Fertility education for adolescent cancer patients: Gaps in current clinical practice in Europe.
adolescent cancer patients
cryopreservation
fertility education
fertility impairment
fertility preservation
shared decision-making
Journal
European journal of cancer care
ISSN: 1365-2354
Titre abrégé: Eur J Cancer Care (Engl)
Pays: England
ID NLM: 9301979
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
26
08
2019
revised:
20
12
2019
accepted:
16
04
2020
pubmed:
23
6
2020
medline:
30
9
2021
entrez:
23
6
2020
Statut:
ppublish
Résumé
As adolescent cancer patients may suffer from infertility following treatment, fertility counselling is essential. Our aim was to explore the current situation in four European countries in terms of (I) education about the risk for infertility, (II) counselling on fertility preservation, (III) patients' knowledge on fertility, (IV) sufficiency of information and (V) uptake of cryopreservation. In total, 113 patients (13-20 years) at 11 study centres completed a self-report questionnaire three and six months after cancer diagnosis. Multivariate logistic regression was used to estimate odds ratios (OR) with 95% confidence intervals (CI). As many as 80.2% of participants reported having received education about the risk for infertility prior to treatment, 73.2% recalled counselling on fertility preservation. Only 52.3% stated they felt sufficiently informed to make a decision. Inability to recall counselling on fertility preservation (OR = 0.03, CI: 0.00-0.47) and female gender (OR = 0.11, CI: 0.03-0.48) was associated with lower use of cryopreservation, whereas older age was associated with higher use. Fertility counselling was available to a relatively high proportion of patients, and it did influence the utilisation of cryopreservation. However, many patients did not feel sufficiently informed. Further improvement is needed to enable adolescent cancer patients to make an informed decision on fertility preservation.
Types de publication
Journal Article
Langues
eng
Pagination
e13279Subventions
Organisme : KINDERHILFE - Hilfe für krebs- und schwerkranke Kinder e.V.
Organisme : Berliner Krebsgesellschaft e.V.
ID : EKPS201607
Organisme : FP7 Health
ID : 602030
Informations de copyright
© 2020 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd.
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