Journal article
Fertility preservation knowledge, counseling, and actions among adolescent and young adult patients with cancer: A population-based study
Cancer, Vol.121(19), pp.3499-3506
10/01/2015
DOI: 10.1002/cncr.29328
PMCID: PMC4734641
PMID: 26214755
Abstract
The fertility of adolescent and young adult (AYA) patients with cancer can be threatened by treatments, but to the authors' knowledge little is known regarding the extent to which providers discuss this with patients or recommend fertility preservation, or the patient and physician characteristics associated with these interactions.
Questionnaires from 459 AYA patients with cancer who were diagnosed between 2007 and 2008 and recruited through 7 US population-based cancer registries were analyzed using sex-specific multivariable models. The authors assessed characteristics associated with not discussing therapy effects on fertility or fertility preservation options, and not making fertility preservation arrangements.
Males without a medical oncologist were more likely not to be told that therapy might affect fertility than those with a medical oncologist (male odds ratio [OR], 2.28; 95% confidence interval [95% CI], 1.03-5.00). Individuals without insurance (male OR, 2.91 [95% CI, 1.41-5.91] and female OR, 5.46 [95% CI, 1.59-18.72]); those raising children aged <18 years; and, among males only, those who received treatment posing no or a low fertility risk (OR, 3.39; 95% CI, 1.60-7.16) were more likely not to discuss fertility preservation with providers. Finally, among males, those without a college degree (OR, 1.98; 95% CI, 1.00-3.97), lacking private insurance (OR, 2.97; 95% CI, 1.16-7.63), and raising children aged <18 years (OR, 3.53; 95% CI, 1.63-7.65) were more likely to not make fertility preservation arrangements; too few females had made fertility preservation arrangements for similar analyses to be performed.
Discussion and action surrounding fertility preservation for AYA patients with cancer are associated with medical factors, patient socioeconomic data, and child-rearing status. These results highlight the need for insurance coverage for fertility preservation and increased awareness of fertility preservation options.
Details
- Title: Subtitle
- Fertility preservation knowledge, counseling, and actions among adolescent and young adult patients with cancer: A population-based study
- Creators
- Margarett Shnorhavorian - Division of Pediatric Urology, Department of Urology, University of Washington, Seattle Children's Hospital, Seattle, WashingtonLinda C Harlan - Applied Research Program, National Cancer Institute, Bethesda, MarylandAshley Wilder Smith - Applied Research Program, National Cancer Institute, Bethesda, MarylandTheresa H M Keegan - Department of Health Research and Policy, School of Medicine, Stanford University, Stanford, CaliforniaCharles F Lynch - Department of Epidemiology, University of Iowa, Iowa City, IowaPinki K Prasad - Department of Pediatrics, Louisiana State University Health Sciences Center, New Orleans, LouisianaRosemary D Cress - Department of Public Health Sciences, School of Medicine, University of California, Davis, CaliforniaXiao-Cheng Wu - Epidemiology Program, School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LouisianaAnn S Hamilton - Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CaliforniaHelen M Parsons - Department of Epidemiology and Biostatistics, School of Medicine, The University of Texas Health Science Center, San Antonio, TexasGretchen Keel - Information Management Services Inc, Silver Spring, MarylandSarah E Charlesworth - Department of Epidemiology, School of Public Health, University of Washington, Seattle, WashingtonStephen M Schwartz - Epidemiology Program, Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WashingtonAYA HOPE Study Collaborative Group
- Resource Type
- Journal article
- Publication Details
- Cancer, Vol.121(19), pp.3499-3506
- Publisher
- United States
- DOI
- 10.1002/cncr.29328
- PMID
- 26214755
- PMCID
- PMC4734641
- ISSN
- 0008-543X
- eISSN
- 1097-0142
- Grant note
- N01PC-2010-00029 / NCI NIH HHS K12 HD053984 / NICHD NIH HHS HHSN261201300012I / NCI NIH HHS P30 CA015704 / NCI NIH HHS N01PC-2010-00030 / NCI NIH HHS N01PC-2010-00032 / NCI NIH HHS N01PC-2010-00034 / NCI NIH HHS P30 CA086862 / NCI NIH HHS K07 CA175063 / NCI NIH HHS N01PC-2010-00028 / NCI NIH HHS K12HD053984 / NICHD NIH HHS N01PC-2010-00035 / NCI NIH HHS N01PC-2010-00140 / NCI NIH HHS
- Language
- English
- Date published
- 10/01/2015
- Academic Unit
- Epidemiology
- Record Identifier
- 9983995009402771
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