Satisfaction with fertility- and sexuality-related information in young women with breast cancer—ELIPPSE40 cohort

BMC Cancer

Research Article

Blandine Courbiere¹  Magali Provansal²  Anne-Déborah Bouhnik³  Julien Mancini⁴  Ali Ben Charif⁵  Dominique Rey⁵  Bruno Spire⁵ 

[1] IMBE UMR7263, Aix Marseille Université, CNRS, IRD, Avignon Université, Marseille, France;Department of Obstetrics, Gynecology and Reproductive Medicine, APHM, La Conception Hospital, Marseille, France;UMR912 “Economics and Social Sciences Applied to Health & Analysis of Medical Information” (SESSTIM), 13006,, Marseille, France;Institut Paoli-Calmettes, Marseille, France;UMR912 “Economics and Social Sciences Applied to Health & Analysis of Medical Information” (SESSTIM), 13006,, Marseille, France;UMR_S912, IRD, Aix Marseille Université, Marseille, France;UMR912 “Economics and Social Sciences Applied to Health & Analysis of Medical Information” (SESSTIM), 13006,, Marseille, France;UMR_S912, IRD, Aix Marseille Université, Marseille, France;BiosTIC, La Timone Hospital, APHM, Marseille, France;UMR912, SESSTIM, “Cancers, Biomedicine & Society” group, Institut Paoli-Calmettes, 232 Bd Ste Marguerite, 13273, Marseille, France;UMR912 “Economics and Social Sciences Applied to Health & Analysis of Medical Information” (SESSTIM), 13006,, Marseille, France;UMR_S912, IRD, Aix Marseille Université, Marseille, France;ORS PACA, Southeastern Health Regional Observatory, Marseille, France;

关键词: Breast cancer;    Young women;    Satisfaction;    Fertility- and sexuality-related information;    Prospective cohort;    ELIPPSE40;   

DOI  :  10.1186/s12885-015-1542-0

 received in 2014-11-28, accepted in 2015-07-13,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundYoung breast cancer survivors are often dissatisfied with the information provided on fertility and sexuality. Our aim was to discuss possible contributing factors and to propose strategies to increase patient satisfaction with such information.MethodsUsing the French National Health Insurance System database, we constituted the ELIPPSE40 regional cohort of 623 women, aged 18–40, diagnosed with breast cancer between 2005 and 2011. As of January 2014, 319 women had taken part in the 10-, 16-, 28 and 48-month telephone interviews. Satisfaction with the information provided about the potential impact of cancer and its treatment on fertility and sexuality was assessed at 48 months after diagnosis on 5-point Likert scales.ResultsFour years after diagnosis, only 53.0 and 42.6 % of women were satisfied with fertility- and sexuality-related information, respectively, without any significant change over the 2009–2014 period (P = 0.585 and P = 0.676 respectively). The two issues were moderately correlated (ρ = 0.60; P <0.001). General satisfaction with medical follow-up was the only common correlate. Irrespective of sociodemographic and medical characteristics, satisfaction with fertility-related information was greater among women with a family history of breast/ovarian cancer who had the opportunity to ask questions at the time of cancer disclosure. Satisfaction with sexuality-related information increased with the spontaneous provision of information by physicians at cancer disclosure.ConclusionsPromoting both patients’ question asking behavior and more systematic information could improve communication between caregivers and young breast cancer survivors and address distinct unmet needs regarding fertility- and sexuality- related information.

【 授权许可】

Unknown   
© Charif et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.