Patients’ satisfaction with a supportive care program for young breast cancer patients in Mexico: Joven &amp; Fuerte supports patients’ needs and eases their illness process

Villarreal‐Garza, Cynthia; Platas, Alejandra; Ávila, Melina Miaja; Mesa-Chavez, Fernanda; García-García, Marisol; Fonseca, Allex Jardim da; Pineda, Claudia; Rosa-Pacheco, Sylvia de la; Gálvez-Hernández, Carmen Lizette; Bargalló-Rocha, Enrique; Castro, Janeth; Rodríguez‐Gómez, David; Cruz-Ramos, Marlid; Mohar, Alejandro

doi:10.1007/s00520-020-05334-y

Cited by 4 publications

(3 citation statements)

References 37 publications

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“…4 Importantly, in a recent cross-sectional study exploring patients' perspectives of J&F, most participants (81%) recalled being informed about the treatment-associated fertility risks. 20 In contrast, prior to the initiation of J&F only 31% of YWBC reported having received this information. 4 These differences display the positive impact a dedicated program for YWBC can have on promoting a higher number of discussions about reproductive issues and, consequently, more FP referrals, as has also been demonstrated by previous studies in developed countries.…”

Section: Discussionmentioning

confidence: 99%

Prospective Study of Fertility Preservation in Young Women With Breast Cancer in Mexico

Villarreal‐Garza

Mesa-Chavez

Mora³

et al. 2021

Journal of the National Comprehensive Cancer Network

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Background: Despite the risk of treatment-related infertility, implementation of fertility-preservation (FP) strategies among young patients with breast cancer is often suboptimal in resource-constrained settings such as Mexico. The “Joven & Fuerte: Program for Young Women With Breast Cancer” strives to enhance patient access to supportive care services, including FP measures through alliances with assisted-reproduction units and procurement of coverage of some of these strategies. This study describes patients from Joven & Fuerte who have preserved fertility, and assesses which characteristics were associated with the likelihood of undergoing FP. Methods: Women aged ≤40 years with recently diagnosed breast cancer were prospectively accrued. Sociodemographic and clinicopathologic data were collected from patient-reported and provider-recorded information at diagnosis and 1-year follow-up. Descriptive statistics, chi-square test, and simple logistic regression were used to compare patients who preserved fertility with those who did not. Results: In total, 447 patients were included, among which 53 (12%) preserved fertility, representing 38% of the 140 women who desired future biologic children. Oocyte/embryo cryopreservation was the most frequently used method for FP (59%), followed by temporary ovarian suppression with gonadotropin-releasing hormone agonists (GnRHa) during chemotherapy (26%), and use of both GnRHa and oocyte/embryo cryopreservation (15%). Younger age, higher educational level, being employed, having private healthcare insurance, and having one or no children were associated with a significantly higher likelihood of preserving fertility. Conclusions: By facilitating referral and seeking funds and special discounts for underserved patients, supportive care programs for young women with breast cancer can play a crucial role on enhancing access to oncofertility services that would otherwise be prohibitive because of their high costs, particularly in resource-constrained settings. For these efforts to be successful and widely applied in the long term, sustained and extended governmental coverage of FP options for this young group is warranted.

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Section: Discussionmentioning

confidence: 99%

Prospective Study of Fertility Preservation in Young Women With Breast Cancer in Mexico

Villarreal‐Garza

Mesa-Chavez

Mora³

et al. 2021

Journal of the National Comprehensive Cancer Network

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“…Modeled after the Macmillian nurse program in the United Kingdom, oncology nurses provided psychoeducation on symptom management, emotional support, information, coaching, and linkage of resources via home visits and telephone support. Villarreal-Garza et al [34] also described their supportive care program for young women with breast cancer that covered a range of issues, including information delivery, illness coping, fertility, and financial distress.…”

Section: Empiric Models Of Supportive Carementioning

confidence: 99%

Models of supportive care in oncology

Hui

Hoge

Bruera

2021

Current Opinion in Oncology

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Purpose of reviewSupportive care services have evolved overtime to meet the growing supportive care need of patients with cancer and their families. In this review, we summarize existing definitions of supportive care, highlight empiric studies on supportive care delivery, and propose an integrated conceptual framework on supportive cancer care. Recent findingsSupportive care aims at addressing the patients' physical, emotional, social, spiritual, and informational needs throughout the disease trajectory. Interdisciplinary teams are needed to deliver multidimensional care. Oncology teams have an important role providing supportive care in the front lines and referring patients to supportive care services such as palliative care, social work, rehabilitation, psycho-oncology, and integrative medicine. However, the current model of as needed referral and siloed departments can lead to heterogeneous access and fragmented care. To overcome these challenges, we propose a conceptual model in which supportive care services are organized under one department with a unified approach to patient care, program development, and research. Key features of this model include universal referral, systematic screening, tailored specialist involvement, streamlined care, collaborative teamwork, and enhanced outcomes. SummaryFurther research is needed to develop and test innovative supportive care models that can improve patient outcomes.

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“…Noteworthy, psychological support was identified as the most helpful resource according to participants. 86 …”

Section: Qol and Psychosocial Healthmentioning

confidence: 99%

Young Women with Breast Cancer in Resource-Limited Settings: What We Know and What We Need to Do Better

Martínez-Cannon¹,

Barragán-Carrillo²,

Villarreal‐Garza³

2021

BCTT

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Young women with breast cancer (YWBC) account for a variable proportion of patients diagnosed with breast cancer around the globe, with a higher prevalence in resource-limited settings than in high-income countries. This group represents a unique population that warrants special attention due to specific biological considerations and age-specific supportive care issues. This review aims to explore existing knowledge regarding YWBC’s needs, particularly in resource-restricted settings. To date, scarce information regarding the care of YWBC in resource-constrained countries is available, with most reports describing suboptimal care in terms of survivorship needs. Health care providers should implement actions to improve endocrine treatment adherence, referrals for fertility counseling and preservation, contraceptive use compliance, timely body image and sexual function interventions, comprehensive genetic risk assessments, and early quality of life and psychosocial health interventions. While high costs act as a barrier for optimal care in resource-limited settings, improving patient education represents a promising and cost-effective solution to improve patient care. Future research on developing tailored educational resources for YWBC in resource-limited settings should be considered a priority.

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Patients’ satisfaction with a supportive care program for young breast cancer patients in Mexico: Joven & Fuerte supports patients’ needs and eases their illness process

Cited by 4 publications

References 37 publications

Prospective Study of Fertility Preservation in Young Women With Breast Cancer in Mexico

Prospective Study of Fertility Preservation in Young Women With Breast Cancer in Mexico

Models of supportive care in oncology

Young Women with Breast Cancer in Resource-Limited Settings: What We Know and What We Need to Do Better

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