Evidence map›Paper›PMID 31493021›Full record

Trial reportEuropean journal of pediatrics2020

Determinants of utilization of cryopreservation of germ cells in adolescent cancer patients in four European countries.

Magdalena Balcerek, Ralph Schilling, Julianne Byrne, Uta Dirksen, Holger Cario, Marta Julia Fernandez-Gonzalez, Tomas Kepak, Elisabeth Korte, Jarmila Kruseova, Marina Kunstreich and 7 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Evaluating fertility preservation interventions for alignment with ASCO Guidelines for reproductive aged women undergoing cancer treatment: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Article
  3. Utilization of sperm cryopreservation in patients with testicular cancer.Journal of cancer research and clinical oncology · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
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

17 authors at 10 institutions in 5 countries.

Magdalena BalcerekCharité - Universitätsmedizin, Berlin, Germany.
Ralph SchillingCharité - Universitätsmedizin, Berlin, Germany.
Julianne ByrneBoyne Research Institute, Drogheda, Ireland.
Uta DirksenWest German Cancer Centre, University Hospital Essen Paediatrics III, Essen, Germany.
Holger CarioDepartment of Paediatrics and Adolescent Medicine, University Medical Centre, Ulm, Germany.
Marta Julia Fernandez-GonzalezCharité - Universitätsmedizin, Berlin, Germany.
Tomas KepakUniversity Hospital, Brno, Czech Republic.
Elisabeth KorteCharité - Universitätsmedizin, Berlin, Germany.
Jarmila KruseovaMotol Teaching Hospital, Prague, Czech Republic.
Marina KunstreichDepartment of Paediatric Oncology, Haematology and Immunology, Medical Faculty, Heinrich-Heine, University of, Düsseldorf, Germany.
Herwig LacknerMedical University of Graz, Graz, Austria.
Thorsten LangerLübeck Universitätklinik, Lübeck, Germany.
Malgorzata Sawicka-ZukowskaUniwersytet Medyczny w Białymstoku, Białystok, Poland.
Joanna StefanowiczKlinika Pediatrii, Hematologii I Onkologii Gdanski Uniwersytet, Gdansk, Poland.
Gabriele StraußHelios Kliniken Berlin-Buch, Klinik für Kinder- und Jungendmedizin, Berlin, Germany.
Anja Borgmann-StaudtCharité - Universitätsmedizin, Berlin, Germany. anja.borgmann@charite.de.ORCID http://orcid.org/0000-0001-7341-0578
PanCareLIFE
Boyne Research Institute · IECharité - Universitätsmedizin Berlin · DEHelios Kliniken · DEMedical University of Białystok · PLMedical University of Graz · ATUniversity Hospital Brno · CZUniversity Hospital in Motol · CZBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEGerman Cancer Research Center · DEUniversity Hospital Ulm · DE

Funding

Berliner Krebsgesellschaft EKPS201607European Union's Seventh Framework Programme for research, technological development and demonstration; PanCareLIFE WP2b 602030
6 · The paper itself

Abstract

Infertility is a relevant late-effect following cancer treatment; yet, a large proportion of survivors cannot recall having been informed of this risk. In an intervention study, we examined if and how supportive patient information material on fertility/fertility-preserving measures influences utilization of cryopreservation in adolescent cancer patients. The control group, recruited 03/2014-01/2016, received the usual patient education at initial diagnosis. The intervention group, recruited 04/2016-10/2017, received patient education supported by a fertility flyer and brochure. Patients and parents were each asked questions on utilization of cryopreservation in a questionnaire 3 and 6 months after initial diagnosis. Patient core and therapy data were obtained from medical records. Overall, cryopreservation rates showed no significant difference between the control (32.7%, n = 37/113) and intervention group (36.6%, n = 37/101). In the control group, cryopreservation was associated with gender (OR 0.100, CI 0.023-0.427), age (OR 1.559, CI 1.077-2.258) and recalling information on fertility protection (OR 33.663, CI 2.100-539.574); in the intervention group, cryopreservation was related to gender (OR 0.093, CI 0.026-0.330) and the estimated infertility risk (OR 43.665, CI 2.157-883.974).Conclusion: Cryopreservation rates did not overall increase following the intervention; however, the individual risk seemed to be brought into attention more: Those at risk, including younger patients, cryopreserved at higher rates.What is Known:•Infertility is a relevant late-effect following adolescent cancer.•Guidelines recommend to offer fertility protection before cancer treatment.•A relevant proportion of adolescents with cancer are not aware of this risk.•Fertility protection seems under-used in cancer patients at risk for infertility.What is New:•Information material on fertility and protection in adolescents did not increase overall rates of cryopreservation.•Cryopreservation rates were improved according to individual risk for infertility.•Our flyers and brochures on fertility in cancer patients are available in various languages.

Indexed as

CryopreservationFertility PreservationGerm CellsPatient Acceptance of Health CareAdolescentEuropeFemaleFollow-Up StudiesHumansMaleNeoplasmsOutcome Assessment, Health CarePatient Education as TopicRiskYoung AdultChildhood and adolescent cancerCryopreservationFertility impairmentFertility protectionPatient educationPatient empowerment

Identifiers

PMID31493021
OpenAlexW2972211933

What OpenQuestion holds

Textmetadata
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.