Consult and procedure incidence outcomes following establishment of a fertility preservation program for children with cancer
Autor: | Terri M. Galanits, Katherine J. Rian, Reda S. Hussein, J.R. Fredrickson, David L. Walker, Adriana M. Delgado, Anthony Krenik, Asma J Chattha, Julia Byrne, Kathrynne M. Barud, Kari L. Lampat, Carola A.S. Arndt, Zaraq Khan, Candace F. Granberg, Siobhan T. Pittock, Patricio C. Gargollo, Supriya Behl, Vidhu B. Joshi, D. Dean Potter, Yulian Zhao |
---|---|
Rok vydání: | 2021 |
Předmět: |
Counseling
0301 basic medicine Infertility medicine.medical_specialty media_common.quotation_subject Reproductive medicine Fertility Pediatrics 03 medical and health sciences 0302 clinical medicine Cancer Survivors Quality of life Neoplasms Genetics medicine Humans Fertility preservation Child Referral and Consultation Genetics (clinical) Retrospective Studies media_common 030219 obstetrics & reproductive medicine business.industry Incidence (epidemiology) Medical record Fertility Preservation Obstetrics and Gynecology General Medicine medicine.disease Pediatric cancer 030104 developmental biology Reproductive Medicine Family medicine Quality of Life Female business Developmental Biology |
Zdroj: | J Assist Reprod Genet |
ISSN: | 1573-7330 1058-0468 |
Popis: | PURPOSE: Fertility is a quality of life outcome adversely affected by cancer therapy. Many childhood cancer patients, however, are not offered options to preserve their fertility. Providers acknowledge difficulty discussing impaired fertility to patients due to lack of knowledge of available options. Our objective was to review the impact of a pediatric multidisciplinary fertility preservation program on providers’ fertility preservation counseling and discussion of options. METHODS: A retrospective medical chart review was conducted for pediatric cancer patients prior to and following program establishment. Fertility preservation discussions, consults, and incidence were noted. Following filtering and stratification, 198 and 237 patients were seen prior to and following program establishment, respectively. RESULTS: Following program establishment, provider–patient discussions of impaired fertility (p = 0.007), fertility preservation consults (p = 0.01), and incidence of fertility preservation procedures (p < 0.001) increased among patients. Furthermore, the number of patients who received fertility preservation consults after receiving gonadotoxic treatment decreased (p < 0.001). This trend was particularly noted in pre-pubertal and female patients, for whom fertility preservation options are limited without an established program. CONCLUSION: The establishment of a formal program greatly improved access to fertility preservation consults and procedures in children with cancer. |
Databáze: | OpenAIRE |
Externí odkaz: |