Evidence map›Paper›PMID 34804640›Full record

ArticleJournal of oncology navigation & survivorship2021

Addressing Barriers to Fertility Preservation for Cancer Patients: The Role of Oncofertility Patient Navigation.

Caroline S Dorfman, Juliann M Stalls, Coleman Mills, Shannon Voelkel, Mallori Thompson, Kelly S Acharya, Karen C Baker, Lars M Wagner, Nolan Miller, Amy Boswell and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of oncology navigation & survivorship, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 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. Trial
  3. Initial development and usability testing of a digital fertility preservation navigator for newly diagnosed young adult cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Barriers to and Facilitators of Shared Decision-Making Implementation in Fertility Preservation for Patients With Cancer: A Qualitative Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Fertility counseling in early-onset colorectal cancer and the impact of patient characteristics.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  19. Article
  20. 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

11 authors at 3 institutions in 1 country.

Caroline S DorfmanDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
Juliann M StallsDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
Coleman MillsDuke Supportive Care and Survivorship Center, Duke Cancer Institute, Duke University Medical Center, Durham, NC.
Shannon VoelkelDuke Supportive Care and Survivorship Center, Duke Cancer Institute, Duke University Medical Center, Durham, NC.
Mallori ThompsonDuke Supportive Care and Survivorship Center, Duke Cancer Institute, Duke University Medical Center, Durham, NC.
Kelly S AcharyaDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Duke University Medical Center, Durham, NC.
Karen C BakerDepartment of Surgery, Division of Urology, Duke University Medical Center, Durham, NC.
Lars M WagnerDepartment of Pediatrics, Division of Pediatric Hematology/Oncology, Duke University Medical Center, Durham, NC.
Nolan MillerDuke Cancer Institute, Duke University Medical Center, Durham, NC.
Amy BoswellSeattle Cancer Care Alliance, Seattle, WA.
Cheyenne CorbettDuke Supportive Care and Survivorship Center, Duke Cancer Institute, Duke University Medical Center, Durham, NC.
Duke Medical Center · USDuke University Hospital · USSeattle Cancer Care Alliance · US

Funding

Improving Symptom Management for Survivors of Young Adult CancerK08CA245107 · NCI · DUKE UNIVERSITY · PI DORFMAN, CAROLINE · 2019 to 2023
$859k
NCI NIH HHS K08 CA245107
6 · The paper itself

Abstract

backgroundInfertility is a common late effect for cancer survivors. Whereas assisted reproductive technology has made it possible for survivors to take steps to preserve fertility before starting treatment, only a minority of patients proceed with preservation. Patient-, provider-, health system-, and societal-level barriers to fertility preservation (FP) exist. Oncofertility patient navigation is a valuable resource for addressing FP barriers.

objectivesTo highlight the critical role of oncofertility patient navigation in addressing barriers to FP within an academic oncofertility program.

methodsThe role of the oncofertility patient navigator in reducing FP barriers, promoting informed decision-making, and ensuring program sustainability is described. Program metrics illustrating the impact of oncofertility patient navigation on referrals for FP counseling and access to FP in the last year also are provided. DISCUSSION: The oncofertility program at our academic adult and pediatric medical centers aims to facilitate rapid referral to fertility counseling and preservation services for postpubertal cancer patients. The patient navigator is integral to the success of the program. The navigator ensures that patients are: (1) well-informed about the potential impact of cancer on fertility and FP options, (2) aware of available resources (eg, financial) for pursuing FP, (3) able to access FP services if desired, and (4) well supported in making an informed FP decision. The inclusion of the patient navigator has led to an almost 2-fold increase in referrals for FP counseling in the past year over the historic annual average.

conclusionsOur institution's oncofertility program, with patient navigation at the core, provides a potential model for increasing patient access to oncofertility care and promoting program sustainability. Oncofertility patient navigation is a valuable resource for providing patients and families with education and support regarding FP decision-making, as well as addressing the multilevel barriers to FP.

Identifiers

PMID34804640
PMCPMC8601663
OpenAlexW3216597968

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.