Fertility Preservation in Young Female Cancer Patients: Development and Pilot Testing of an Online Decision Aid

Ehrbar, Verena; Urech, Corinne; Rochlitz, Christoph; Dällenbach, Rosanna Zanetti; Moffat, Rebecca; Stiller, Ruth; Fäh, Monika; Wolff, Michael von; Nawroth, Frank; Dangel, Astrid; Germeyer, Ariane; Findeklee, Sebastian; Tschudin, Sibil

doi:10.1089/jayao.2017.0047

Cited by 33 publications

(60 citation statements)

References 41 publications

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“…The studies were published between 2009 and 2018 and originated from six countries. One study utilised mixed‐methods design (questionnaires and interviews) while all others were quantitative, utilising online or paper‐based questionnaires . Study type was categorised according to an efficacy and effectiveness rating tool .…”

Section: Resultsmentioning

confidence: 99%

“…Study type was categorised according to an efficacy and effectiveness rating tool . One study was developmental, five contained both stages of development and efficacy, five were efficacy or effectiveness studies, and one was an implementation study …”

Section: Resultsmentioning

confidence: 99%

“…Patient populations differed on stage of treatment. Four studies specifically recruited newly diagnosed patients, or patients who had yet to commence any adjuvant therapies . One study recruited patients who had undergone no more than 1 week of treatment .…”

Section: Resultsmentioning

confidence: 99%

“…The format of PtDAs differed between online (n = 5) and paper‐based booklets (n = 2) . One PtDA was integrated within a computerised educational tool .…”

Section: Resultsmentioning

confidence: 99%

“…Five of the tools were in English, and there was one each in Portuguese, Dutch, German, and Japanese . The PtDAs typically consisted of informative sections and interactive sections with values clarification exercises, quizzes to assess patient knowledge, and space for notes or questions . Video testimonials from female cancer survivors who had made decisions about fertility preservation in the past were also included …”

Section: Resultsmentioning

confidence: 99%

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Systematic review of fertility preservation patient decision aids for cancer patients

2018

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Objective Despite recommendations internationally for the timely provision of fertility information, cancer patients report unmet information needs, with poor provision and inadequate written information to assist in fertility preservation decision‐making. Patient decision aids (PtDAs) may be a useful resource in this setting to inform patients and guide decision‐making. A systematic review of the literature on decision aids for fertility preservation in cancer patients would determine the effectiveness of these tools in supporting decision‐making about fertility preservation and indicate their current use in clinical care. Methods A systematic review was conducted in March 2018, within electronic search databases Medline, EMBASE, PSYCH Info, PubMed, and Web of Science. An initial search identified 718 potentially relevant articles from databases and screening of relevant reference lists. Results A total of 12 papers, detailing 11 studies with a total of 772 participants, evaluating nine decision aids, were included within the review. PtDAs were shown to significantly increase fertility preservation knowledge and decrease decisional conflict. Overall satisfaction with decision aids was high. Currently, only two reviewed decision aids are available for cancer patients. Another tool has been integrated into a web page, and one implementation study has been completed. Conclusions PtDAs can serve as effective complements to current fertility counselling practices by increasing information satisfaction and decision‐making outcomes. More research is needed into the appropriateness of these resources for patients across the reproductive age range. Future implementation studies may assist in aiding dissemination of these tools into clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The format of PtDAs differed between online (n = 5) and paper‐based booklets (n = 2) . One PtDA was integrated within a computerised educational tool .…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic review of fertility preservation patient decision aids for cancer patients

2018

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Development and testing of a tailored online fertility preservation decision aid for female cancer patients

et al. 2021

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Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement

Berg¹,

Kaal²,

Schuurman

et al. 2022

Cancer Medicine

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Background Clinical practice guidelines recommend to inform female cancer patients about their infertility risks due to cancer treatment. Unfortunately, it seems that guideline adherence is suboptimal. In order to improve quality of integrated female oncofertility care, a systematic assessment of current practice is necessary. Methods A multicenter cross‐sectional survey study in which a set of systematically developed quality indicators was processed, was conducted among female cancer patients (diagnosed in 2016/2017). These indicators represented all domains in oncofertility care; risk communication, referral, counseling, and decision‐making. Indicator scores were calculated, and determinants were assessed by multilevel multivariate analyses. Results One hundred twenty‐one out of 344 female cancer patients participated. Eight out of 11 indicators scored below 90% adherence. Of all patients, 72.7% was informed about their infertility, 51.2% was offered a referral, with 18.8% all aspects were discussed in counseling, and 35.5% received written and/or digital information. Patient's age, strength of wish to conceive, time before cancer treatment, and type of healthcare provider significantly influenced the scores of three indicators. Conclusions Current quality of female oncofertility care is far from optimal. Therefore, improvement is needed. To achieve this, improvement strategies that are tailored to the identified determinants and to guideline‐specific barriers should be developed.

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Fertility Preservation in Young Female Cancer Patients: Development and Pilot Testing of an Online Decision Aid

Cited by 33 publications

References 41 publications

Systematic review of fertility preservation patient decision aids for cancer patients

Systematic review of fertility preservation patient decision aids for cancer patients

Development and testing of a tailored online fertility preservation decision aid for female cancer patients

Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement

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