Feasibility, acceptability and appropriateness of a reproductive patient reported outcome measure for cancer survivors.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2021
Historique:
received: 28 04 2021
accepted: 04 08 2021
entrez: 27 8 2021
pubmed: 28 8 2021
medline: 15 12 2021
Statut: epublish

Résumé

Cancer patients can experience a number of reproductive complications as a result of cancer treatment and may benefit from reproductive preventative health strategies. A Reproductive Survivorship Patient Reported Outcome Measure (RS-PROM) is not currently available but could assist patients address reproductive concerns. To develop and test the acceptability, feasibility and appropriateness of a RS-PROM tool to be used to assess reproductive needs of cancer survivors aged 18-45 years. We reviewed the outcomes of a recently published audit of reproductive care provided in our cancer survivorship clinic to identify gaps in current service provided and used this along with available validated reproductive measures, to develop this pilot RS-PROM. Survivors aged 18-45 years either attending the SCH survivorship clinic over a 1-year period or participants on the Australasian Oncofertility Registry (AOFR) who had agreed to be contacted for future research studies were asked to complete the RS-PROM and a questionnaire on the acceptability, feasibility and appropriateness of content included. One-hundred and fifty patients participated (61.3% females). Median age at cancer diagnosis was 24.5 years (range: 2-45 years). Eighty percent of participants reported the length of the RS-PROM was "just right", 92% agreed they would not mind completing the RS-PROM and 92.7% were willing to answer all questions, with 97% agreeing that the RS-PROM would be an important tool in addressing difficult sexual/reproductive topics concerning with healthcare professionals. The large majority of survivors participating in our pilot study found the RS-PROM to be an acceptable, feasible and useful tool to assist discussions of their sexual and reproductive health concerns and experiences with their clinical team.

Sections du résumé

BACKGROUND
Cancer patients can experience a number of reproductive complications as a result of cancer treatment and may benefit from reproductive preventative health strategies. A Reproductive Survivorship Patient Reported Outcome Measure (RS-PROM) is not currently available but could assist patients address reproductive concerns.
PURPOSE
To develop and test the acceptability, feasibility and appropriateness of a RS-PROM tool to be used to assess reproductive needs of cancer survivors aged 18-45 years.
METHODS
We reviewed the outcomes of a recently published audit of reproductive care provided in our cancer survivorship clinic to identify gaps in current service provided and used this along with available validated reproductive measures, to develop this pilot RS-PROM. Survivors aged 18-45 years either attending the SCH survivorship clinic over a 1-year period or participants on the Australasian Oncofertility Registry (AOFR) who had agreed to be contacted for future research studies were asked to complete the RS-PROM and a questionnaire on the acceptability, feasibility and appropriateness of content included.
RESULTS
One-hundred and fifty patients participated (61.3% females). Median age at cancer diagnosis was 24.5 years (range: 2-45 years). Eighty percent of participants reported the length of the RS-PROM was "just right", 92% agreed they would not mind completing the RS-PROM and 92.7% were willing to answer all questions, with 97% agreeing that the RS-PROM would be an important tool in addressing difficult sexual/reproductive topics concerning with healthcare professionals.
CONCLUSION
The large majority of survivors participating in our pilot study found the RS-PROM to be an acceptable, feasible and useful tool to assist discussions of their sexual and reproductive health concerns and experiences with their clinical team.

Identifiants

pubmed: 34449779
doi: 10.1371/journal.pone.0256497
pii: PONE-D-21-14078
pmc: PMC8396734
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0256497

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Brigitte Gerstl (B)

Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.

Christina Signorelli (C)

Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.
Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.
School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, Australia.

Claire E Wakefield (CE)

Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.
Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.
School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, Australia.

Chantelle D'Souza (C)

Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.

Rebecca Deans (R)

School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, Australia.
Department of Gynaecology, the Royal Hospital for Women, Sydney, NSW, Australia.
Fertility Research Centre, the Royal Hospital for Women, Sydney, NSW, Australia.

Tejnei Vaishnav (T)

Fertility Research Centre, the Royal Hospital for Women, Sydney, NSW, Australia.

Karen Johnston (K)

Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.

Kristen A Neville (KA)

School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, Australia.
Department of Endocrinology, Sydney Children's Hospital, Sydney, NSW, Australia.

Richard J Cohn (RJ)

Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.
Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.
School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, Australia.

Antoinette Anazodo (A)

Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.
School of Women's and Children's Health, UNSW Medicine, University of New South Wales, Sydney, Australia.
Nelune Comprehensive Cancer Centre, Prince of Wales Hospital, Sydney, NSW, Australia.

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Classifications MeSH