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Title: Factors influencing the documentation of fertility-related discussions for adolescents and young adults with cancer.
Austin Authors: Skaczkowski, Gemma ;White, V;Thompson, K;Bibby, H;Coory, M;Pinkerton, R;Nicholls, W;Orme, L M;Conyers, R;Phillips, M B;Osborn, M;Harrup, R;Anazodo, A
Affiliation: Center for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Australia
School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia
Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Victoria, Australia
School of Psychology, Deakin University, Melbourne Burwood Campus, Victoria, Australia
Peter MacCallum Cancer Center, Melbourne, Victoria, Australia
Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, Australia
Children's Health Queensland Hospital and Health Service, South Brisbane, Queensland, Australia
Children's Cancer Center, The Royal Children's Hospital, Parkville, Victoria, Australia
Murdoch Childrens Research Institute, Royal Children's Hospital, Parkville, Victoria, Australia
Princess Margaret Hospital for Children, Subiaco, WA, Australia
Royal Adelaide Hospital, Adelaide, SA, Australia
Royal Hobart Hospital, Hobart, TAS Australia
Kids Cancer Center, Sydney Children's Hospital, Randwick, NSW, Australia
Nelune Comprehensive Cancer Center, Prince of Wales Hospital, Randwick, NSW, Australia
School of Women's and Children's Health University of New South Wales, NSW, Australia
Issue Date: Jun-2018
Date: 2018-03-08
Publication information: European journal of oncology nursing 2018; 34: 42-48
Abstract: A cancer diagnosis and treatment may have significant implications for a young patient's future fertility. Documentation of fertility-related discussions and actions is crucial to providing the best follow-up care, which may occur for many years post-treatment. This study examined the rate of medical record documentation of fertility-related discussions and fertility preservation (FP) procedures for adolescents and young adults (AYAs) with cancer in Australia. A retrospective review of medical records for 941 patients in all six Australian states. Patients were identified through population-based cancer registries (four states) and hospital admission lists (two states). Trained data collectors extracted information from medical records using a comprehensive data collection survey. Records were reviewed for AYA patients (aged 15-24 years at diagnosis), diagnosed with acute myeloid leukaemia, acute lymphoblastic leukaemia, central nervous system (CNS) tumours, soft tissue sarcomas (STS), primary bone cancer or Ewing's family tumours between 2007 and 2012. 47.2% of patients had a documented fertility discussion and 35.9% had a documented FP procedure. Fertility-related documentation was less likely for female patients, those with a CNS or STS diagnosis and those receiving high-risk treatments. In multivariable models, adult hospitals with an AYA focus were more likely to document fertility discussions (odds ratio[OR] = 1.60; 95%CI = 1.08-2.37) and FP procedures (OR = 1.74; 95%CI = 1.17-2.57) than adult hospitals with no AYA services. These data provide the first national, population-based estimates of fertility documentation for AYA cancer patients in Australia. Documentation of fertility-related discussions was poor, with higher rates observed in hospitals with greater experience of treating AYA patients.
DOI: 10.1016/j.ejon.2018.02.007
Journal: European journal of oncology nursing : the official journal of European Oncology Nursing Society
PubMed URL: 29784137
Type: Journal Article
Subjects: Adolescents and young adults
Appears in Collections:Journal articles

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