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dc.contributor.author
Glujovsky, Demian
dc.contributor.author
Sueldo, Carlos
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dc.contributor.author
Coscia, Andrea Valeria
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dc.contributor.author
De Carvalho, Paula
dc.contributor.author
Lancuba, Stella
dc.contributor.author
Martinez, Gustavo
dc.contributor.author
Ciapponi, Agustín
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dc.date.available
2023-01-24T11:14:40Z
dc.date.issued
2018-05
dc.identifier.citation
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
dc.identifier.issn
0738-3991
dc.identifier.uri
http://hdl.handle.net/11336/185348
dc.description.abstract
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.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier Ireland
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
BARRIERS
dc.subject
E-SET
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MULTIPLE PREGNANCY
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PREFERENCES
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SURVEY
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Otras Ciencias de la Salud
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Physicians and patients’ motivations to perform elective single or double-embryo transfers: A nationwide survey
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-01-24T10:24:31Z
dc.journal.volume
101
dc.journal.number
5
dc.journal.pagination
945-950
dc.journal.pais
Irlanda
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dc.journal.ciudad
Amsterdam
dc.description.fil
Fil: Glujovsky, Demian. Centro de Estudios en Ginecología y Reproducción; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Sueldo, Carlos. University of California; Estados Unidos
dc.description.fil
Fil: Coscia, Andrea Valeria. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: De Carvalho, Paula. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Lancuba, Stella. No especifíca;
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Fil: Martinez, Gustavo. No especifíca;
dc.description.fil
Fil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.journal.title
Patient Education And Counseling
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.pec.2017.12.010
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0738399117306560
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