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Artículo

Physicians and patients’ motivations to perform elective single or double-embryo transfers: A nationwide survey

Glujovsky, Demian; Sueldo, Carlos; Coscia, Andrea ValeriaIcon ; De Carvalho, Paula; Lancuba, Stella; Martinez, Gustavo; Ciapponi, AgustínIcon
Fecha de publicación: 05/2018
Editorial: Elsevier Ireland
Revista: Patient Education And Counseling
ISSN: 0738-3991
Idioma: Inglés
Tipo de recurso: Artículo publicado
Clasificación temática:
Otras Ciencias de la Salud

Resumen

Objectives: To evaluate motivations to perform an elective single embryo transfer (e-SET). Methods: Cross-sectional surveys to reproductive medicine specialists and to infertile patients undergoing assisted reproductive treatments. Results: In the physician's survey (n = 278), we found that the main reasons for not offering e-SET were the physicians’ belief that patients prefer optimizing the pregnancy rates regardless of the potential complications (57.1%). Regarding the decision making process, 76.7% of physicians thought that patients and doctors should make these decisions together and 93.3% would like to have a more formal decision-aid to help with counseling. In the patients’ survey (n = 100), 21.3% chose e-SET, while 33% mentioned that complications associated to multiple pregnancies were insufficiently discussed. Among those patients, none chose to have e-SET, while 30% of those who had a full discussion selected e-SET (p = 0.05). Conclusions: Most physicians did not offer e-SET based on potential patients’ negative feelings. Also, almost 30% take important decisions without the patient's participation. Patients that discussed more thoroughly this topic, more frequently selected e-SET. Almost all the physicians surveyed agreed that decision-aids could help in this important shared-decision process. Practice implications: Decision aids about e-SET vs DET are needed to help patients in the decision making process.
Palabras clave: BARRIERS , E-SET , MULTIPLE PREGNANCY , PREFERENCES , SURVEY
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info:eu-repo/semantics/openAccess Excepto donde se diga explícitamente, este item se publica bajo la siguiente descripción: Creative Commons Attribution-NonCommercial-ShareAlike 2.5 Unported (CC BY-NC-SA 2.5)
Identificadores
URI: http://hdl.handle.net/11336/185348
DOI: http://dx.doi.org/10.1016/j.pec.2017.12.010
URL: https://www.sciencedirect.com/science/article/pii/S0738399117306560
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Articulos(CIESP)
Articulos de CENTRO DE INVESTIGACIONES EN EPIDEMIOLOGIA Y SALUD PUBLICA
Citación
Glujovsky, Demian; Sueldo, Carlos; Coscia, Andrea Valeria; De Carvalho, Paula; Lancuba, Stella; et al.; Physicians and patients’ motivations to perform elective single or double-embryo transfers: A nationwide survey; Elsevier Ireland; Patient Education And Counseling; 101; 5; 5-2018; 945-950
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