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- W2604481520 abstract "220 Background: Reproductive concerns in survivorship are associated with distress, depression and anxiety. Patients who receive pretreatment fertility counseling report a better quality of life after treatment. Despite this, only about 50% of patients in studies recall discussion of fertility issues prior to chemotherapy. Methods: A retrospective review was conducted to evaluate discussion of fertility in patients ages 19-35 seen at the University of Alabama at Birmingham Hematology/Oncology clinic from 1/1/15-12/31/15. Patients who never received therapy that could alter their childbearing potential were excluded. Patients’ sex, age at diagnosis, type of cancer, documented discussion of fertility implications prior to therapy, and referral to Reproductive Endocrinology (REI) were documented. Rates of discussion of fertility risks and rate of referral were determined. Results: Fifty-four patients met inclusion criteria for the study. 46.3% were female. 30 patients (55.6%) had a hematologic malignancy and 24 patients (44.4%) had a solid tumor malignancy. Documentation of fertility risk was seen in 33.3% of patients with 29.2% referred to REI. Seven (24.1%) patients had hematologic malignancies and eight (33.3%) had solid tumors were referred to REI. Of the 25 female patients, only five (16.7%) were referred to REI, whereas another five patients could have been deemed not suitable for referral due to previous surgery or metastatic disease making the appropriate referral rate of 25%. Of the 29 male patients, nine were referred to REI, one had semen analysis without REI referral, and one refused REI evaluation making overall referral rate 34.5%. 35 of the 54 patients received their initial chemotherapy at our facility, and of those 34.3% were referred to REI. Conclusions: Despite guidelines recommending discussion of fertility risks with all patients of child-bearing age prior to chemotherapy, less than half of patients at our institution are referred to REI. [Table: see text]" @default.
- W2604481520 created "2017-04-14" @default.
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- W2604481520 date "2017-03-10" @default.
- W2604481520 modified "2023-09-27" @default.
- W2604481520 title "Referral to infertility counseling in cancer patients undergoing chemotherapy." @default.
- W2604481520 doi "https://doi.org/10.1200/jco.2017.35.8_suppl.220" @default.
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