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논문 기본 정보

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학술저널
저자정보
Yusuke Kobayashi (Keio University School of Medicine) Kenta Masuda (Department of Obstetrics and Gynecology Keio University School of Medicine Tokyo Japan) Akira Hiraswa (Department of Clinical Genomic Medicine Graduate School of Medicine Dentistry and Pharmaceutical Sc) Kazuhiro Takehara (National Hospital Organization Shikoku Cancer Center) Hitoshi Tsuda (National Defense Medical College Hospita) Yoh Watanabe (Division of Obstetrics and Gynecology Faculty of Medicine Tohoku Medical and Pharmaceutical Univers) Katsutoshi Oda (University of Tokyo) Satoru Nagase (Yamagata University Faculty of Medicine) Masaki Mandai (Kyoto University Graduate School of Medicine) Aikou Okamoto (The Jikei University School of Medicine) Nobuo Yaegashi (Tohoku University School of Medicine) Mikio Mikami (Tokai University School of Medicine) Takayuki Enomoto (Niigata University School of Medicine Niigata Japan) Daisuke Aoki (Keio University School of Medicine) Hidetaka Katabuchi (Kumamoto University) Working Group on Clinical Practice for Cancer Genomic Medicine and HBO (Working Group on Clinical Practice for Cancer Genomic Medicine and HBOC Japan Society of Gynecologi)
저널정보
대한부인종양학회 Journal of Gynecologic Oncology Journal of Gynecologic Oncology Vol.33 No.5
발행연도
2022.9
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1 - 12 (12page)
DOI
https://doi.org/10.3802/jgo.2022.33.e61

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Objective: The practices pertaining to hereditary breast and ovarian cancer (HBOC) in Japan have been rapidly changing owing to the clinical development of poly(ADP-ribose) polymerase inhibitors, the increasing availability of companion diagnostics, and the broadened insurance coverage of HBOC management from April 2020. A questionnaire of gynecologic oncologists was conducted to understand the current status and to promote the widespread standardization of future HBOC management. Methods: A Google Form questionnaire was administered to the members of the Japan Society of Gynecologic Oncology. The survey consisted of 25 questions in 4 categories: respondent demographics, HBOC management experience, insurance coverage of HBOC management, and educational opportunities related to HBOC. Results: A total of 666 valid responses were received. Regarding the prevalence of HBOC practice, the majority of physicians responded in the negative and required human resources, information sharing and educational opportunities, and expanded insurance coverage to adopt and improve HBOC practice. Most physicians were not satisfied with the educational opportunities provided so far, and further expansion was desired. They remarked on the psychological burdens of many HBOC managements. Physicians reported these burdens could be alleviated by securing sufficient time to engage in HBOC management, creating easy-to-understand explanatory material for patients, collaboration with specialists in genetic medicine, and educational opportunities. Conclusion: Gynecologic oncologists in Japan are struggling to deal with psychological burdens in HBOC practice. To promote the clinical practice of HBOC management, there is an urgent need to strengthen human resources and improve educational opportunities, and expand insurance coverage for HBOC management.
#Keywords: Hereditary Breast and Ovarian Cancer Syndrome #Obstetrics and Gynecology Department #Hospital #Genetic Testing #Insurance Coverage #Poly(ADP-Ribose) Polymerase Inhibitors

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