Incidence and influencing factors of fertility concerns in breast cancer in young women: a systematic review and meta-analysis

Bibliographic Details
Title: Incidence and influencing factors of fertility concerns in breast cancer in young women: a systematic review and meta-analysis
Authors: Lijuan Chen, Jiali Shen, Hongzhan Jiang, Huihui Lin, Jiaxi He, Siyue Fan, Liping Yang, Doudou Yu, Rongliang Qiu, Ende Lin
Source: Frontiers in Oncology, Vol 13 (2023)
Publisher Information: Frontiers Media S.A., 2023.
Publication Year: 2023
Collection: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: breast cancer, fertility concerns, women, meta-analysis, systematic review, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: ObjectiveThis systematic review and meta-analysis aimed to evaluate the prevalence and influencing factors of fertility concerns in breast cancer in young women.MethodsA literature search on PubMed, Embase, Web of Science, and Cochrane Library databases was conducted up to February 2023 and was analyzed (Revman 5.4 software) in this study. The papers were chosen based on inclusion standards, and two researchers independently extracted the data. The included studies’ quality was evaluated using criteria set out by the Agency for Healthcare Research and Quality. To identify significant variations among the risk factors, odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) were utilized.ResultsA total of 7 studies that included 1579 breast cancer in young women were enrolled in the study. The results showed that for breast cancer in young women, the incidence of fertility concerns 53%(95%CI [0.45,0.58]). The results showed that education (2.65, 95% CI 1.65–5.63), full-time work (0.12, 95% CI 1.03–1.93), fertility intentions (7.84, 95% CI 1.50–37.4), depression level (1.25, 95% CI 1.03–1.5), and endocrine therapy (1.32, 95% CI 1.08–1.62) were risk factors for fertility concerns in young women with BC. Having a partner (0.41, 95% CI 0.33–0.5), ≥1 child (0.3, 95% CI 0.22–0.4) were identified as protective factors against fertility concerns in young women with BC.ConclusionsThe incidence of fertility concerns in breast cancer in young women is at a moderately high level. We should pay more attention to the risk factors of fertility concerns to help breast cancer in young women cope with their fertility concerns and promote their psychological well-being.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2234-943X
Relation: https://www.frontiersin.org/articles/10.3389/fonc.2023.1273529/full; https://doaj.org/toc/2234-943X
DOI: 10.3389/fonc.2023.1273529
Access URL: https://doaj.org/article/b0860e1e66de44ad8c302fd87e343dac
Accession Number: edsdoj.b0860e1e66de44ad8c302fd87e343dac
Database: Directory of Open Access Journals
More Details
ISSN:2234943X
DOI:10.3389/fonc.2023.1273529
Published in:Frontiers in Oncology
Language:English