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- W2089973668 abstract "We sought to determine whether early stage (1&2) vs. late stage (3&4) breast cancer patients have an equal desire for future fertility and whether they receive equal counseling from their oncology teams at diagnosis. Cross-sectional survey. To date we contacted 1845 women from the California Cancer Registry (CCR) and received 509 surveys. Data collection will be complete July 2011. Participants were randomly sampled, diagnosed from 1993-2007, aged 18-40, and completed an electronic/written survey (English/Spanish). Staging data was collected from the CCR. Patients were excluded if they did not undergo cancer-compromising therapy or if they had missing data. Fisher exact testing was used to analyze results. We found no difference in desire for future fertility between women of early vs. late stage breast cancer (74% vs. 68%). However, we found significant differences between oncology team assessment of desired fertility (60% vs. 31%) and in counseling rates on reproductive health risks from cancer therapy (88% and 70%). The most significant difference was in counseling on a patient's ability to have a baby after treatment (76% vs. 45%, P=0.01). There was no difference in counseling on fertility preservation (16% vs. 5%).Tabled 1Early-Staged (n = 305)Late-Staged (n = 22)Desired Fertility74%68%Assessment of Desired Children in Future60%31%**Counseling on Reproductive Health Risks*88%70%**Counseling on Fertility Preservation16%5%* Reproductive health risks include risk to menstrual cycle, sexual function, ability to have a baby, or menopause **P<0.05 Open table in a new tab * Reproductive health risks include risk to menstrual cycle, sexual function, ability to have a baby, or menopause **P<0.05 The majority of women with breast cancer desire fertility after treatment, however many women are not asked if having a child is important to them. Furthermore, women are more likely to be counseled if they have early-stage disease, reflecting a possible bias towards counseling only women with the best chance at survival." @default.
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- W2089973668 date "2011-09-01" @default.
- W2089973668 modified "2023-09-26" @default.
- W2089973668 title "Late staged breast cancer patients desire children after cancer yet few have their desires assessed by oncologists when compared to women with early staged disease" @default.
- W2089973668 doi "https://doi.org/10.1016/j.fertnstert.2011.07.789" @default.
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