{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:19:40Z","timestamp":1777450780479,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,8,25]],"date-time":"2017-08-25T00:00:00Z","timestamp":1503619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"the Swedish Cancer Society","award":["2010\/877"],"award-info":[{"award-number":["2010\/877"]}]},{"name":"the Swedish Research Council for Health, Working Life and Welfare"},{"name":"the V\u00e5rdal Foundation"},{"name":"the Swedish Childhood Cancer Foundation","award":["TJ2014-0050"],"award-info":[{"award-number":["TJ2014-0050"]}]},{"DOI":"10.13039\/501100007232","name":"the Cancer Research Foundations of Radiumhemmet","doi-asserted-by":"crossref","award":["121242"],"award-info":[{"award-number":["121242"]}],"id":[{"id":"10.13039\/501100007232","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Doctoral School in Health Care Sciences, Karolinska Institutet"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to investigate practice behaviours of Swedish physicians with regard to discussing the impact of cancer treatment on fertility with paediatric oncology patients and their parents, and to identify factors associated with such discussions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey study was conducted targeting all physicians in Sweden working in paediatric oncology care settings. Participants responded to a questionnaire measuring practice behaviour, attitudes, barriers, and confidence in knowledge. Multivariable logistic regression was used to determine factors associated with seldom discussing fertility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>More than half of the physicians routinely talked with their patients\/parents about the treatment's potential impact on fertility (male patients: 62%; female patients: 57%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.570). Factors associated with less frequently discussing fertility with patients\/parents were working at a non\u2010university hospital (male patients: OR 11.49, CI 1.98\u201366.67; female patients: OR 33.18, CI 4.06\u2013271.07), concerns that the topic would cause worry (male patients: OR 8.23, CI 1.48\u201345.89; female patients: OR 12.38, CI 1.90\u201380.70), and perceiving the parents as anxious (male patients: OR 7.18, CI 1.20\u201342.85; female patients: OR 11.65, CI 1.32\u2013103.17).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Based on our findings, we recommend structured training in how to communicate about fertility issues in stressful situations, which in turn might increase fertility\u2010related discussions in paediatric oncology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4507","type":"journal-article","created":{"date-parts":[[2017,7,22]],"date-time":"2017-07-22T17:26:35Z","timestamp":1500744395000},"page":"1684-1690","source":"Crossref","is-referenced-by-count":24,"title":["Physicians' self\u2010reported practice behaviour regarding fertility\u2010related discussions in paediatric oncology in Sweden"],"prefix":"10.1002","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7927-4041","authenticated-orcid":false,"given":"G.M.","family":"Armuand","sequence":"first","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6430-6231","authenticated-orcid":false,"given":"J.","family":"Nilsson","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4378-6181","authenticated-orcid":false,"given":"K.A.","family":"Rodriguez\u2010Wallberg","sequence":"additional","affiliation":[{"name":"Department of Oncology\u2010Pathology Karolinska Institutet  Stockholm Sweden"},{"name":"Reproductive Medicine Karolinska University Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Malmros","sequence":"additional","affiliation":[{"name":"Paediatric Oncology Unit, Astrid Lindgren Children's Hospital Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Women's and Children's Health Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Arvidson","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1739-4486","authenticated-orcid":false,"given":"C.","family":"Lampic","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1279-2191","authenticated-orcid":false,"given":"L.","family":"Wettergren","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm 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