Quality of integrated female oncofertility care is suboptimal: A patient-reported measurement
| Autor: | Michelle van den Berg, Suzanne E. J. Kaal, Teska N. Schuurman, Didi D. M. Braat, Caroline M. P. W. Mandigers, Jolien Tol, Jacqueline M. Tromp, Maurice J. D. L. van der Vorst, Catharina C. M. Beerendonk, Rosella P. M. G. Hermens |
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| Přispěvatelé: | Internal medicine, CCA - Cancer Treatment and quality of life, Obstetrics and Gynaecology, Oncology, CCA -Cancer Center Amsterdam |
| Rok vydání: | 2023 |
| Předmět: |
female cancer patients
Cancer Research All institutes and research themes of the Radboud University Medical Center oncofertility care Oncology quality of care cancer Radiology Nuclear Medicine and imaging quality indicators Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] Rare cancers Radboud Institute for Health Sciences [Radboudumc 9] |
| Zdroj: | Cancer Medicine. John Wiley and Sons Ltd van den Berg, M, Kaal, S E J, Schuurman, T N, Braat, D D M, Mandigers, C M P W, Tol, J, Tromp, J M, van der Vorst, M J D L, Beerendonk, C C M & Hermens, R P M G 2022, ' Quality of integrated female oncofertility care is suboptimal : A patient-reported measurement ', Cancer Medicine . https://doi.org/10.1002/cam4.5149 Cancer Medicine, 12, 3, pp. 2691-2701 Cancer medicine. John Wiley and Sons Ltd Cancer Medicine, 12, 2691-2701 |
| ISSN: | 2045-7634 |
| DOI: | 10.1002/cam4.5149 |
| Popis: | Contains fulltext : 291305.pdf (Publisher’s version ) (Open Access) BACKGROUND: Clinical practice guidelines recommend to inform female cancer patients about their infertility risks due to cancer treatment. Unfortunately, it seems that guideline adherence is suboptimal. In order to improve quality of integrated female oncofertility care, a systematic assessment of current practice is necessary. METHODS: A multicenter cross-sectional survey study in which a set of systematically developed quality indicators was processed, was conducted among female cancer patients (diagnosed in 2016/2017). These indicators represented all domains in oncofertility care; risk communication, referral, counseling, and decision-making. Indicator scores were calculated, and determinants were assessed by multilevel multivariate analyses. RESULTS: One hundred twenty-one out of 344 female cancer patients participated. Eight out of 11 indicators scored below 90% adherence. Of all patients, 72.7% was informed about their infertility, 51.2% was offered a referral, with 18.8% all aspects were discussed in counseling, and 35.5% received written and/or digital information. Patient's age, strength of wish to conceive, time before cancer treatment, and type of healthcare provider significantly influenced the scores of three indicators. CONCLUSIONS: Current quality of female oncofertility care is far from optimal. Therefore, improvement is needed. To achieve this, improvement strategies that are tailored to the identified determinants and to guideline-specific barriers should be developed. 01 februari 2023 |
| Databáze: | OpenAIRE |
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