Evidence map›Paper›PMID 36224740›Full record

SynthesisCancer medicine2023

Fertility discussions and concerns in childhood cancer survivors, a systematic review for updated practice.

Karima El Alaoui-Lasmaili, Phi Linh Nguyen-Thi, Nadine Demogeot, Joëlle Lighezzolo-Alnot, Marie José Gross, Ludovic Mansuy, Pascal Chastagner, Isabelle Koscinski

Open access · goldFull text readSystematic Review
In one paragraph

Synthesis in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Mapping and comparing the quality of life outcomes in childhood and adolescent and young adult cancer survivors: an umbrella review and future directions.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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

8 authors at 4 institutions in 2 countries.

Karima El Alaoui-LasmailiInterpsy Laboratory (UR4432), University of Lorraine, Nancy, France.ORCID 0000-0003-2978-1405
Phi Linh Nguyen-ThiUnité d'évaluation médicale, Unité de Méthodologie, Data management et Statistique - UMDS, CHRU de Nancy.
Nadine DemogeotInterpsy Laboratory (UR4432), University of Lorraine, Nancy, France.
Joëlle Lighezzolo-AlnotInterpsy Laboratory (UR4432), University of Lorraine, Nancy, France.
Marie José GrossPsychotherapeutic Center of Nancy, Laxou, France.
Ludovic MansuyDepartment of Pediatric Hematology and Oncology, University Hospital of Nancy, Vandœuvre-lès-Nancy, France.
Pascal ChastagnerDepartment of Pediatric Hematology and Oncology, University Hospital of Nancy, Vandœuvre-lès-Nancy, France.
Isabelle KoscinskiLaboratory of Biology of Reproduction-CECOS Lorraine, University Hospital of Nancy, Nancy, France.
Interpsy · FRCentre Hospitalier Régional et Universitaire de Nancy · FRData Management (Italy) · ITInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide ways to improve the clinical practice of fertility preservation (FP) for children, adolescents, and young adults (AYA) with cancer.

designA systematic research of online databases was undertaken in March 2020 following the PRISMA criteria, including Medline and Web of Science.

resultsFifty-nine articles were included. Surveys, interviews, and focus groups were used to collect data from patients, parents, and health care providers (HCPs). Four themes worth exploring emerged: (a) what do patients and professionals think of and know about FP? (b) what makes the fertility discussion happen or not? (c) what, retrospectively, led to FP being pursued or not? and (d) how do patients and HCPs feel about fertility issues?

conclusionA minority of AYAs preserve their fertility (banking assay for 45% of boys and 23% of girls). Yet fertility concerns have a significant impact on the quality of life of young cancer survivors. Although recommendations and guidelines regarding FP are available internationally, there are no specific guidelines as to how to conduct fertility counseling for children and adolescents. Some barriers are not removable, such as a poor prognosis of an obvious severe disease, time constraints for starting treatment, and cultural and religious beliefs. In response to aspects hindering patients and families to be receptive to any discussion at the time of diagnosis, psychological support could reduce the level of emotional distress and help restore a degree of open-mindedness to open a window for discussion. Moreover, as the lack of knowledge of professionals about fertility is frequently pointed out as a limiting factor for fertility discussion, reinforcing professional training regarding FP could be proposed to promote fertility discussion and eventually referral for FP.

Indexed as

Cancer SurvivorsFertility PreservationNeoplasmsAdolescentChildCounselingFemaleHumansMaleQuality of LifeRetrospective StudiesYoung Adultadolescentcancer survivorschildfertility preservationinfertilitypsychology

Identifiers

PMID36224740
PMCPMC10028046
OpenAlexW4304806374

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read45
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.