Evidence map›Paper›PMID 34830781›Full record

ArticleCancers2021

Fertility Counseling in Survivors of Cancer in Childhood and Adolescence: Time for a Reappraisal?

Francesca Filippi, Fedro Peccatori, Siranoush Manoukian, Carlo Alfredo Clerici, Chiara Dallagiovanna, Cristina Meazza, Marta Podda, Edgardo Somigliana, Filippo Spreafico, Maura Massimino and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 4 institutions in 1 country.

Francesca FilippiInfertility Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 1-20133 Milan, Italy.ORCID 0000-0002-0636-2876
Fedro PeccatoriFertility and Procreation Unit, Division of Gynaecologic Oncology, IEO European Institute of Oncology IRCCS, 1-20133 Milan, Italy.ORCID 0000-0001-8227-8740
Siranoush ManoukianMedical Genetics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 1-20133 Milan, Italy.
Carlo Alfredo ClericiDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, 1-20133 Milan, Italy.
Chiara DallagiovannaInfertility Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 1-20133 Milan, Italy.
Cristina MeazzaPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 1-20133 Milan, Italy.
Marta PoddaPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 1-20133 Milan, Italy.
Edgardo SomiglianaInfertility Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 1-20133 Milan, Italy.ORCID 0000-0002-0223-0032
Filippo SpreaficoPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 1-20133 Milan, Italy.
Maura MassiminoPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 1-20133 Milan, Italy.ORCID 0000-0002-5506-2001
Monica TerenzianiPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 1-20133 Milan, Italy.ORCID 0000-0002-7080-6718
Fondazione IRCCS Istituto Nazionale dei Tumori · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · ITEuropean Institute of Oncology · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genetic predisposition could have an important role in the pathogenesis of cancers in children and adolescents. A recent study by our group showed that, among female survivors of cancers in childhood and adolescence, the proportion of cases involving a possible genetic predisposition was sizable (at least one in five). Our sample is too small to be representative of the general population, but it gave us an opportunity to reappraise this issue. Women with a genetic predisposition can transmit the risk of cancer to their offspring, and their awareness of this may influence their reproductive and fertility preservation choices. In our experience, a predisposition to cancer receives little attention in the fertility counseling and decision-making process unless a patient already has a definitive molecular diagnosis of a hereditary cancer syndrome. We feel it is essential to empower women on this issue, particularly as there are ways to overcome the problem, including preimplantation genetic testing (PGT-M) in definitively diagnosed cases, egg donation and adoption. In the context of fertility counseling for survivors of cancer in childhood and adolescence who have reached adulthood, the risk of transmitting a predisposition to cancer should be discussed with patients, if relevant and desired.

Indexed as

adoptioncancer survivorsfertility preservationgeneticshereditary cancer syndromeinfertilityoocyte donationpreimplantation genetic testing

Identifiers

PMID34830781
PMCPMC8615855
OpenAlexW3214360290

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.