Fertility education for adolescent cancer patients: Gaps in
current clinical practice in Europe

J 2020

Fertility education for adolescent cancer patients: Gaps in current clinical practice in Europe

KORTE, E., R. SCHILLING, M. BALCEREK, H. CAMPBELL, U. DIRKSEN et. al.

Basic information

Original name

Fertility education for adolescent cancer patients: Gaps in current clinical practice in Europe

Authors

KORTE, E. (276 Germany), R. SCHILLING (276 Germany), M. BALCEREK (276 Germany), H. CAMPBELL (276 Germany), U. DIRKSEN (276 Germany), G. HERRMANN (276 Germany), Kateřina KEPÁKOVÁ (203 Czech Republic, belonging to the institution), Tomáš KEPÁK (203 Czech Republic, belonging to the institution), S. KLCO-BROSIUS (276 Germany), J. KRUSEOVA (203 Czech Republic), M. KUNSTREICH (276 Germany), H. LACKNER (40 Austria), T. LANGER (276 Germany), A. PANASIUK (616 Poland), J. STEFANOWICZ (616 Poland), G. STRAU (276 Germany), A. RANFT (276 Germany), J. BYRNE (372 Ireland), L. GOLDBECK (276 Germany) and A. BORGMANN-STAUDT (276 Germany, guarantor)

Edition

EUROPEAN JOURNAL OF CANCER CARE, HOBOKEN, WILEY-BLACKWELL, 2020, 0961-5423

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.520

RIV identification code

RIV/00216224:14110/20:00116198

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1111/ecc.13279

UT WoS

000541704400001

Keywords in English

adolescent cancer patients; cryopreservation; fertility education; fertility impairment; fertility preservation; shared decision-making

Abstract

V originále

Objective As adolescent cancer patients may suffer from infertility following treatment, fertility counselling is essential. Our aim was to explore the current situation in four European countries in terms of (I) education about the risk for infertility, (II) counselling on fertility preservation, (III) patients' knowledge on fertility, (IV) sufficiency of information and (V) uptake of cryopreservation. Methods In total, 113 patients (13-20 years) at 11 study centres completed a self-report questionnaire three and six months after cancer diagnosis. Multivariate logistic regression was used to estimate odds ratios (OR) with 95% confidence intervals (CI). Results As many as 80.2% of participants reported having received education about the risk for infertility prior to treatment, 73.2% recalled counselling on fertility preservation. Only 52.3% stated they felt sufficiently informed to make a decision. Inability to recall counselling on fertility preservation (OR = 0.03, CI: 0.00-0.47) and female gender (OR = 0.11, CI: 0.03-0.48) was associated with lower use of cryopreservation, whereas older age was associated with higher use. Conclusion Fertility counselling was available to a relatively high proportion of patients, and it did influence the utilisation of cryopreservation. However, many patients did not feel sufficiently informed. Further improvement is needed to enable adolescent cancer patients to make an informed decision on fertility preservation.

Citovat

KORTE, E., R. SCHILLING, M. BALCEREK, H. CAMPBELL, U. DIRKSEN, G. HERRMANN, Kateřina KEPÁKOVÁ, Tomáš KEPÁK, S. KLCO-BROSIUS, J. KRUSEOVA, M. KUNSTREICH, H. LACKNER, T. LANGER, A. PANASIUK, J. STEFANOWICZ, G. STRAU, A. RANFT, J. BYRNE, L. GOLDBECK and A. BORGMANN-STAUDT. Fertility education for adolescent cancer patients: Gaps in current clinical practice in Europe. EUROPEAN JOURNAL OF CANCER CARE. HOBOKEN: WILEY-BLACKWELL, 2020, vol. 29, No 5, p. 1-10. ISSN 0961-5423. Available from: https://dx.doi.org/10.1111/ecc.13279.

@article{1674056,
   author = {Korte, E. and Schilling, R. and Balcerek, M. and Campbell, H. and Dirksen, U. and Herrmann, G. and Kepáková, Kateřina and Kepák, Tomáš and KlcoandBrosius, S. and Kruseova, J. and Kunstreich, M. and Lackner, H. and Langer, T. and Panasiuk, A. and Stefanowicz, J. and Strau, G. and Ranft, A. and Byrne, J. and Goldbeck, L. and BorgmannandStaudt, A.},
   article_location = {HOBOKEN},
   article_number = {5},
   doi = {http://dx.doi.org/10.1111/ecc.13279},
   keywords = {adolescent cancer patients; cryopreservation; fertility education; fertility impairment; fertility preservation; shared decision-making},
   language = {eng},
   issn = {0961-5423},
   journal = {EUROPEAN JOURNAL OF CANCER CARE},
   title = {Fertility education for adolescent cancer patients: Gaps in current clinical practice in Europe},
   url = {https://www.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ecc.13279},
   volume = {29},
   year = {2020}
}

TY  - JOUR
ID  - 1674056
AU  - Korte, E. - Schilling, R. - Balcerek, M. - Campbell, H. - Dirksen, U. - Herrmann, G. - Kepáková, Kateřina - Kepák, Tomáš - Klco-Brosius, S. - Kruseova, J. - Kunstreich, M. - Lackner, H. - Langer, T. - Panasiuk, A. - Stefanowicz, J. - Strau, G. - Ranft, A. - Byrne, J. - Goldbeck, L. - Borgmann-Staudt, A.
PY  - 2020
TI  - Fertility education for adolescent cancer patients: Gaps in current clinical practice in Europe
JF  - EUROPEAN JOURNAL OF CANCER CARE
VL  - 29
IS  - 5
SP  - 1-10
EP  - 1-10
PB  - WILEY-BLACKWELL
SN  - 09615423
KW  - adolescent cancer patients
KW  - cryopreservation
KW  - fertility education
KW  - fertility impairment
KW  - fertility preservation
KW  - shared decision-making
UR  - https://www.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ecc.13279
L2  - https://www.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ecc.13279
N2  - Objective As adolescent cancer patients may suffer from infertility following treatment, fertility counselling is essential. Our aim was to explore the current situation in four European countries in terms of (I) education about the risk for infertility, (II) counselling on fertility preservation, (III) patients' knowledge on fertility, (IV) sufficiency of information and (V) uptake of cryopreservation. Methods In total, 113 patients (13-20 years) at 11 study centres completed a self-report questionnaire three and six months after cancer diagnosis. Multivariate logistic regression was used to estimate odds ratios (OR) with 95% confidence intervals (CI). Results As many as 80.2% of participants reported having received education about the risk for infertility prior to treatment, 73.2% recalled counselling on fertility preservation. Only 52.3% stated they felt sufficiently informed to make a decision. Inability to recall counselling on fertility preservation (OR = 0.03, CI: 0.00-0.47) and female gender (OR = 0.11, CI: 0.03-0.48) was associated with lower use of cryopreservation, whereas older age was associated with higher use. Conclusion Fertility counselling was available to a relatively high proportion of patients, and it did influence the utilisation of cryopreservation. However, many patients did not feel sufficiently informed. Further improvement is needed to enable adolescent cancer patients to make an informed decision on fertility preservation.
ER  -

KORTE, E., R. SCHILLING, M. BALCEREK, H. CAMPBELL, U. DIRKSEN, G. HERRMANN, Kateřina KEPÁKOVÁ, Tomáš KEPÁK, S. KLCO-BROSIUS, J. KRUSEOVA, M. KUNSTREICH, H. LACKNER, T. LANGER, A. PANASIUK, J. STEFANOWICZ, G. STRAU, A. RANFT, J. BYRNE, L. GOLDBECK and A. BORGMANN-STAUDT. Fertility education for adolescent cancer patients: Gaps in current clinical practice in Europe. \textit{EUROPEAN JOURNAL OF CANCER CARE}. HOBOKEN: WILEY-BLACKWELL, 2020, vol.~29, No~5, p.~1-10. ISSN~0961-5423. Available from: https://dx.doi.org/10.1111/ecc.13279.

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