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Communication Between Oncofertility Providers and Patients

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Oncofertility Medical Practice

Abstract

Although they are faced with the stresses inherent in a new cancer diagnosis, reproductive-age cancer patients (and the parents of prepubertal cancer patients) list future fertility as one of their most important concerns. Unfortunately, very few patients have the opportunity to discuss fertility issues with their oncologist or are referred to a reproductive specialist at or soon after their initial cancer diagnosis. Both provider- and patient-related issues contribute to the poor communication of fertility issues, including lack of knowledge of the impact of cancer therapies on fertility and lack of resources for referring patients to reproductive specialists. It is clear that discussions about fertility preservation are of most benefit when they occur as early as possible after the cancer diagnosis. Increasing providers’ awareness of current guidelines regarding fertility preservation for cancer patients, as well as the patient resources that are available, can facilitate timely referral of patients to a consultation with a reproductive specialist. Patients may benefit from educational resources on basic concepts and issues in reproduction and fertility that they can access before their visit to the reproductive specialist.

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References

  1. Connell S, Patterson C, Newman B. Issues and concerns of young Australian women with breast cancer. Support Care Cancer. 2006;14:419–26.

    Article  PubMed  Google Scholar 

  2. Partridge AH, et al. Web-based survey of fertility issues in young women with breast cancer. J Clin Oncol. 2004;22:4174–83.

    Article  PubMed  Google Scholar 

  3. Thewes B, et al. Fertility- and menopause-related information needs of younger women with a diagnosis of early breast cancer. J Clin Oncol. 2005;23:5155–65.

    Article  PubMed  CAS  Google Scholar 

  4. Fallowfield L, McGurk R, Dixon M. Same gain, less pain: potential patient preferences for adjuvant treatment in premenopausal women with early breast cancer. Eur J Cancer. 2004;40:2403–10.

    Article  PubMed  Google Scholar 

  5. Schover LR, et al. Having children after cancer. A pilot survey of survivors’ attitudes and experiences. Cancer. 1999;86:697–709.

    Article  PubMed  CAS  Google Scholar 

  6. Hartmann JT, et al. Long-term effects on sexual function and fertility after treatment of testicular cancer. Br J Cancer. 1999;80:801–7.

    Article  PubMed  CAS  Google Scholar 

  7. Saito K, et al. Sperm cryopreservation before cancer chemotherapy helps in the emotional battle against cancer. Cancer. 2005;104:521–4.

    Article  PubMed  Google Scholar 

  8. de Vries MC, et al. Attitudes of physicians and parents towards discussing infertility risks and semen cryopreservation with male adolescents diagnosed with cancer. Pediatr Blood Cancer. 2009;53:386–91.

    Article  PubMed  Google Scholar 

  9. Anderson RA, et al. Do doctors discuss fertility issues before they treat young patients with cancer? Hum Reprod. 2008;23:2246–51.

    Article  PubMed  Google Scholar 

  10. Kohler TS, et al. Results from the survey for preservation of adolescent reproduction (SPARE) study: gender disparity in delivery of fertility preservation message to adolescents with cancer. J Assist Reprod Genet. 2010;28:269–77.

    Article  PubMed  Google Scholar 

  11. Quinn GP, et al. Physician referral for fertility preservation in oncology patients: a national study of practice behaviors. J Clin Oncol. 2009;27:5952–7.

    Article  PubMed  Google Scholar 

  12. Forman EJ, Anders CK, Behera MA. A nationwide survey of oncologists regarding treatment-related infertility and fertility preservation in female cancer patients. Fertil Steril. 2010;94:1652–6.

    Article  PubMed  Google Scholar 

  13. King L, et al. Oncology nurses’ perceptions of barriers to discussion of fertility preservation with patients with cancer. Clin J Oncol Nurs. 2008;12:467–76.

    Article  PubMed  Google Scholar 

  14. Quinn GP, et al. Discussion of fertility preservation with newly diagnosed patients: oncologists’ views. J Cancer Surviv. 2007;1:146–55.

    Article  PubMed  Google Scholar 

  15. Snyder KA, Pearse W. Discussing fertility preservation options with patients with cancer. JAMA. 2011;306:202–3.

    Article  PubMed  CAS  Google Scholar 

  16. Schover LR, et al. Oncologists’ attitudes and practices regarding banking sperm before cancer treatment. J Clin Oncol. 2002;20:1890–7.

    Article  PubMed  Google Scholar 

  17. Lee SJ, et al, American Society of Clinical Oncology. American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. J Clin Oncol. 2006;24:2917–31.

    Google Scholar 

  18. Meneses K, et al. Development of the fertility and cancer project: an internet approach to help young cancer survivors. Oncol Nurs Forum. 2010;37:191–7.

    Article  PubMed  Google Scholar 

  19. Thewes B, et al. The fertility- and menopause-related information needs of younger women with a diagnosis of breast cancer: a qualitative study. Psychooncology. 2003;12:500–11.

    Article  PubMed  Google Scholar 

  20. Balthazar U, Fritz MA, Mersereau JE. Fertility preservation: a pilot study to assess previsit patient knowledge quantitatively. Fertil Steril. 2011;95:1913–6.

    Article  PubMed  Google Scholar 

  21. Peate M, et al. It’s now or never: fertility-related knowledge, decision-making preferences, and treatment intentions in young women with breast cancer–an Australian fertility decision aid collaborative group study. J Clin Oncol. 2011;29:1670–7.

    Article  PubMed  Google Scholar 

  22. Balthazar U, Fritz MA, Mersereau JE. Fertility preservation treatment options: what do patients actually understand about their choices? Hum Reprod. 2012. In press.

    Article  Google Scholar 

  23. Balthazar U, Fritz MA, Mersereau JE. Decision making under duress: what predicts decisional conflict among fertility preservation patients? Fertil Steril. 2010;94:S105.

    Article  Google Scholar 

  24. Ethics Committee of the American Society for Reproductive Medicine. Fertility preservation and reproduction in cancer patients. Fertil Steril. 2005;83:1622–8.

    Article  Google Scholar 

  25. Practice Committee of the Society for Assisted Reproductive Technology, Practice Committee of the American Society for Reproductive Medicine. Essential elements of informed consent for elective oocyte cryopreservation: a Practice Committee opinion. Fertil Steril. 2007;88:1495–6.

    Article  Google Scholar 

  26. Practice Committee of American Society for Reproductive Medicine, Practice Committee of Society for Assisted Reproductive Technology. Ovarian tissue and oocyte cryopreservation. Fertil Steril. 2008;90:S241–6.

    Google Scholar 

  27. Fertile Hope. Cancer and fertility information. 2011. http://www.fertilehope.org/learn-more/cancer-and-fertility-info/index.cfm. Accessed 21 Nov 2011.

  28. Fallat ME, Hutter J. Preservation of fertility in pediatric and adolescent patients with cancer. Pediatrics. 2008;121:e1461–9.

    Article  PubMed  Google Scholar 

  29. Woodruff TK. The Oncofertility Consortium–addressing fertility in young people with cancer. Nat Rev Clin Oncol. 2010;7:466–75.

    Article  PubMed  Google Scholar 

  30. Lee S, et al. Value of early referral to fertility preservation in young women with breast cancer. J Clin Oncol. 2010;28:4683–6.

    Article  PubMed  Google Scholar 

  31. Waljee JF, Rogers MA, Alderman AK. Decision aids and breast cancer: do they influence choice for surgery and knowledge of treatment options? J Clin Oncol. 2007;25:1067–73.

    Article  PubMed  Google Scholar 

  32. Jukkala AM, et al. Self-assessed knowledge of treatment and fertility preservation in young women with breast cancer. Fertil Steril. 2010;94:2396–8.

    Article  PubMed  Google Scholar 

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Acknowledgments

This work was supported by the Oncofertility Consortium NIH/NICHD 5UL1DE019587.

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Authors and Affiliations

  1. Division of Reproductive Endocrinology and Infertility, University of North Carolina, 4001 Old Clinic Building, CB-7570, Chapel Hill, NC, 27599, USA

    Jennifer Mersereau M.D., M.S.C.I.

Authors
  1. Jennifer Mersereau M.D., M.S.C.I.
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Corresponding author

Correspondence to Jennifer Mersereau M.D., M.S.C.I. .

Editor information

Editors and Affiliations

  1. Perelman School of Medicine, Obstetrics and Gynecology, University of Pennsylvania, Market St 3701, Philadelphia, 19104, Pennsylvania, USA

    Clarisa Gracia

  2. Northwestern University, Obstetrics and Gynecology, Feinberg School of Medicine, E Superior St 303, Chicago, 60611-3015, Illinois, USA

    Teresa K Woodruff

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© 2012 Springer Science+Business Media New York

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Mersereau, J. (2012). Communication Between Oncofertility Providers and Patients. In: Gracia, C., Woodruff, T. (eds) Oncofertility Medical Practice. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9425-7_11

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  • DOI: https://doi.org/10.1007/978-1-4419-9425-7_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-9424-0

  • Online ISBN: 978-1-4419-9425-7

  • eBook Packages: MedicineMedicine (R0)

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