Evidence map›Paper›PMID 37953253›Full record

ArticleBMC women's health2023

Patients' and providers' perspectives on the decision to undergo non-urgent egg freezing: a needs assessment.

E Shirin Dason, Leah Drost, Ellen M Greenblatt, Adena Scheer, Jinglan Han, Tanya Doshi, Claire A Jones

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2023. 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
0.8field-weighted citation impact, top 23% 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. Review
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

7 authors at 5 institutions in 3 countries.

E Shirin Dason *Department of Obstetrics & Gynecology, Temerty Faculty of Medicine, Faculty of Medicine, University of Toronto, 12th floor, 123 Edward St Toronto, Ontario, M5G 1E2, Canada.
Leah Drost *Department of Obstetrics and Gynecology, Mount Sinai Hospital, Sinai Health System, Toronto, Ontario, M5G 1X5, Canada. Leah.drost@mail.utoronto.ca.
Ellen M GreenblattDepartment of Obstetrics & Gynecology, Temerty Faculty of Medicine, Faculty of Medicine, University of Toronto, 12th floor, 123 Edward St Toronto, Ontario, M5G 1E2, Canada.
Adena ScheerDepartment of General Surgery, St. Michaels Hospital, Unity Health Network, Toronto, Ontario, M5B 1W8, Canada.
Jinglan HanDepartment of Obstetrics and Gynecology, Mount Sinai Hospital, Sinai Health System, Toronto, Ontario, M5G 1X5, Canada.
Tanya DoshiDepartment of Obstetrics and Gynecology, Mount Sinai Hospital, Sinai Health System, Toronto, Ontario, M5G 1X5, Canada.
Claire A JonesDepartment of Obstetrics & Gynecology, Temerty Faculty of Medicine, Faculty of Medicine, University of Toronto, 12th floor, 123 Edward St Toronto, Ontario, M5G 1E2, Canada.
Sinai Health System · CAUniversity of Toronto · CAMount Sinai Hospital · CAUniversity Health Network · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research has demonstrated that patients have difficulty with the decision to undergo non-urgent egg freezing (EF). This study aimed to investigate the decisional difficulties and possible decisional support mechanisms for patients considering EF, and for their providers.

methodsThis qualitative study involved a needs assessment via individual interviews. Participants included patients considering EF at one academic fertility clinic and providers from across Canada who counsel patients considering EF. 25 participants were included (13 providers and 12 patients). The interview guide was developed according to the Ottawa Decision Support Framework. Interviews were transcribed, and transcripts analyzed for themes and concepts using NVIVO 12.

findingsMultiple factors contributing to decisional difficulty were identified, including: (1) multiple reproductive options available with differing views from patients/providers regarding their importance; (2) a decision typically made under the pressure of reproductive aging; (3) uncertainty surrounding the technology/inadequate outcome data; (4) the financial burden of EF; (5) inherent uncertainty relating to potential decision regret; and (6) differing perceptions between patients/providers regarding the role providers should play in the decision. Additionally, potential sources of decisional support were identified, including provision of basic information before and/or during initial consultation, followed by an opportunity during or after initial consultation for clarifying information and helping with value judgements. Individualized counselling based on patient values, adequate follow-up, psychosocial counselling, and peer support were also emphasized.

conclusionsMore decisional support for women considering EF is needed. Suggestions include a patient decision aid in conjunction with modified healthcare provider counselling, support and follow up.

Indexed as

Fertility PreservationCounselingDecision MakingFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansNeeds AssessmentReproductionReproductive BehaviorAge-related fertility declineCounsellingDelayed childbearingElective egg freezingQualitative research

Identifiers

PMID37953253
PMCPMC10641979
OpenAlexW4388617183

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.