ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2016
Occurrence and recall rates of fertility discussions with young breast cancer patients.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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The trial behind it
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Who cites it
21 citing papers in PubMed, 38 citations in OpenAlex.
- Review
- Fertility preservation counselling in women with cancer: knowledge, preferences, and unmet needs from a cross-sectional survey.Frontiers in endocrinology · 2026Observational
- Validation of the Oncofertility Support Scale derived from the Fertility Information Support scale among young adult women with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Reproductive health considerations for IDH-mutant glioma patients considering IDH inhibitor therapy: A retrospective cohort study.Neuro-oncology practice · 2025Article
- Geographic Access to Fertility Counseling among Adolescent and Young Adult Women with Cancer in North Carolina.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024Article
- Reproductive Health Assessment and Reports of Fertility Counseling in Pediatric and Adolescent Patients with Sickle Cell Disease After Hematopoietic Cell Transplantation.Transplantation and cellular therapy · 2024Article
- Window of Opportunity: Rate of Referral to Infertility Providers among Reproductive-Age Women with Newly Diagnosed Gynecologic Cancers.Journal of clinical medicine · 2024Article
- Knowledge and intentions to use fertility preservation among urban Chinese cancer patients: A study from Hong Kong.PloS one · 2024Article
- Disparities in Female Oncofertility Care in the United States: More Questions Than Answers.Life (Basel, Switzerland) · 2023Article
- Article
- Comparing Fatigue, Loneliness, Daytime Sleepiness, and Stress in Younger and Older Breast Cancer Survivors: A Cross-Sectional Analysis.Clinical journal of oncology nursing · 2022Article
- Addressing Barriers to Fertility Preservation for Cancer Patients: The Role of Oncofertility Patient Navigation.Journal of oncology navigation & survivorship · 2021Article
- Integration of partners of young women with cancer in oncofertility evidence-based informational resources.Cancer medicine · 2020Review
- Fertility preservation in breast cancer with case-based examples for guidance.Journal of assisted reproduction and genetics · 2020Review
- How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care.Human reproduction update · 2019Article
- Medical egg freezing: How cost and lack of insurance cover impact women and their families.Reproductive biomedicine & society online · 2018Article
- Article
- Medical egg freezing: the importance of a patient-centered approach to fertility preservation.Journal of assisted reproduction and genetics · 2018Article
- "My choice": breast cancer patients recollect doctors fertility preservation recommendations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Fertility preservation training for obstetrics and gynecology fellows: a highly desired but non-standardized experience.Fertility research and practice · 2017Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFertility preservation is an important issue for premenopausal cancer patients; however, not all patients receive counseling about chemotherapy-induced infertility and potential mitigation strategies. We aimed to identify characteristics of premenopausal breast cancer patients less likely to receive fertility counseling. We also investigated patient recall of chart-documented fertility discussions and patient attitudes toward fertility preservation.
methodsThe study was approved by our institution's Institutional Review Board. All female patients with invasive primary breast cancer of any type, aged 40 or younger at the time of diagnosis, who were diagnosed during or up to 5 years prior to the study period were eligible. The study was conducted between February 2012 and October 2013. Enrolled patients completed an anonymous survey, and their medical charts were subsequently reviewed to identify provider documentation of fertility discussions, referral to fertility specialists, or implementation of fertility preservation. Patient comments regarding their fertility were solicited and examined thematically.
resultsForty-nine patients consented to participate. Fertility discussions were documented by providers in 55% of patients. Patients aged over 35 and multiparous patients were significantly less likely than their counterparts (p < 0.01 in both cases) to have had chart-documented fertility discussions. Only 52% of patients with chart-documented discussions recalled having had such a conversation. Patient comments highlighted the difficulty of considering fertility at the time of diagnosis and also the risks and obstacles facing fertility preservation.
conclusionsDespite increasing awareness, fertility is not universally discussed with premenopausal breast cancer patients at the time of diagnosis; older and multiparous patients are at particular risk of not receiving fertility counseling. Even when such discussions are documented, only about half of patients recall the conversation. Patient-reported barriers to fertility preservation include lack of education combined with the stress of diagnosis, financial costs, and perceived treatment toxicities.
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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.