Optimizing the Decision-Making Process About Fertility Preservation in Young Female Cancer Patients: The Experience of the Portuguese Centre for Fertility Preservation

Author(s):  
Cláudia Melo ◽  
Maria Cristina Canavarro ◽  
Teresa Almeida-Santos
2018 ◽  
Vol 36 (3) ◽  
pp. 364-381 ◽  
Author(s):  
Cláudia Melo ◽  
Ana Fonseca ◽  
Mariana Moura-Ramos ◽  
Teresa Almeida-Santos ◽  
Maria Cristina Canavarro

2017 ◽  
Vol 44 (3) ◽  
pp. 175-180 ◽  
Author(s):  
Madleina Müller ◽  
Corinne Urech ◽  
Jacky Boivin ◽  
Verena Ehrbar ◽  
Rebecca Moffat ◽  
...  

BackgroundHealth professionals are challenged by a growing number of young long-term cancer survivors with their specific needs with regard to family planning. This study aimed at assessing decisional conflict (DC) in young female cancer patients regarding fertility preservation, identifying demographic, fertility and fertility preservation related factors, which may affect DC, and assessing the helpfulness of various decision-supports.MethodsA retrospective, cross-sectional, web-based survey via an online questionnaire available in three languages with specific items concerning cancer, fertility, fertility preservation and the validated Decisional Conflict Scale targeted at current or former female cancer patients aged 18–45 years, with cancer types or treatment potentially affecting reproductive function.ResultsThe 155 participating women showed considerable DC, especially with regard to missing information and support. DC was significantly lower in patients when the risk of infertility was discussed with a health professional, when they had undergone any procedure to preserve fertility, and when they had a university education. A longer time interval since cancer diagnosis was associated with higher DC. The most helpful decision-support tools were specialised websites and leaflets.ConclusionsYoung female cancer patients’ DC with regard to fertility preservation is very high. Information and support seem to be deficient. More information through standardised information tools might be an effective strategy to lower their DC at the time when treatment decisions need to be taken, and to improve their reproductive health after they have overcome cancer in the future.


10.5772/24932 ◽  
2012 ◽  
Author(s):  
R. Gerritse ◽  
L. Bastings ◽  
C.C.M. Beerendonk ◽  
J.R. Westphal ◽  
D.D.M. Braat ◽  
...  

2008 ◽  
Vol 4 ◽  
pp. 79
Author(s):  
Marie-Madeleine Dolmans ◽  
Jacques Donnez ◽  
◽  


2018 ◽  
Vol 7 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Verena Ehrbar ◽  
Corinne Urech ◽  
Christoph Rochlitz ◽  
Rosanna Zanetti Dällenbach ◽  
Rebecca Moffat ◽  
...  

2017 ◽  
Vol 21 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Corinne Urech ◽  
Verena Ehrbar ◽  
Jacky Boivin ◽  
Madleina Müller ◽  
Judith Alder ◽  
...  

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