Evidence map›Paper›PMID 24038829›Full record

ArticlePediatric blood & cancer2013

Pregnancy after cancer: results from a prospective cohort study of cancer survivors.

Katherine E Dillon, Mary D Sammel, Jill P Ginsberg, Lara Lechtenberg, Maureen Prewitt, Clarisa R Gracia

Open access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  15. Factors associated with pregnancy attempts among female young adult cancer survivors.Journal of cancer survivorship : research and practice · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Katherine E DillonDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania.
Mary D Sammel
Jill P Ginsberg
Lara Lechtenberg
Maureen Prewitt
Clarisa R Gracia
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

Ovarian Reserve After Cancer: Longitudinal Effects (The ORACLE Study)R01HD062797 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI GRACIA, CLARISA R. · 2010 to 2014
$2.7M
Measures of Fertility in Young Cancer PatientsKL1CA133839 · NCI · UNIVERSITY OF PENNSYLVANIA · PI GRACIA, CLARISA R. · 2007 to 2011
$786k
NCI NIH HHS K01 L:1-CA-133839-03NCI NIH HHS KL1 CA133839NICHD NIH HHS 1R01HD062797NICHD NIH HHS R01 HD062797
6 · The paper itself

Abstract

backgroundFuture fertility is an important concern for many cancer survivors. Cancer therapies have been shown to adversely impact reproductive function. However, it is difficult to predict the extent to which reproductive dysfunction will occur. The purpose of this study was to compare measures of ovarian reserve (MOR) and pregnancy rates in young female cancer survivors and similar-aged controls. PROCEDURES: A prospective cohort study was conducted in a university-hospital setting. Participants were followed annually for a mean 25 months to assess reproductive history, the incidence of pregnancy, and MOR (serum follicle-stimulating hormone, luteinizing hormone, estradiol, inhibin B, anti-mullerian hormone (AMH), antral follicle counts and mean ovarian volume).

resultsEighty-four female survivors (average age 26, and 14 years post-treatment) and 98 similar-aged controls that were sexually active with men were included. At baseline, 27/84 survivors and 42/98 controls reported a prior pregnancy. Adjusted models showed that anti-mullerian hormone (AMH) and antral follicle count (AFC) were impaired in survivors with a prior pregnancy compared to controls with a prior pregnancy (P < 0.01, P = 0.03). During follow-up in 56 survivors and 74 controls, 19 pregnancies occurred in survivors and 18 in controls. Comparison of MOR between survivors who became pregnant and controls who became pregnant revealed that AMH and AFC were impaired in survivors (P < 0.05). Compared to survivors who did not become pregnant, survivors who did were older (P < 0.01) and more likely to be cohabitating (P < 0.01), but had similar MOR and exposure to alkylators (P = 0.34).

conclusionsSurvivors achieved pregnancy at a rate similar to controls despite impaired MOR.

Indexed as

FertilityPregnancy RateAdultAntineoplastic AgentsCohort StudiesFemaleHumansNeoplasmsOvaryPregnancyRadiotherapySurvivorsAntineoplastic Agentscancer survivorschemotherapyfertilityovarian reserve

Identifiers

PMID24038829
PMCPMC4457373
OpenAlexW2140805687

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.