Evidence map›Paper›PMID 29935646›Full record

ArticleFertility and sterility2018

Use of emergency contraception among female young adult cancer survivors.

Alexa C O Medica, Shaylyn S Stark, Tracy N Hadnott, Andrew C Dietz, Sally A D Romero, Loki Natarajan, Elena Martinez, Brian W Whitcomb, H Irene Su

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Fertility and sterility, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

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  13. Gonadal Functioning and Perceptions of Infertility Risk Among Adult Survivors of Childhood Cancer: A Report From the St Jude Lifetime Cohort Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Alexa C O MedicaDepartment of Obstetrics, Gynecology and Reproductive Science, University of California-San Diego, La Jolla, California.
Shaylyn S StarkMoores Cancer Center, University of California-San Diego, La Jolla, California.
Tracy N HadnottDepartment of Obstetrics, Gynecology and Reproductive Science, University of California-San Diego, La Jolla, California.
Andrew C DietzMoores Cancer Center, University of California-San Diego, La Jolla, California.
Sally A D RomeroDivision of Integrative Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Loki NatarajanMoores Cancer Center, University of California-San Diego, La Jolla, California; Department of Family and Preventive Medicine and Moores Cancer Center, University of California-San Diego, La Jolla, California.
Elena MartinezMoores Cancer Center, University of California-San Diego, La Jolla, California; Department of Family and Preventive Medicine and Moores Cancer Center, University of California-San Diego, La Jolla, California.
Brian W WhitcombDepartment of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, Massachusetts.
H Irene SuDepartment of Obstetrics, Gynecology and Reproductive Science, University of California-San Diego, La Jolla, California; Moores Cancer Center, University of California-San Diego, La Jolla, California. Electronic address: hisu@ucsd.edu.
Moores Cancer CenterUniversity of California, San Diego · USMemorial Sloan Kettering Cancer Center · USUniversity of Massachusetts Amherst · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
TRAINING IN REPRODUCTIVE SCIENCEST32HD007203 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PAMELA L MELLON · 1988 to 2026
$4.8M
The Reproductive Window in Young Adult Cancer SurvivorsR01HD080952 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SU, HUI-CHUN IRENE · 2014 to 2018
$2.6M
NCI NIH HHS P30 CA008748NICHD NIH HHS R01 HD080952NICHD NIH HHS T32 HD007203
6 · The paper itself

Abstract

objectiveTo test whether emergency contraception use in reproductive-aged cancer survivors is higher than in the general U.S. population and evaluate factors associated with use among survivors.

designA retrospective cohort study compared emergency contraception use between cancer survivors in the Reproductive Window Study on ovarian function after cancer and in the general population in the 2006-2010 National Survey for Family Growth. In a cross-sectional analysis of survivors, multivariable models were used to test associations between participant characteristics and emergency contraception use.

settingNot applicable. PATIENT(S): A total of 616 female cancer survivors aged 18-40. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Self-reported emergency contraception use. RESULT(S): The mean age of survivors was 33.4 ± 4.7, at a mean 7.5 years since diagnosis. Breast cancer (22%), Hodgkin lymphoma (18%), and leukemia (8%) were the most common cancers. Since diagnosis, 156 (25.3%) used emergency contraception, 60% because of not otherwise using contraception. Age-adjusted prevalence of use was higher in survivors than in the general population (28.3% [95% confidence interval (CI) 24.7-31.9] vs. 12.0% [95% CI 11.1-12.9]). In multivariable analysis among survivors, nonwhite race (prevalence ratio [PR] 1.3, 95% CI 1.0-1.8), breast cancer (PR 0.6, 95% CI 0.4-1.0), partnered relationship (PR 0.6, 95% CI 0.5-0.9), and older age (age 36-40 vs. 31-35; PR 0.7, 95% CI 0.5-1.0) were associated with emergency contraception. CONCLUSION(S): Female young adult cancer survivors were significantly more likely to use emergency contraception compared with the general population. Populations including nonwhite survivors have a higher risk, suggesting differences in family planning care. Strategies to improve contraception and decrease the need for emergency contraception are needed.

Indexed as

AdolescentAdultCancer SurvivorsContraception, PostcoitalContraceptives, PostcoitalCross-Sectional StudiesFemaleHumansPregnancyPregnancy Complications, NeoplasticPrevalenceRetrospective StudiesSelf ReportUnited StatesYoung AdultContraceptives, Postcoitalcancer survivorshipEmergency contraceptionfamily planningyoung adult cancer survivors

Identifiers

PMID29935646
PMCPMC6020163
OpenAlexW2809124789

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.