Do doctors discuss fertility issues before they treat young patients with cancer?

2.50
Hdl Handle:
http://hdl.handle.net/10541/58678
Title:
Do doctors discuss fertility issues before they treat young patients with cancer?
Authors:
Anderson, R A; Weddell, A; Spoudeas, H A; Douglas, C; Shalet, Stephen M; Levitt, G; Wallace, W H B
Abstract:
BACKGROUND: Many children treated for cancer are at risk of infertility, but for girls and prepubertal boys, all fertility preservation techniques remain experimental. We have assessed UK practice relating to information provision about the effects of cancer treatment on fertility and options for fertility preservation. METHODS: Paediatric oncologists prospectively completed a data form for each new patient registered over a 12 month period. RESULTS: Data were available on 1030 patients (68% of total registered). The effect of cancer treatment on fertility was discussed with 63% of patients. Of these, 61% were judged to be at high or medium risk of fertility problems. Discussions took place more commonly with boys than girls; the commonest reason for discussion not occurring was young age. The majority (83%) of post-pubertal boys assessed as high/medium risk of infertility were referred for semen cryopreservation. This rate fell to 39% of those in early puberty. Only 1% (n=4) of girls were referred to an assisted conception unit. CONCLUSIONS: These data indicate a high awareness of the potential adverse effects of therapy on fertility among UK paediatric oncologists. High referral rates for older boys indicate that current guidelines are followed, but there is a need for fertility preservation techniques for girls and younger boys.
Affiliation:
Division of Developmental and Reproductive Science, University of Edinburgh, Edinburgh, UK.
Citation:
Do doctors discuss fertility issues before they treat young patients with cancer? 2008, 23 (10):2246-51 Hum. Reprod.
Journal:
Human Reproduction
Issue Date:
Oct-2008
URI:
http://hdl.handle.net/10541/58678
DOI:
10.1093/humrep/den252
PubMed ID:
18614615
Type:
Article
Language:
en
ISSN:
1460-2350
Appears in Collections:
All Christie Publications ; Endocrinology

Full metadata record

DC FieldValue Language
dc.contributor.authorAnderson, R A-
dc.contributor.authorWeddell, A-
dc.contributor.authorSpoudeas, H A-
dc.contributor.authorDouglas, C-
dc.contributor.authorShalet, Stephen M-
dc.contributor.authorLevitt, G-
dc.contributor.authorWallace, W H B-
dc.date.accessioned2009-04-01T23:00:34Z-
dc.date.available2009-04-01T23:00:34Z-
dc.date.issued2008-10-
dc.identifier.citationDo doctors discuss fertility issues before they treat young patients with cancer? 2008, 23 (10):2246-51 Hum. Reprod.en
dc.identifier.issn1460-2350-
dc.identifier.pmid18614615-
dc.identifier.doi10.1093/humrep/den252-
dc.identifier.urihttp://hdl.handle.net/10541/58678-
dc.description.abstractBACKGROUND: Many children treated for cancer are at risk of infertility, but for girls and prepubertal boys, all fertility preservation techniques remain experimental. We have assessed UK practice relating to information provision about the effects of cancer treatment on fertility and options for fertility preservation. METHODS: Paediatric oncologists prospectively completed a data form for each new patient registered over a 12 month period. RESULTS: Data were available on 1030 patients (68% of total registered). The effect of cancer treatment on fertility was discussed with 63% of patients. Of these, 61% were judged to be at high or medium risk of fertility problems. Discussions took place more commonly with boys than girls; the commonest reason for discussion not occurring was young age. The majority (83%) of post-pubertal boys assessed as high/medium risk of infertility were referred for semen cryopreservation. This rate fell to 39% of those in early puberty. Only 1% (n=4) of girls were referred to an assisted conception unit. CONCLUSIONS: These data indicate a high awareness of the potential adverse effects of therapy on fertility among UK paediatric oncologists. High referral rates for older boys indicate that current guidelines are followed, but there is a need for fertility preservation techniques for girls and younger boys.en
dc.language.isoenen
dc.subjectCanceren
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAntineoplastic Agents-
dc.subject.meshAntineoplastic Protocols-
dc.subject.meshChild-
dc.subject.meshChild, Preschool-
dc.subject.meshDisclosure-
dc.subject.meshFemale-
dc.subject.meshFertility-
dc.subject.meshGonads-
dc.subject.meshGreat Britain-
dc.subject.meshHumans-
dc.subject.meshInfant-
dc.subject.meshInfant, Newborn-
dc.subject.meshInfertility-
dc.subject.meshMale-
dc.subject.meshNeoplasms-
dc.subject.meshOrgan Preservation-
dc.subject.meshPhysician-Patient Relations-
dc.subject.meshProspective Studies-
dc.subject.meshRadiotherapy-
dc.subject.meshSemen Preservation-
dc.subject.meshSex Factors-
dc.titleDo doctors discuss fertility issues before they treat young patients with cancer?en
dc.typeArticleen
dc.contributor.departmentDivision of Developmental and Reproductive Science, University of Edinburgh, Edinburgh, UK.en
dc.identifier.journalHuman Reproductionen

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