INVESTIGADORES
CIAPPONI AgustÍn
artículos
Título:
Physicians and patients’ motivations to perform elective single or double-embryo transfers: A nationwide survey
Autor/es:
GLUJOVSKY, DEMIAN; SUELDO, CARLOS E.; COSCIA, ANDREA; DE CARVALHO, PAULA; LANCUBA, STELLA; MARTINEZ, GUSTAVO; CIAPPONI, AGUSTÍN
Revista:
PATIENT EDUCATION AND COUNSELING
Editorial:
ELSEVIER IRELAND LTD
Referencias:
Año: 2018 vol. 101 p. 945 - 950
ISSN:
0738-3991
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.