ecancermedicalscience

Research

Awareness and practices of Arab oncologists towards oncofertility in young women with cancer

12 May 2022
Loay Kassem, Nawfel Mellas, Marwan Tolba, Matteo Lambertini, Karima Oualla

Background: Cancer in young women is a major health problem in the Middle Eastern and North African population. We explored the awareness, barriers and practice of Arab oncologists towards oncofertility.

Methods: Oncologists from Arab countries treating female cancer patients were invited to complete a 30-item web-based questionnaire that explores oncologists’ demographics, available techniques and barriers to oncofertility.

Results: 170 oncologists working in 9 different Arab countries responded to the questionnaire. Among the responders, 89 (52.4%) were from Egypt and the central region, 60 (35.3%) were from North Africa and 21 (12.4%) were from the Gulf region.

While most participants considered a dedicated training ‘necessary’, only 43 oncologists (25.3%) received a formal training. Only 17 participants (10%) had a fertility clinic in their centre, 44 (25.9%) and 13 (7.6%) had to refer patients to other centres or other cities, respectively. A total of 96 oncologists (56.5%) did not have access to a fertility preservation service.

Out of 147 responders, 79 (53.7%) offered fertility preservation only in patients presenting with early disease and 38 (25.9%) did not offer fertility preservation. In terms of proposed strategies, 50 responders (29.4%) offered embryo cryopreservation, 79 (46.5%) oocyte cryopreservation and 48 (28.2%) ovarian tissue cryopreservation.

Conclusion: A large gap exists between international clinical practice guidelines and current practices of fertility preservation in Arab countries. Barriers to optimum service delivery include the lack of physician awareness/training, unavailability of some advanced techniques and a lack of dedicated fertility clinics within the cancer centres.

Related Articles

Funmilola Olanike Wuraola, Olalekan Olasehinde, Matteo Di Bernardo, Akinbolaji A Akinkuolie, Adewale O Adisa, Adewale A Aderounmu, Tajudeen O Mohammed, Oluwatosin Z Omoyiola, Thomas P Kingham, Olusegun I Alatise
Arunangshu Ghoshal, Anjum Khan Joad, Odette Spruijt, Shobha Nair, MR Rajagopal, Firuza Patel, Anuja Damani, Jayita Deodhar, Dinesh Goswami, Geeta Joshi, Savita Butola, Charu Singh, Seema Rajesh Rao, Madhura Bhatwadekar, Mary Ann Muckaden, Sushma Bhatnagar
Julia Downing, Eve Namisango, Stephen Connor, Patricia Batanda, Lisa Christine Irumba, Berna Basemera, Alfred Jatho, Sylvia Nakami, Harriet Nalubega, Antonia Kamate, Dianah Basirika, Joyce Zalwango, Mable Nammudu, Wedzerai Chiyoka, Francis Kayondo, David Byaruhanga, Eugene Rusanganwa, Helena Davis, Stephen Watiti, Babe Gaolebale, Lacey N Ahern, Lydia Thomas, Emmanuel Luyirika