Disparities in Counseling Female Cancer Patients for Fertility Preservation

Journal of Women's Health
Angela K LawsonErica E Marsh

Abstract

Female cancer patients who are exposed to gonadotoxic chemotherapy are at risk of future infertility. Research suggests that disparities in fertility preservation counseling (FPC) may exist. Previous research is limited by recall bias; therefore, this study examined objective electronic medical chart data regarding FPC at an academic medical center. This study included reproductive-aged women (18-45 years old) with a diagnosis of breast, gynecological, or hematological cancer and who were exposed to a gonadotoxic chemotherapeutic agent from 2009 to 2013. Chi-square and logistic regression analyses were utilized to analyze disparities in FPC. Two hundred fifty-nine women met the study criteria. One hundred eighty-one women were diagnosed with breast cancer, 52 with hematological cancer, and 26 with gynecological cancer. 160/259 (62%) women had documented counseling for fertility preservation (FP), 60 (23%) women were not counseled as counseling was determined to be "not applicable," 16 (6%) women were not counseled and no explanation was given for the lack of counseling, and counseling was not documented in 23 (9%) charts. Age, marital status, and racial/ethnic background were related to counseling status. Patients with gynecolo...Continue Reading

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Citations

Jul 11, 2020·Clinical Obstetrics and Gynecology·Leslie C Appiah
Oct 22, 2020·Journal of Assisted Reproduction and Genetics·Paxton E VoigtM Elizabeth Fino
Apr 3, 2021·Fertility and Sterility·Quinton S KatlerJennifer F Kawwass
May 1, 2021·Journal of Clinical Medicine·Kenny A Rodriguez-WallbergFrida E Lundberg
Dec 4, 2021·Journal of Women's Health·Lisa M ShandleyPenelope P Howards

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