Fertility-related information received by young women and men with cancer - a population-based survey.


Journal

Acta oncologica (Stockholm, Sweden)
ISSN: 1651-226X
Titre abrégé: Acta Oncol
Pays: England
ID NLM: 8709065

Informations de publication

Date de publication:
Aug 2021
Historique:
pubmed: 26 3 2021
medline: 16 7 2021
entrez: 25 3 2021
Statut: ppublish

Résumé

Infertility is a well-known sequela of cancer treatment. Despite guidelines recommending early discussions about risk of fertility impairment and fertility preservation options, not all patients of reproductive age receive such information. This study aimed to investigate young adult cancer patients' receipt of fertility-related information and use of fertility preservation, and to identify sociodemographic and clinical factors associated with receipt of information. A population-based cross-sectional survey study was conducted with 1010 young adults with cancer in Sweden (response rate 67%). The inclusion criteria were: a previous diagnosis of breast cancer, cervical cancer, ovarian cancer, brain tumor, lymphoma or testicular cancer between 2016 and 2017, at an age between 18 and 39 years. Data were analyzed using logistic regression models. A majority of men (81%) and women (78%) reported having received information about the potential impact of cancer/treatment on their fertility. A higher percentage of men than women reported being informed about fertility preservation (84% men vs. 40% women, There is room for improvement in the equal provision of information about fertility issues to young adult cancer patients.

Sections du résumé

BACKGROUND BACKGROUND
Infertility is a well-known sequela of cancer treatment. Despite guidelines recommending early discussions about risk of fertility impairment and fertility preservation options, not all patients of reproductive age receive such information.
AIMS OBJECTIVE
This study aimed to investigate young adult cancer patients' receipt of fertility-related information and use of fertility preservation, and to identify sociodemographic and clinical factors associated with receipt of information.
MATERIALS AND METHODS METHODS
A population-based cross-sectional survey study was conducted with 1010 young adults with cancer in Sweden (response rate 67%). The inclusion criteria were: a previous diagnosis of breast cancer, cervical cancer, ovarian cancer, brain tumor, lymphoma or testicular cancer between 2016 and 2017, at an age between 18 and 39 years. Data were analyzed using logistic regression models.
RESULTS RESULTS
A majority of men (81%) and women (78%) reported having received information about the potential impact of cancer/treatment on their fertility. A higher percentage of men than women reported being informed about fertility preservation (84% men vs. 40% women,
CONCLUSION CONCLUSIONS
There is room for improvement in the equal provision of information about fertility issues to young adult cancer patients.

Identifiants

pubmed: 33764839
doi: 10.1080/0284186X.2021.1900909
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

976-983

Auteurs

Alexandra Wide (A)

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Lena Wettergren (L)

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

Johan Ahlgren (J)

Department of Oncology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Regional Cancer Centre Mellansverige, Uppsala, Sweden.

Karin E Smedby (KE)

Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Center for Hematology, Karolinska University Hospital, Stockholm, Sweden.

Kristina Hellman (K)

Department of Gynecologic Cancer, Theme Cancer, Karolinska University Hospital, Stockholm, Sweden.

Roger Henriksson (R)

Department of Radiation Science and Oncology, University Hospital, Umeå, Sweden.

Kenny Rodriguez-Wallberg (K)

Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Department of Reproductive Medicine, Division of Gynecology and Reproduction, Karolinska University Hospital, Stockholm, Sweden.

Olof Ståhl (O)

Department of Oncology, Skåne University Hospital, Lund, Sweden.

Claudia Lampic (C)

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

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Classifications MeSH