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Examining predictors and outcomes of fertility consults among children, adolescents, and young adults with cancer
Author(s) -
Saraf Amanda J.,
Stanek Joseph,
Audino Anthony,
DaJusta Daniel,
HansenMoore Jennifer,
McCracken Kate,
Whiteside Stacy,
Yeager Nick,
Nahata Leena
Publication year - 2018
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.27409
Subject(s) - fertility , medicine , fertility preservation , psychological intervention , infertility , family medicine , oncofertility , demography , population , nursing , environmental health , pregnancy , sociology , biology , genetics
Infertility has a negative impact on quality of life among cancer survivors. Studies show establishing a fertility team results in improved patient satisfaction. A review of electronic medical records was performed to examine predictors of fertility referrals, interventions, and the impact of an opt‐out consult mechanism. Findings show many patients, particularly those that are younger, are still not receiving fertility counseling despite the presence of a fertility team. Notably, patients were 3.6 times more likely to receive a consult after the opt‐out. Strategies are needed to improve access to fertility related care, particularly in groups where consults are underutilized.