Fertility and cancer—a qualitative study of Australian cancer survivors

Penrose, Rebecca; Beatty, Lisa; Mattiske, Julie; Koczwara, Bogda

doi:10.1007/s00520-011-1212-y

Cited by 52 publications

(92 citation statements)

References 32 publications

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“…It is suggested that these different groups of patients might have special needs that are unmet during fertility preservation counselling [34]. Retrospective surveys of cancer patients' views suggest that the majority have a strong desire to be informed about fertility preservation and available options [31,38,39,40]. Moreover, concerns about infertility are not limited to patients who are young and childless or/and have a partner [41].…”

Section: Fertility Preservation Options For Female Patientsmentioning

confidence: 99%

“…However, even women with positive attitudes about having children after cancer have fears that possible pregnancy would increase chances for cancer recurrence or transmitting the cancer risk to the future child [47,48]. On the other hand patients who already have children might focus more on survival than fertility preservation [40,42] and as a result might be less likely to be offered fertility preservation consultation [46,49]. Therefore, discussing cancer treatment implications on fertility and possible fertility preservation options as well as providing patients with decisional support would significantly help to improve cancer care and benefit the patients in any country.…”

Section: Fertility Preservation Options For Female Patientsmentioning

confidence: 99%

“…Up to date there is not much research done on the involvement of other parties in fertility preservation decision making. Research focusing on the partners of cancer survivors and their concerns regarding fertility is suggested [40] but not accomplished to date. However partner's involvement in fertility consultation is suggested by EUSOMA guidelines [37].…”

Section: Practicalities To Consider In Oncofertility Consultationmentioning

confidence: 99%

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Fertility preservation in cancer patients: The global framework

Linkeviciute

Boniolo

Chiavari

et al. 2014

Cancer Treatment Reviews

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Cancer treatment is the most frequent cause of reduced fertility in cancer patients, with up to 80% of survivors affected. None of the established or experimental fertility preservation methods can assure parenthood; instead it may provide a future opportunity to overcome treatment induced sterility. Previous research demonstrated that fertility counselling has clinical and psychological benefit. Therefore, such patient services are recommended by internationally recognized guidelines. Around 70-75% of young cancer survivors in retrospective studies are reported to desire parenthood but the numbers of patients who use fertility preservation services prior treatment are significantly lower. Moreover, despite existing guidelines healthcare professionals worldwide lack practical knowledge and have personal biases which prevent addressing fertility preservation issues adequately. Surveys of healthcare professionals report the following barriers: lack of time and knowledge about existing options, poor prognosis, and delay in treatment, patient's age, partnership status, existing children, sexual orientation and socioeconomic situation. Moreover, fertility preservation consultation is not limited to medical aspects. Patient's fears, expectations and priorities shaped by personal values have to be addressed in a light of medical necessities, realistic survival prognosis, socio-cultural environment and availability of resources. We call for a need of framework for patient centred fertility counselling with a proposal that such framework should include support in decision making which would help patients to understand medical aspects of their cancer, realistic fertility preservation options, identify their preferences based on personal values and goals. Optional support services could also include legal guidance, psychological and spiritual support and financial counselling.

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Section: Fertility Preservation Options For Female Patientsmentioning

confidence: 99%

Section: Fertility Preservation Options For Female Patientsmentioning

confidence: 99%

Section: Practicalities To Consider In Oncofertility Consultationmentioning

confidence: 99%

See 1 more Smart Citation

Fertility preservation in cancer patients: The global framework

Linkeviciute

Boniolo

Chiavari

et al. 2014

Cancer Treatment Reviews

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“…Fertility is an important topic for many cancer patients in their reproductive age and especially for those patients with a desire to have (more) children (Lee et al, 2006;Peate et al, 2011;Penrose et al, 2012). Previous studies indicated that cancer-related infertility has a negative influence on the quality of life in cancer survivors.…”

Section: Introductionmentioning

confidence: 98%

Cancer patients’ and professional caregivers’ needs, preferences and factors associated with receiving and providing fertility-related information: A mixed-methods systematic review

Goossens

Delbaere

Lancker

et al. 2014

International Journal of Nursing Studies

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“…6 The loss of fertility is a concern beyond the inability to have children; the loss affects cancer survivors regardless of their desire for children. 51 Further contributing to the lack of participation in one's fertility decisions are gender disparities that exist in patients receiving fertility information. 38 Since few women are receiving fertility information, females are provided little opportunity to participate in decisions about their future fertility, thus robbing them of their desires for children and normal lives after cancer.…”

Section: Practice Guidance For Fertility Preservationmentioning

confidence: 99%

A Review of the Oncology Patient's Challenges for Utilizing Fertility Preservation Services

Flink

Sheeder

Kondapalli

2017

Journal of Adolescent and Young Adult Oncology

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Purpose: The American Society of Clinical Oncology issued practice guidelines in 2006 to provide critical information about fertility impact to adolescents and young adults (AYA) at the time of cancer diagnosis. Survivors continue to express concerns about their long-term reproductive health after cancer therapy even as treatment options for fertility preservation evolve. An underutilization of fertility preservation methods by cancer patients continues to persist. A review of the literature cites barriers and challenges that limit fertility information and preservation options for AYA cancer patients. Methods: A review of medical literature was conducted to examine current practice for patients receiving fertility information and the barriers to patients receiving fertility preservation services. Results: A total of 69 publications were included in this review. The review summarizes (1) patient experiences with receiving fertility information and (2) patient desires, barriers, and challenges to utilizing fertility preservation services. Conclusions: Despite advances in fertility preservation, there are challenges for patients to utilizing fertility preservation services. Barriers include the following: urgency to initiate treatment, inadequate information, clinic time constraints, and perceptions around patients' gender, age, cost, parity, race, relationship, and sociodemographic status influence whether patients receive fertility preservation consultation. Patients report a lack of adequate information to make informed fertility decisions.

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Fertility and cancer—a qualitative study of Australian cancer survivors

Abstract: Fertility is an important concern for young cancer survivors. There is a need for strategies regarding information provision and support for cancer patients with regard to these concerns.

Cited by 52 publications

References 32 publications

Fertility preservation in cancer patients: The global framework

Fertility preservation in cancer patients: The global framework

Cancer patients’ and professional caregivers’ needs, preferences and factors associated with receiving and providing fertility-related information: A mixed-methods systematic review

A Review of the Oncology Patient's Challenges for Utilizing Fertility Preservation Services

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