2020
Fertility-Related Wishes and Concerns of Adolescent Cancer Patients and Their Parents
KORTE, E., R. SCHILLING, M. BALCEREK, J. BYRNE, U. DIRKSEN et. al.Základní údaje
Originální název
Fertility-Related Wishes and Concerns of Adolescent Cancer Patients and Their Parents
Autoři
KORTE, E. (276 Německo), R. SCHILLING (276 Německo), M. BALCEREK (276 Německo), J. BYRNE (372 Irsko), U. DIRKSEN (276 Německo), G. HERRMANN (276 Německo), Tomáš KEPÁK (203 Česká republika, domácí), S. KLCO-BROSIUS (276 Německo), J. KRUSEOVA (203 Česká republika), M. KUNSTREICH (276 Německo), T. LANGER (276 Německo), A. PANASIUK (616 Polsko), J. STEFANOWICZ (616 Polsko), G. STRAUSS (276 Německo), K. WIEGELE (40 Rakousko) a A. BORGMANN-STAUDT (276 Německo)
Vydání
JOURNAL OF ADOLESCENT AND YOUNG ADULT ONCOLOGY, NEW ROCHELLE, MARY ANN LIEBERT, INC, 2020, 2156-5333
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.223
Kód RIV
RIV/00216224:14110/20:00115969
Organizační jednotka
Lékařská fakulta
UT WoS
000490990400001
Klíčová slova anglicky
fertility impairment; fertility preservation; cryopreservation; shared decision-making; fertility-related wishes and concerns; patient education
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 14. 7. 2020 14:46, Mgr. Tereza Miškechová
Anotace
V originále
Purpose: Within a multicenter European study, we explored fertility-related wishes, concerns, and decision-making of adolescent cancer patients and their parents. Patients and Methods: Patients and parents were each asked to complete a fertility-related questionnaire 3 months after initial diagnosis. In total, 113 of 142 (79.6%) eligible patients participated; 53.1% were male and the median age was 16 years (range 13-20 years). The questionnaire was completed by 111 parents. Univariate analyses were conducted using nonparametric methods with alpha = 5%. For multivariate analyses, binary logistic regression was conducted. Results: Both patients (86.1%) and parents (96.3%) indicated a strong desire for biological parenthood for themselves/their children. Female patients (odds ratio [OR] = 3.70; confidence interval [CI]: 1.43-9.50) and parents (OR = 2.70; CI: 1.21-6.00) were more likely to report a high fear of cancer recurrence. Patients who estimated their risk for fertility impairment being high were more likely to be concerned about their fertility (OR = 5.69; CI: 1.41-22.98). Parents who received fertility preservation information were more likely to recommend its use to their children (OR = 5.50; CI: 1.07-28.40), whereas parents of female patients were less likely to do so (OR = 0.13; CI: 0.03-0.61). Conclusions: The prospect of fertility following cancer treatment is important for adolescent cancer patients and their parents, yet it is associated with many concerns. Counseling regarding fertility preservation can be more effective when the individual needs of patients and their parents are taken into consideration.