Standardization of Fertility Preservation Discussion Among Pediatric Oncology and Bone Marrow Transplant Patients: A Single Institution Experience

Dargan, Chandni; Dermott, Sarah Mc; Chesbro, Shelby; Trout, Amanda L; Terwilliger, Nancy; Hilyard, Tennille; Flynn, Ashley; Fulbright, Joy M.

doi:10.1089/jayao.2022.0003

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…The next steps at our institution include seeking ongoing philanthropic support to ensure financial barriers do not impact decision-making and advocating for insurance coverage for fertility preservation. Additionally, it is expected that referrals from providers increase as awareness of the program grows within the department, with fewer missed counseling opportunities going forward, similar to other fertility preservation quality improvement projects (Dargan et al, 2022; Sena et al, 2022). We believe that this project could be reproduced at other hospitals aiming to initiate or expand a fertility preservation program.…”

Section: Discussionmentioning

confidence: 99%

Expansion of the Fertility Preservation Program to All Newly Diagnosed Prepubertal Patients with Cancer at a Pediatric Hospital

Leavitt,

Albritton,

Cazzell

et al. 2024

Journal of Pediatric Hematology/Oncology Nursing

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Background: As the majority of pediatric patients with cancer survive their disease, generating a population of over 500,000 childhood cancer survivors in the United States, it is imperative to minimize the lifelong consequences of treatment, which include temporary or permanent infertility caused by certain cancer treatments. A fertility consultation at diagnosis can provide patients and families with the opportunity to be informed regarding the likelihood of gonadal dysfunction and to consider fertility preservation. Method: After our pediatric hospital started to offer tissue cryopreservation, we initiated this evidence-based interventional quality improvement project. Our primary aim was to ensure that all newly diagnosed prepubertal patients with cancer who met the criteria for fertility tissue preservation were correctly identified and offered an educational consultation and preservation. Results: Between July 15, 2022 and October 30, 2022, 54 patients’ treatment plans were evaluated to determine treatment-related infertility risk using the Oncofertility Consortium Pediatric Initiative Network's Risk Assessment tool. Fifteen patients were at a high level of significantly increased risk and 13 were eligible for consultation. Seven (46%) patients and their families received a consultation. Initiation of treatment before referral was the primary reason for lack of consultation. Six of seven patients receiving consultation (86%) elected to undergo preservation. Preservation procedures did not cause a delay in starting treatment for those patients. Discussion: A fertility preservation program with established policies and processes can increase the likelihood that prepubertal patients at high risk for infertility are correctly identified, educated, and offered preservation.

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Section: Discussionmentioning

confidence: 99%