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Multidisciplinary Shared Decision Making for Fertility Preservation in Young Women With Breast Cancer

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dc.contributor.author박세호-
dc.date.accessioned2024-01-03T01:00:11Z-
dc.date.available2024-01-03T01:00:11Z-
dc.date.issued2023-10-
dc.identifier.issn1738-6756-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/197426-
dc.description.abstractPurpose: Fertility preservation (FP) is an important issue for young survivors of breast cancer. Although international guidelines recommend pre-treatment fertility counseling for women with breast cancer, there is no standardized protocol or referral system for FP in South Korea. There are also barriers to discussing FP that make patient-centered decision making difficult. This study aimed to develop a shared decision making program for FP and compare the rates of FP procedures between the usual care and shared decision making groups. We hypothesized that multidisciplinary shared decision making for FP would increase the rate of FP procedures and patient satisfaction. Methods: The multidisciplinary shared decision making for FP in young women with breast cancer (MYBC) is a multicenter, clustered, stepped-wedge, randomized trial. A total of 1100 patients with breast cancer, aged 19-40 years, from nine hospitals in South Korea, will be enrolled. They will be randomized at the institutional level and assigned to usual care and shared decision making groups. Four institutions, each of which can recruit more than 200 patients, will each become a cluster, whereas five institutions, each of which can recruit more than 50 patients, will become one cluster, for a total of five clusters. The shared decision making groups will receive multidisciplinary programs for FP developed by the investigator. The primary outcome is the rate of FP procedures; secondary outcomes include fertility results, satisfaction, and quality of life. Outcomes will be measured at enrollment, treatment initiation, and the 1-, 3-, and 5-year follow-ups after starting breast cancer treatment. Discussion: A multidisciplinary shared decision making program for FP is expected to increase fertility rates and satisfaction among young patients with breast cancer. This study will provide the evidence to implement a multidisciplinary system for patients with breast cancer. Trial registration: ClinicalTrials.gov Identifier: NCT05139641. Registered on December 1, 2021.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean, English-
dc.publisherKorean Breast Cancer Society-
dc.relation.isPartOfJOURNAL OF BREAST CANCER-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleMultidisciplinary Shared Decision Making for Fertility Preservation in Young Women With Breast Cancer-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorSoo Yeon Baek-
dc.contributor.googleauthorHong-Kyu Kim-
dc.contributor.googleauthorSeho Park-
dc.contributor.googleauthorJong Han Yu-
dc.contributor.googleauthorMin Hyuk Lee-
dc.contributor.googleauthorHyun Jo Youn-
dc.contributor.googleauthorHyun-Ah Kim-
dc.contributor.googleauthorJai Hong Han-
dc.contributor.googleauthorJung Eun Choi-
dc.contributor.googleauthorJung Ryeol Lee-
dc.contributor.googleauthorKyung-Hun Lee-
dc.contributor.googleauthorSeockhoon Chung-
dc.contributor.googleauthorHee Dong Chae-
dc.contributor.googleauthorSeonok Kim-
dc.contributor.googleauthorSoyoung Yoo-
dc.contributor.googleauthorSang Keun Hahm-
dc.contributor.googleauthorHee Jeong Kim-
dc.identifier.doi10.4048/jbc.2023.26.e44-
dc.contributor.localIdA01524-
dc.relation.journalcodeJ01279-
dc.identifier.eissn2092-9900-
dc.identifier.pmid37985382-
dc.subject.keywordBreast Neoplasms-
dc.subject.keywordDecision Making, Shared-
dc.subject.keywordFertility-
dc.subject.keywordFertility Preservation-
dc.contributor.alternativeNamePark, Se Ho-
dc.contributor.affiliatedAuthor박세호-
dc.citation.volume26-
dc.citation.startPagee44-
dc.identifier.bibliographicCitationJOURNAL OF BREAST CANCER, Vol.26 : e44, 2023-10-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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