Young Breast Cancer Survivors

Gorman, Jessica R.; Usita, Paula M.; Madlensky, Lisa; Pierce, John P.

doi:10.1097/ncc.0b013e3181e4528d

Cited by 110 publications

(54 citation statements)

References 31 publications

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“…Rather, reproductive aged survivors may have counselling needs that evolve over time, as attitudes concerning future parenthood may change throughout the cancer trajectory. Our results support the evidence that younger women and those without children before the diagnosis are more likely to place a greater importance on childbearing after cancer, reporting more fertility concerns [20, 29, 30]. For younger women without children, the threat of loss of childbearing capacity may be perceived as more worrisome and stressful, since many did not yet have the family they hoped for.…”

Section: Discussionsupporting

confidence: 85%

Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal

et al. 2018

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Objective To compare fertility and childbearing attitudes and decisions of Portuguese and American female reproductive aged breast cancer survivors. Methods This was a cross-sectional study of 102 young breast cancer survivors (59 from Portugal and 43 from USA). Demographic, clinical and reproductive information were collected. Fertility and parenthood attitudes and decisions were assessed through a self-report questionnaire devised specifically for the study. Results Fertility issues became very important after the diagnosis for most of the women (51%). Few differences existed between USA and Portuguese participants. USA participants were more likely to undergo FP (23% USA vs Portugal 5%, p=0.01). Portuguese women were more dissatisfied with their physician's explanations about fertility (Portugal: 23% vs USA: 3%; p = 0.01). Overall, women relied on their oncologist for fertility information (70%); only Portuguese women discussed fertility with their family medicine physician (11%). Overall, women showed positive attitudes towards motherhood. Portuguese women were more likely to report their partners placed more value on the family after their illness (Portuguese agree: 55% vs USA agree: 14%; p< 0.001). Conclusions Fertility and childbearing after breast cancer are important issues regardless of culture, background or country's heath care system. Overall, few differences across the USA and Portuguese samples were found on fertility and childbearing attitudes and decisions.

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Section: Discussionsupporting

confidence: 85%

Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal

et al. 2018

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“…Psychosexual, fertility, and body image sequelae were found among male and female AYAs [9, 17, 22, 24]. Keim-Malpass and colleagues [22] reported relevance and gender-specific effects of sexual sequelae of diagnosis/treatment (e.g., functioning, fertility, gender norms).…”

Section: Resultsmentioning

confidence: 99%

“…Among breast cancer survivors, treatment decisions were greatly motivated and determined by survival chances; however as noted above, fertility options, services, and empowerment were either inadequate or provided too late during and post-treatment [17, 24]. Women reported persistent struggle regarding fertility concerns [22].…”

Section: Resultsmentioning

confidence: 99%

Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): a systematic review

et al. 2016

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Purpose A cancer diagnosis during adolescence or young adulthood (AYA; defined as ages 15–39) generates unique medical and psychosocial needs as developmental milestones are simultaneously impacted. Past research highlights that AYAs’ experiences and psychosocial outcomes are different, and more research and attention is needed. We aimed to identify and synthesize literature regarding psychosocial outcomes, unique needs, and existing psychosocial interventions pertaining to individuals diagnosed with cancer exclusively during AYA, and to highlight areas for future research. Methods A systematic literature search was conducted using MEDLINE (via PubMed), EMBASE, Cochrane, Web of Science, and PsycINFO (via OVID). Grey literature was searched using key term variations and combinations. Overall, 15,301 records were assessed by two independent reviewers, with 38 studies meeting inclusion criteria. Results Data synthesis of the 38 articles was organized by four main themes based on quality of life and survivorship: physical well-being (7 studies), psychological well-being (8 studies), social well-being (9 studies), and survivorship care (14 studies). The paucity of studies for such broad inclusion criteria highlights that this population is often combined or subsumed under other age groups, missing needs unique to these AYAs. Conclusions AYA cancer survivors’ experiences are nuanced, with interacting variables contributing to post-treatment outcomes. AYAs require age-appropriate and flexible care, informational needs and treatment-related education that foster autonomy for long-term survivorship, as well as improved follow-up care and psychological outcomes. Implications for Cancer Survivors By incorporating these findings into practice, the informational and unmet needs of AYAs can be addressed effectively. Education and programming is lacking specific and general subject matter specific to AYAs, incorporating ranging needs at different treatment stages.

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“…(Bleyer A, Barr R et al , Partridge AH, Gelber S et al 2004, Schover LR 2009, Carter J, Penson R et al 2011, Howard-Anderson J, Ganz PA et al 2012) Available research suggests cancer-related loss of fertility can cause long-term distress and impaired quality of life in cancer survivors,(Canada AL and Schover LR) especially if patients did not receive sufficient information on fertility preservation (FP) options before the start of their treatment. (Gorman JR, Usita PM et al 2011, Letourneau JM, Ebbel EE et al 2012) Even 5–10 years after treatment, the grief associated with the inability to bear children or disruption of childbearing continues to impact survivors’ quality of life. (Canada AL and Schover LR)…”

Section: Introductionmentioning

confidence: 99%

Nurse Perspectives on Referrals for Oncology Patients to Reproductive Endocrinologists: Results of a Learning Activity

Vadaparampil¹,

Christie²,

Bowman³

et al. 2016

J Contin Educ Nurs

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Background For adolescents and young adults (AYAs) with cancer, concern about future fertility is widespread. Yet, referrals rates to reproductive endocrinologists (REI) are low. Oncology nurses are in a prime position to make these referrals but may lack the knowledge to do so. This report describes the results of a learning activity in the Educating Nurses about Reproductive Issues in Cancer Healthcare (ENRICH) program whereby oncology nurses interviewed REIs. The goal is to present how a learning activity can influence knowledge gained by oncology nurses from discussions with REIs about FP procedures, barriers, and facilitators for AYA patients Method As one of two ENRICH learning assignments, participants were instructed to conduct an interview using a semi-structured guide and create a summary of responses. We examined responses to each question using qualitative content analysis. Results Seventy-seven participants (98% assignment completion rate) across 15 states provided a summary. Learner summaries highlighted four themes related to fertility preservation (FP), including cost, time, lack of information/referrals, and learning about available options. Conclusion Oncology nurses have a unique relationship and frequent interactions with AYA patients, thus placing them in a strategic position to educate about fertility and preservation. REIs are a critical partner to ensure all AYA oncology patients have considered current and future fertility.

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Young Breast Cancer Survivors

Abstract: Background-Younger women diagnosed with breast cancer are more likely to have survival concerns related to fertility, which may influence their treatment decisions.

Cited by 110 publications

References 31 publications

Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal

Childbearing across borders: Fertility and parenthood attitudes and decisions among breast cancer survivors in USA and Portugal

Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): a systematic review

Nurse Perspectives on Referrals for Oncology Patients to Reproductive Endocrinologists: Results of a Learning Activity

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