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• W1984046342 abstract "ObjectiveASRM & ASCO guidelines suggest physicians discuss risk of infertility with all newly diagnosed reproductive aged cancer patients and refer interested patients to a reproductive endocrinologist (REI).DesignAn NCI cancer center developed an electronic referral system to increase patient awareness and decrease physician burden. This study examined uptake patterns of REI referralsMaterials and MethodsA patient-reported electronic questionnaire (EQ) in the cancer center asks patients to respond (yes/no/not sure) to 2 questions: Are you interested in having a child (more children) in the future? Would you like a referral to a REI to discuss your options? Responses were collected from June – Dec 2010 from patients aged 18-45. A retrospective record review was also conducted at the REI clinic where patients are referred. Gender and cancer type were extracted along with use of fertility preservation (FP) methodsResults922 patients age 18-45 were seen at the cancer center during this 6 month period. 161 females and 12 males indicated an interest in having more children and 102 noted “not sure.” 87 females and 11 males requested a referral. REI clinic records show 41 phone calls were made during this period for a consult (cancer site = breast (17%); hematologic cancer (30%). 5 males and 5 females opted to use FP. Prior to the EQ, the REI clinic received 25 calls from cancer patients in a 1 yr periodConclusionEQ questions increase the likelihood of interested patients receiving desired referrals to REI. Patients typically want only a phone consult and <5% of females and 10% of males utilize FP. The rate of patients choosing “not sure” indicates need for further follow up. It is likely some patients are in distress at the time of completion of the EQ and unaware of the optimal window of time for FP procedures. Further, low uptake of FP may be related to other factors such as concerns regarding treatment delay, financial resources, or distress over cancer diagnosis. ObjectiveASRM & ASCO guidelines suggest physicians discuss risk of infertility with all newly diagnosed reproductive aged cancer patients and refer interested patients to a reproductive endocrinologist (REI). ASRM & ASCO guidelines suggest physicians discuss risk of infertility with all newly diagnosed reproductive aged cancer patients and refer interested patients to a reproductive endocrinologist (REI). DesignAn NCI cancer center developed an electronic referral system to increase patient awareness and decrease physician burden. This study examined uptake patterns of REI referrals An NCI cancer center developed an electronic referral system to increase patient awareness and decrease physician burden. This study examined uptake patterns of REI referrals Materials and MethodsA patient-reported electronic questionnaire (EQ) in the cancer center asks patients to respond (yes/no/not sure) to 2 questions: Are you interested in having a child (more children) in the future? Would you like a referral to a REI to discuss your options? Responses were collected from June – Dec 2010 from patients aged 18-45. A retrospective record review was also conducted at the REI clinic where patients are referred. Gender and cancer type were extracted along with use of fertility preservation (FP) methods A patient-reported electronic questionnaire (EQ) in the cancer center asks patients to respond (yes/no/not sure) to 2 questions: Are you interested in having a child (more children) in the future? Would you like a referral to a REI to discuss your options? Responses were collected from June – Dec 2010 from patients aged 18-45. A retrospective record review was also conducted at the REI clinic where patients are referred. Gender and cancer type were extracted along with use of fertility preservation (FP) methods Results922 patients age 18-45 were seen at the cancer center during this 6 month period. 161 females and 12 males indicated an interest in having more children and 102 noted “not sure.” 87 females and 11 males requested a referral. REI clinic records show 41 phone calls were made during this period for a consult (cancer site = breast (17%); hematologic cancer (30%). 5 males and 5 females opted to use FP. Prior to the EQ, the REI clinic received 25 calls from cancer patients in a 1 yr period 922 patients age 18-45 were seen at the cancer center during this 6 month period. 161 females and 12 males indicated an interest in having more children and 102 noted “not sure.” 87 females and 11 males requested a referral. REI clinic records show 41 phone calls were made during this period for a consult (cancer site = breast (17%); hematologic cancer (30%). 5 males and 5 females opted to use FP. Prior to the EQ, the REI clinic received 25 calls from cancer patients in a 1 yr period ConclusionEQ questions increase the likelihood of interested patients receiving desired referrals to REI. Patients typically want only a phone consult and <5% of females and 10% of males utilize FP. The rate of patients choosing “not sure” indicates need for further follow up. It is likely some patients are in distress at the time of completion of the EQ and unaware of the optimal window of time for FP procedures. Further, low uptake of FP may be related to other factors such as concerns regarding treatment delay, financial resources, or distress over cancer diagnosis. EQ questions increase the likelihood of interested patients receiving desired referrals to REI. Patients typically want only a phone consult and <5% of females and 10% of males utilize FP. The rate of patients choosing “not sure” indicates need for further follow up. It is likely some patients are in distress at the time of completion of the EQ and unaware of the optimal window of time for FP procedures. Further, low uptake of FP may be related to other factors such as concerns regarding treatment delay, financial resources, or distress over cancer diagnosis." @default.
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• W1984046342 date "2011-09-01" @default.
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• W1984046342 title "Cancer patients requests for reis: referrals patterns and use of fertility preservation" @default.
• W1984046342 doi "https://doi.org/10.1016/j.fertnstert.2011.07.301" @default.
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