Fertility Preservation Toolkit: A Clinician Resource to Assist Clinical Discussion and Decision Making in Pediatric and Adolescent Oncology

Journal of Pediatric Hematology/oncology
Matthew A KemertzisLisa Orme

Abstract

Fertility preservation (FP) discussions in children with cancer presents unique challenges due to ethical considerations, lack of models-of-care, and the triadic nature of discussions. This study evaluated a fertility toolkit for clinicians involved in FP discussions with pediatric, adolescent, and young adult patients and parents. A survey-based, longitudinal study of clinicians at The Royal Children's Hospital Melbourne involved in FP discussions undertaken at 3 time-points: 2014, alongside an education session for baseline assessment of oncofertility practices (survey 1); after each toolkit use to evaluate case-specific implementation (survey 2); 2016, to evaluate impact on clinical practice (survey 3). Fifty-nine clinicians completed survey 1. Over 66% reported baseline dissatisfaction with the existing FP system; 56.7% were not confident in providing up-to-date information. Only 34.5% "often" or "always" provided verbal information; 14.0% "often" or "always" provided written information. Survey 2 was completed after 11 consultations. All clinicians were satisfied with the discussions and outcomes using the toolkit. Thirty-nine clinicians completed survey 3. Over 70% felt confident providing up-to-date FP knowledge, 67.7% "...Continue Reading

References

Jun 24, 2006·Journal of Pediatric Hematology/oncology·Karen C BurnsJulie A Panepinto
May 22, 2007·Pediatric Blood & Cancer·B Elizabeth OosterhuisGary V Dahl
Jul 31, 2008·Human Reproduction·Kate AbsolomUNKNOWN Late Effects Group Sheffield
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Dec 20, 2011·Journal of Cancer Survivorship : Research and Practice·Jessica R GormanH Irene Su
Sep 27, 2012·Human Fertility : Journal of the British Fertility Society·Marilyn Crawshaw
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Citations

Aug 21, 2019·Implementation Science : IS·Susanne HempelLisa Rubenstein
Jun 23, 2020·European Journal of Cancer Care·Elisabeth KorteAnja Borgmann-Staudt
Jul 5, 2018·Pediatric Blood & Cancer·Antoinette AnazodoTeresa K Woodruff
May 8, 2018·Journal of Adolescent and Young Adult Oncology·Meredith HandYasmin Jayasinghe
Aug 11, 2019·Journal of Assisted Reproduction and Genetics·Sadunee JayasuriyaYasmin Jayasinghe
May 28, 2020·Journal of Adolescent and Young Adult Oncology·Prathima TholetiSatish Kumar Adiga
Nov 24, 2020·Human Reproduction Open·UNKNOWN ESHRE Guideline Group on Female Fertility PreservationNathalie Vermeulen
Dec 8, 2021·Pediatric Blood & Cancer·Natasha N FrederickGwendolyn P Quinn

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