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Table 4 Evaluation of existing models- Knowledge, attitudes and practices of healthcare providers in the world

From: Fertility preservation healthcare circuit and networks in cancer patients worldwide: what are the issues?

Location, Year Authors, Reference Study design Main results
USA, 2011 Köhler et al., [26] 209 pediatric oncologists 83% of pediatric oncologists acknowledged that fertility threats to female patients are a major concern for them Only 12% reported that they refer at least 50% of female cancer patients to a fertility specialist prior to cancer treatment < 50% were aware of the ASCO recommendations published in 2006
USA, 2010 Forman et al., [25] 249 oncologists 95% routinely discussed a treatment’s impact on fertility: 93% for gynecologic oncologists vs 60% for other oncologists Although 82% have referred patients to reproductive endocrinologists, more than half rarely refer.
Canada, 2012 Yee et al. [35] 152 oncologists 45% did not know where to refer patients for female fertility preservation
Canada, 2013 Ronn and Holzer, [13] All FP services available 63% of the responding non-IVF fertility centres do not provide any FP services, including consultations. 80% of the responding IVF fertility centres provided both consultations and FP services for women with cancer, with an additional 10% saying that they provide consultations only.
Iran, 2011 Ghorbani et al., [36] 30 specialists: 85% oncologists; 15% other specialists in cancer treatment 67% were attentive to the damaging effects of radiochemotherapy on fertility at the time of diagnosis 40% insisted that the FP topic should be brought up by patients themselves. Only 46% of the oncologists knew about FP techniques The greatest barrier to parental acceptance of FP for children was lack of information (41%)
France, 2013 Préaubert et al., [37] 225 French doctors from the PACA region 58% felt a lack information about indications and FP techniques 54% referred no patients to FP consultation over a period of 6 months
UK, 2008 Cannell [38] 84 Primary Care Trusts 46% did not provide patient information 33% did not commission facilities for embryo storage and 37% did not commission facilities for oocyte storage
UK, 2013 Adams, Hill and Watson, [39] 100 oncologists 87% expressed a need for information Only 38% reported routinely providing patients with written information 23% had never consulted any FP guidelines 1/3 did not usually refer patients to a specialist fertility service.
India, 2016 Mahajan et al. [9] 157 gynecologists 81% agreed with the ASCO recommendations 42% routinely discussed cancer impact on fertility 37% routinely discussed a treatment’s impact on fertility