, Madrid, España.
authors.forename: Maitane
authors.initials: M
authors.lastname: Andión
authors.affiliation: Hospital La Fe, Valencia, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: Berlanga
mesh_terms: D000328:Adult; D002648:Child; D005260:Female; D059247:Fertility Preservation; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy; D010818:Practice Patterns, Physicians'; D013030:Spain
keywords: Cancer; Children; Cáncer; Encuesta; Fertilidad; Fertility; Niños; Preservación; Preservation; Survey