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Practices of Pediatric Oncology and Hematology Providers Regarding Fertility Issues: A European Survey

Terenziani, Monica; Spinelli, Marco; Jankovic, Momcilo; Bardi, Edit; Hjorth, Lars LU ; Haupt, Riccardo; Michel, Gisela and Byrne, Julianne (2014) In Pediatric Blood & Cancer 61(11). p.2054-2058
Abstract
BackgroundFertility is impaired in many survivors of childhood cancer following treatment. Preservation of fertility after cancer has become a central survivorship concern. Nevertheless, several doctors, patients, and families do not discuss fertility and recommendations for fertility preservation in pediatrics are still lacking. Recommendations based on scientific evidence are needed and before their development we wanted to assess the practice patterns of fertility preservation in Europe. ProceduresOn behalf of the PanCare network, we sent a questionnaire to pediatric onco-hematology institutions across Europe. The survey consisted of 21 questions assessing their usual practices around fertility preservation. ResultsOne hundred... (More)
BackgroundFertility is impaired in many survivors of childhood cancer following treatment. Preservation of fertility after cancer has become a central survivorship concern. Nevertheless, several doctors, patients, and families do not discuss fertility and recommendations for fertility preservation in pediatrics are still lacking. Recommendations based on scientific evidence are needed and before their development we wanted to assess the practice patterns of fertility preservation in Europe. ProceduresOn behalf of the PanCare network, we sent a questionnaire to pediatric onco-hematology institutions across Europe. The survey consisted of 21 questions assessing their usual practices around fertility preservation. ResultsOne hundred ninety-eight institutional representatives across Europe received the survey and 68 (response rate 34.3%) responded. Pre-treatment fertility counseling was offered by 64 institutions. Counseling was done by a pediatric onco-hematologist in 52% (33/64) and in 32% (20/64) by a team. The majority of institutions (53%) lacked recommendations for fertility preservation. All 64 centers offered sperm banking; eight offered testicular tissue cryopreservation for pre-pubertal males. For females, the possibility of preserving ovarian tissue was offered by 40 institutions. ConclusionsThere is a high level of interest in fertility preservation among European centers responding to our survey. However, while most recommended sperm cryopreservation, many also recommended technologies whose efficacy has not been shown. There is an urgent need for evidence-based European recommendations for fertility preservation to help survivors deal with the stressful topic of fertility. Pediatr Blood Cancer 2014;61:2054-2058. (c) 2014 Wiley Periodicals, Inc. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
childhood cancer survivors, fertility preservation, survey
in
Pediatric Blood & Cancer
volume
61
issue
11
pages
2054 - 2058
publisher
John Wiley and Sons Inc.
external identifiers
  • wos:000342723300025
  • scopus:84922674117
ISSN
1545-5017
DOI
10.1002/pbc.25163
language
English
LU publication?
yes
id
c2d5864b-e0ee-4a97-996c-e7549d883c45 (old id 4796286)
date added to LUP
2014-12-01 07:35:07
date last changed
2017-10-22 03:15:38
@article{c2d5864b-e0ee-4a97-996c-e7549d883c45,
  abstract     = {BackgroundFertility is impaired in many survivors of childhood cancer following treatment. Preservation of fertility after cancer has become a central survivorship concern. Nevertheless, several doctors, patients, and families do not discuss fertility and recommendations for fertility preservation in pediatrics are still lacking. Recommendations based on scientific evidence are needed and before their development we wanted to assess the practice patterns of fertility preservation in Europe. ProceduresOn behalf of the PanCare network, we sent a questionnaire to pediatric onco-hematology institutions across Europe. The survey consisted of 21 questions assessing their usual practices around fertility preservation. ResultsOne hundred ninety-eight institutional representatives across Europe received the survey and 68 (response rate 34.3%) responded. Pre-treatment fertility counseling was offered by 64 institutions. Counseling was done by a pediatric onco-hematologist in 52% (33/64) and in 32% (20/64) by a team. The majority of institutions (53%) lacked recommendations for fertility preservation. All 64 centers offered sperm banking; eight offered testicular tissue cryopreservation for pre-pubertal males. For females, the possibility of preserving ovarian tissue was offered by 40 institutions. ConclusionsThere is a high level of interest in fertility preservation among European centers responding to our survey. However, while most recommended sperm cryopreservation, many also recommended technologies whose efficacy has not been shown. There is an urgent need for evidence-based European recommendations for fertility preservation to help survivors deal with the stressful topic of fertility. Pediatr Blood Cancer 2014;61:2054-2058. (c) 2014 Wiley Periodicals, Inc.},
  author       = {Terenziani, Monica and Spinelli, Marco and Jankovic, Momcilo and Bardi, Edit and Hjorth, Lars and Haupt, Riccardo and Michel, Gisela and Byrne, Julianne},
  issn         = {1545-5017},
  keyword      = {childhood cancer survivors,fertility preservation,survey},
  language     = {eng},
  number       = {11},
  pages        = {2054--2058},
  publisher    = {John Wiley and Sons Inc.},
  series       = {Pediatric Blood & Cancer},
  title        = {Practices of Pediatric Oncology and Hematology Providers Regarding Fertility Issues: A European Survey},
  url          = {http://dx.doi.org/10.1002/pbc.25163},
  volume       = {61},
  year         = {2014},
}