American Society of Clinical Oncology Recommendations on Fertility Preservation in Cancer Patients

Lee, Stephanie J.; Schover, Leslie R.; Partridge, Ann H.; Patrizio, Pasquale; Wallace, W. Hamish B.; Hagerty, Karen L.; Beck, Lindsay Nohr; Brennan, Lawrence V.; Oktay, Kutluk

doi:10.1200/jco.2006.06.5888

Cited by 1,764 publications

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“…This was followed in 2006 by the American Society of Clinical Oncologists (ASCO) which published fertility preservation recommendations (ASCOR) to the oncology community [9]. Tenets of the document included the recommendation to discuss fertility preservation options with patients shortly after cancer diagnosis, preferably before initiation of treatment, and to refer them to a fertility specialist with expertise in fertility preservation methods.…”

Section: Introductionmentioning

confidence: 99%

“…Tenets of the document included the recommendation to discuss fertility preservation options with patients shortly after cancer diagnosis, preferably before initiation of treatment, and to refer them to a fertility specialist with expertise in fertility preservation methods. If eligible, men should seek sperm cryopreservation, and in cases of azoospermia or anejaculation, consider alternative methods of sperm collection [9]. Similarly, women could pursue embryo cryopreservation, conservative gynecological surgery, or oophoropexy.…”

Section: Introductionmentioning

confidence: 99%

“…Even prior to initiation of any therapy, the disease processes of the cancer itself can threaten fertility through inflammatory or immunity-related pathways [21]. Direct deleterious effects on fertility from pediatric malignancies have been widely documented in testicular cancer and Hodgkin lymphoma [9].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Results from the survey for preservation of adolescent reproduction (SPARE) study: gender disparity in delivery of fertility preservation message to adolescents with cancer

Köhler

Kondapalli

Shah

et al. 2010

J Assist Reprod Genet

163

131

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Purpose Diminished reproductive capacity is a devastating consequence of life-sparing therapies for childhood malignancy. In 2006, the American Society of Clinical Oncology (ASCO) published fertility preservation recommendations (ASCOR) emphasizing the importance of early discussion and intervention for fertility preservation strategies. Using the Survey for Preservation of Adolescent REproduction (SPARE), we sought to determine fertility preservation attitudes and practice patterns post-ASCOR from pediatric oncology specialists nationwide. Materials and methods The SPARE survey consists of 22 questions assessing pediatric oncology specialists' attitudes and practice patterns toward fertility preservation. Broad perspectives on fertility preservation, including a willingness to discuss fertility, knowledge of current fertility preservation methods and awareness of ASCOR, were assessed. Genet (2011) 28:269-277 DOI 10.1007 Capsule The SPARE survey captured marked disparities between pediatric oncologists' attitudes and practice patterns regarding fertility preservation for male and female pediatric oncology patients. Statement of Financial SupportResults The majority of respondents acknowledged that fertility threats are a major concern for them and agreed that all pubertal cancer patients should be offered a fertility consultation, but only 46% reported they refer male pubertal cancer patients to a fertility specialist prior to cancer treatment >50% of the time, and only 12% reported they refer female pubertal cancer patients to a fertility specialist prior to cancer treatment > 50% of the time. While 44% of respondents were familiar with the 2006 ASCOR, only 39% of those utilized them to guide decision-making in greater than half of their patients. Conclusion Our study demonstrates pediatric oncologists' motivation to preserve fertility in pediatric cancer patients; however, barriers to both gamete cryopreservation and referral to fertility specialists persist. Female pubertal patients are referred to fertility preservation specialists with much less frequency than are male pubertal patients, highlighting a disparity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Results from the survey for preservation of adolescent reproduction (SPARE) study: gender disparity in delivery of fertility preservation message to adolescents with cancer

Köhler

Kondapalli

Shah

et al. 2010

J Assist Reprod Genet

163

131

View full text Add to dashboard Cite

show abstract

“…Further, the complexities behind decision-making, the immaturity of the technology, and the nature of reproductive medicine itself create implicit ethical and legal considerations. Thus, a diverse team of scholars has been mobilized to try to make an intractable problem (fertility preservation for cancer patients) tractable [1][2][3][4][5][6][7][8][9][10].…”

Section: Interdisciplinary Work Through a Critical Lensmentioning

confidence: 99%

“…Decision trees can help individuals to think through and discuss treatment choices from various perspectives, and can be used to help providers communicate in a systematic and logical way [19]. The American Society of Clinical Oncology recently developed a decision flow diagram that provides guidance to oncologists on initial discussions about the possibility of treatment-related infertility [5]. The flow diagram, which outlines three steps in the decision-making process as faced by both male and female cancer patients, is accompanied by a table that describes key points that should be included when discussing fertility preservation options with patients.…”

Section: The Decision Tree: a Provider-facing Resourcementioning

confidence: 99%

Using decision trees to enhance interdisciplinary team work: the case of oncofertility

Gardino

Jeruss

Woodruff

2010

J Assist Reprod Genet

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Purpose Oncofertility, an emerging discipline at the intersection of cancer and fertility, strives to give cancer patients options when they are confronting potential infertility as a consequence of cancer treatment. Fertility preservation decisions must be made before treatment begins, adding stress to the decision-making process. Methods Healthcare providers need to be aware of the intricacies involved in oncofertility decision making, and the often tight time line that patients face when making these decisions. Cancer patient's perspectives may also change, as the dual burden of a cancer diagnosis and potential infertility can cause great flux in emotions. Results A provider-facing decision tree was created to enhance patient decision-making capacities and outline the multiple potential intervention points. Conclusions Decision trees, which highlight the important decision points during which providers can approach patients, can be a useful tool to help providers in counseling patients on fertility preservation.

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Discussing Fertility Preservation Options With Patients With Cancer

Snyder

Pearse

2011

JAMA

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American Society of Clinical Oncology Recommendations on Fertility Preservation in Cancer Patients

Abstract: Fertility preservation is often possible in people undergoing treatment for cancer. To preserve the full range of options, fertility preservation approaches should be considered as early as possible during treatment planning.

Cited by 1,764 publications

References 155 publications

Results from the survey for preservation of adolescent reproduction (SPARE) study: gender disparity in delivery of fertility preservation message to adolescents with cancer

Results from the survey for preservation of adolescent reproduction (SPARE) study: gender disparity in delivery of fertility preservation message to adolescents with cancer

Using decision trees to enhance interdisciplinary team work: the case of oncofertility

Discussing Fertility Preservation Options With Patients With Cancer

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