Evidence map›Paper›PMID 38614445›Full record

Trial reportContemporary clinical trials2024

Let's TOC Fertility: A stepped wedge cluster randomized controlled trial of the Telehealth Oncofertility Care (TOC) intervention in children, adolescent and young adult cancer survivors.

Sally A D Romero, Lauren Au, Ricardo E Flores-Ortega, Teresa Helsten, Helen Palomino, Bonnie N Kaiser, Meagan Echevarria, Kara Lukas, Kendall Freeman, Jingjing Zou and 3 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05443737 (Evaluation of a Telehealth Oncofertility Care Intervention in Adolescent and Young Adult Cancer Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-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.

NCT05443737 phase3recruitingnot on this map

Evaluation of a Telehealth Oncofertility Care Intervention in Adolescent and Young Adult Cancer Patients: a Stepped Wedge Cluster Randomized Controlled Trial

TypeinterventionalSponsorUniversity of California, San DiegoRan2022 to 2027Enrolled2,800ConditionsCancer, Fertility PreservationArmsMulti-component oncofertility care intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Counseling and use of surrogacy among cancer survivors (CUSACS).Journal of cancer survivorship : research and practice · 2026
    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

13 authors at 6 institutions in 1 country.

Sally A D RomeroDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, School of Medicine, United States of America; Herbert Wertheim School of Public Health and Human Longevity Science, University of California at San Diego, United States of America. Electronic address: saromero@health.ucsd.edu.
Lauren AuDepartment of Medicine, University of Hawai'i at Mānoa John A Burns School of Medicine, United States of America.
Ricardo E Flores-OrtegaDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, School of Medicine, United States of America.
Teresa HelstenDepartment of Medicine, University of California San Diego, School of Medicine, United States of America; Moores Cancer Center, University of California San Diego, United States of America.
Helen PalominoCancer Resource Center of the Desert, United States of America.
Bonnie N KaiserDepartment of Anthropology and Global Health Program, University of California San Diego, United States of America.
Meagan EchevarriaCity of Hope Comprehensive Cancer Center, United States of America.
Kara LukasCity of Hope Comprehensive Cancer Center, United States of America.
Kendall FreemanCity of Hope Comprehensive Cancer Center, United States of America.
Jingjing ZouHerbert Wertheim School of Public Health and Human Longevity Science, University of California at San Diego, United States of America.
Paula AristizabalMoores Cancer Center, University of California San Diego, United States of America; Department of Pediatrics, University of California San Diego, School of Medicine, United States of America.
Saro ArmenianCity of Hope Comprehensive Cancer Center, United States of America.
H Irene SuDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, School of Medicine, United States of America; Moores Cancer Center, University of California San Diego, United States of America.
City of Hope · USUniversity of California, San Diego · USHuman Longevity (United States) · USCancer Resource Center of the Desert · USUniversity of California System · USUniversity of Hawaiʻi at Mānoa · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
Evaluation of a telehealth oncofertility care intervention in adolescent and young adult cancer patients: a stepped wedge cluster randomized controlled trialR01CA271104 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Hui-Chun Irene Su · 2023 to 2026
$2.6M
NCATS NIH HHS UL1 TR001442NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA271104
6 · The paper itself

Abstract

introductionChildren, adolescent, and young adult cancer survivors experience overall increased risks of infertility that are preventable through effective fertility preservation services prior to starting cancer treatment. Oncofertility care is the evidence-based practice of informing newly diagnosed cancer patients about their reproductive risks and supporting shared decision-making on fertility preservation services. Despite longstanding clinical guidelines, oncofertility care delivery continues to be limited and highly variable across adult and pediatric oncology settings. MATERIALS AND

methodsWe describe the design of a stepped wedge cluster randomized clinical trial to evaluate the effectiveness of the multi-component Telehealth Oncofertility Care (TOC) intervention conducted in 20 adult and pediatric oncology clinics across three health systems in Southern California. Intervention components are: 1) electronic health record-based oncofertility needs screen and referral pathway to a virtual oncofertility hub; 2) telehealth oncofertility counseling through the hub; and 3) telehealth oncofertility financial navigation through the hub. We hypothesize the intervention condition will be associated with increased proportions of patients who engage in goal-concordant oncofertility care (i.e., engagement in reproductive risk counseling and fertility preservation services that meet the patient's fertility goals) and improved patient-reported outcomes, compared to the usual care control condition. We will also evaluate intervention implementation in a mixed-methods study guided by implementation science frameworks. DISCUSSION: Our overall goal is to speed implementation of a scalable oncofertility care intervention at cancer diagnosis for children, adolescent and young adult cancer patients to improve their future fertility and quality of life.

trial registrationClinicaltrials.gov Identifier: NCT05443737.

Indexed as

Cancer SurvivorsFertility PreservationTelemedicineAdolescentAdultChildCounselingFemaleHumansMaleNeoplasmsYoung AdultAdolescent and young adultChildrenOncofertilityTelehealth

Identifiers

PMID38614445
PMCPMC11520196
OpenAlexW4394789327

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.