Experiences of Female Childhood Cancer Patients and Survivors Regarding Information and Counselling on Gonadotoxicity Risk and Fertility Preservation at Diagnosis: A Systematic Review
Background: Childhood cancer patients and their families are increasingly offered oncofertility care including information regarding their risk of gonadal damage by paediatric oncologists, fertility counselling by fertility specialists and fertility preservation options. However, experiences regardi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/7/1946 |
| _version_ | 1797608233916956672 |
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| author | Nikita H. Z. Clasen M. E. Madeleine van der Perk Sebastian J. C. M. M. Neggers Annelies M. E. Bos Marry M. van den Heuvel-Eibrink |
| author_facet | Nikita H. Z. Clasen M. E. Madeleine van der Perk Sebastian J. C. M. M. Neggers Annelies M. E. Bos Marry M. van den Heuvel-Eibrink |
| author_sort | Nikita H. Z. Clasen |
| collection | DOAJ |
| description | Background: Childhood cancer patients and their families are increasingly offered oncofertility care including information regarding their risk of gonadal damage by paediatric oncologists, fertility counselling by fertility specialists and fertility preservation options. However, experiences regarding oncofertility care are underreported. We aimed to summarize the available evidence of experiences of female childhood cancer patients and survivors regarding oncofertility care. Methods: Manuscripts were systematically identified using the PubMed and Embase database. From, respectively, 1256 and 3857 manuscripts, 7 articles were included and assessed, including risk of bias assessment. Outcome measures included data describing experiences of female childhood cancer patients and survivors, regarding fertility information, counselling and/or preservation. Results: Female patients and survivors are variably satisfied with fertility information, report challenges in communication with healthcare professionals and prefer to receive general information at diagnosis and detailed fertility information later. Regrets after fertility counselling are underreported, but are associated with refusing fertility preservation. Lastly, regardless of counselling, female patients and survivors report fertility concerns about their future children’s health and effect on relationships. Conclusion: Currently, the satisfaction with oncofertility care varies and female patients or survivors report regrets and concerns regardless of receiving fertility information or counselling. These results may help to improve the content of fertility information, communication skills of healthcare professionals and timing of counselling. |
| first_indexed | 2024-03-11T05:41:39Z |
| format | Article |
| id | doaj.art-2eb7df6a3e1c42baa92ce90d828e4b19 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T05:41:39Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-2eb7df6a3e1c42baa92ce90d828e4b192023-11-17T16:23:56ZengMDPI AGCancers2072-66942023-03-01157194610.3390/cancers15071946Experiences of Female Childhood Cancer Patients and Survivors Regarding Information and Counselling on Gonadotoxicity Risk and Fertility Preservation at Diagnosis: A Systematic ReviewNikita H. Z. Clasen0M. E. Madeleine van der Perk1Sebastian J. C. M. M. Neggers2Annelies M. E. Bos3Marry M. van den Heuvel-Eibrink4Princess Máxima Center for Pediatric Oncology, 3584CS Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584CS Utrecht, The NetherlandsDepartment of Internal Medicine, Section Endocrinology, Erasmus Medical Center, 3015GD Rotterdam, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584CS Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584CS Utrecht, The NetherlandsBackground: Childhood cancer patients and their families are increasingly offered oncofertility care including information regarding their risk of gonadal damage by paediatric oncologists, fertility counselling by fertility specialists and fertility preservation options. However, experiences regarding oncofertility care are underreported. We aimed to summarize the available evidence of experiences of female childhood cancer patients and survivors regarding oncofertility care. Methods: Manuscripts were systematically identified using the PubMed and Embase database. From, respectively, 1256 and 3857 manuscripts, 7 articles were included and assessed, including risk of bias assessment. Outcome measures included data describing experiences of female childhood cancer patients and survivors, regarding fertility information, counselling and/or preservation. Results: Female patients and survivors are variably satisfied with fertility information, report challenges in communication with healthcare professionals and prefer to receive general information at diagnosis and detailed fertility information later. Regrets after fertility counselling are underreported, but are associated with refusing fertility preservation. Lastly, regardless of counselling, female patients and survivors report fertility concerns about their future children’s health and effect on relationships. Conclusion: Currently, the satisfaction with oncofertility care varies and female patients or survivors report regrets and concerns regardless of receiving fertility information or counselling. These results may help to improve the content of fertility information, communication skills of healthcare professionals and timing of counselling.https://www.mdpi.com/2072-6694/15/7/1946childhood cancergonadal damageinfertilitycounsellingfemaleexperience |
| spellingShingle | Nikita H. Z. Clasen M. E. Madeleine van der Perk Sebastian J. C. M. M. Neggers Annelies M. E. Bos Marry M. van den Heuvel-Eibrink Experiences of Female Childhood Cancer Patients and Survivors Regarding Information and Counselling on Gonadotoxicity Risk and Fertility Preservation at Diagnosis: A Systematic Review Cancers childhood cancer gonadal damage infertility counselling female experience |
| title | Experiences of Female Childhood Cancer Patients and Survivors Regarding Information and Counselling on Gonadotoxicity Risk and Fertility Preservation at Diagnosis: A Systematic Review |
| title_full | Experiences of Female Childhood Cancer Patients and Survivors Regarding Information and Counselling on Gonadotoxicity Risk and Fertility Preservation at Diagnosis: A Systematic Review |
| title_fullStr | Experiences of Female Childhood Cancer Patients and Survivors Regarding Information and Counselling on Gonadotoxicity Risk and Fertility Preservation at Diagnosis: A Systematic Review |
| title_full_unstemmed | Experiences of Female Childhood Cancer Patients and Survivors Regarding Information and Counselling on Gonadotoxicity Risk and Fertility Preservation at Diagnosis: A Systematic Review |
| title_short | Experiences of Female Childhood Cancer Patients and Survivors Regarding Information and Counselling on Gonadotoxicity Risk and Fertility Preservation at Diagnosis: A Systematic Review |
| title_sort | experiences of female childhood cancer patients and survivors regarding information and counselling on gonadotoxicity risk and fertility preservation at diagnosis a systematic review |
| topic | childhood cancer gonadal damage infertility counselling female experience |
| url | https://www.mdpi.com/2072-6694/15/7/1946 |
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