Psychological impact of fertility preservation techniques in women with gynaecological cancer

Laganà, Antonio Simone; Rosa, Valentina Lucia La; Rapisarda, Agnese Maria Chiara; Platania, Alessio; Vitale, Salvatore Giovanni

doi:10.3332/ecancer.2017.ed62

Cited by 51 publications

(43 citation statements)

References 40 publications

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“…To conclude, young female cancer patients state to have a positive attitude towards FP but have limited knowledge. Providing information about FP by an early referral to a fertility specialist as well as with additional written material is very important (Angarita et al, 2016;Deshpande et al, 2015;Lagana, La Rosa, Rapisarda, Platania, & Vitale, 2017). Therefore, the next step is to elaborate and offer adequate and desired methods to provide this information.…”

Section: Attitudementioning

confidence: 99%

Knowledge about and attitude towards fertility preservation in young female cancer patients: a cross-sectional online survey

et al. 2017

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Recent advances in cancer therapy have resulted in an increased number of long-term cancer survivors. However, because of their treatment, women might be confronted with impaired fertility. The options of fertility preservation (FP) techniques are increasing. The goal of this study was to assess knowledge about, and attitudes towards, fertility preservation in young female cancer patients. A cross-sectional online survey was conducted including 155 former female cancer patients from English and German speaking countries. The survey consists of questions about attitude towards, and knowledge about, fertility preservation. Results show that knowledge about fertility preservation was limited among participants. Positive attitudes towards fertility preservation significantly outweighed negative attitudes. Knowledge and attitude did not differ according to language or different healthcare systems. Confidence of knowledge was significantly higher in women who underwent any FP procedure compared to those who did not. Greater emphasis should be placed on counselling opportunities, the provision of adequate information and supporting material. A better understanding of these issues will hopefully enhance patients' decision-making about FP options and assist the development of strategies to improve quality of care.

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Section: Attitudementioning

confidence: 99%

Knowledge about and attitude towards fertility preservation in young female cancer patients: a cross-sectional online survey

et al. 2017

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“…Adequate information about diagnosis and treatment, e.g. fertility preservation or preservation of sexual function, seems to be as important as the treatment of symptoms post-operatively in women with vulvar neoplasia [27,28]. Various reviews have stated that an individualised approach should be used for surgical treatment, especially in patients with advanced disease.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, they probably have less emotional distress and can better accept the situation [29]. For women of childbearing age, the fact that they cannot have children may be worse than the diagnosis itself [27]. This can lead to an additional stressor in younger women, and more time and support would therefore be needed for successful adjustment.…”

Section: Discussionmentioning

confidence: 99%

The effect of written information and counselling by an advanced practice nurse on resilience in women with vulvar neoplasia during six months after surgical treatment and the influence of social support, recurrence, and age: A secondary analysis of a multicenter randomized controlled trial, WOMAN-PRO-II

Kofler

Kobleder

Ott

et al. 2020

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Background: Women with vulvar neoplasia often complain about physical and psychological distress after surgical treatment. Lack of information and support can influence resilience. Whether an information-related intervention through an advanced practice nurse supports resilience and which other factors affect resilience in women with vulvar neoplasia has never been investigated. Methods: The aims of this study were (a) to analyse whether counselling based on the WOMAN-PRO II program causes a significant improvement in the resilience scores of women with vulvar neoplasia compared to written information and (b) to identify the potential predictors of resilience. A randomized controlled trial was conducted in women with vulvar neoplasia (n = 49) six months after surgical treatment in four Swiss hospitals and one Austrian hospital. Analyses of resilience and its predictors were performed using a linear mixed model. Results: Thirty-six women (intervention I, n = 8; intervention II, n = 28) completed the randomized controlled trial. In total, 13 women (26.5%) dropped out of the trial. The resilience score did not differ significantly between the two interventions three and six months after randomisation (p = 0.759). Age (b = .04, p = 0.001), social support (b = .28, p = 0.009), counselling time (b = .03, p = 0.018) and local recurrence (b = −.56, p = 0.009) were identified as significant predictors of resilience in the linear mixed model analyses. Conclusion: The results indicate that the WOMAN-PRO II program as single intervention does not cause a significant change in the resilience scores of women with vulvar neoplasia six months after surgery. Predictors that promote or minimise resilience have been identified and should be considered when developing resilience programs for women with vulvar neoplasia. A repetition of the study with a larger sample size is recommended.

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“…The long-term quality of life is also missing from our reported data. In particular, we did not report any data on fertility preservation, which is strongly linked to the well-being of young patients suffering from gynecological cancers [27][28][29][30][31]. Thus, we cannot formally make conclusions on the profitability of each surgical approach and can only describe the elements that we used to decide which MIS technique will be used.…”

Section: Plos Onementioning

confidence: 99%

Choosing the most appropriate minimally invasive approach to treat gynecologic cancers in the context of an enhanced recovery program: Insights from a comprehensive cancer center

et al. 2020

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The aim of the study was to compare the characteristics of procedures for gynecologic cancers conducted with conventional laparoscopy (CL) or robotically assisted laparoscopy (RAL) in the context of an enhanced recovery program (ERP). Methods This is a secondary analysis of prospectively collected data from a cohort study conducted between 2016 (when the ERP was first implemented at the Institut Paoli-Calmettes, a comprehensive cancer center in France) and 2018. We included patients who had undergone minimally invasive surgery for gynecological cancers and followed our ERP. The endpoints were the analysis of postoperative complications, the length of postoperative hospitalization (LPO), and the proportion of combined procedures depending on the approach (RAL or CL). Combined procedures were defined by the association of at least two of the following operative items: hysterectomy, pelvic lymphadenectomy, and para-aortic lymphadenectomy. Results A total of 362 women underwent either CL (n = 187) or RAL (n = 175) for gynecologic cancers and followed our ERP. The proportion of combined procedures performed by RAL was significantly higher (85/175 [48.6%]) than that performed by CL (23/187 [12.3%]; p < 0.001). The proportions of postoperative complications were similar between the two groups (19.4% versus 17.1%; p = 0.59). Logistic regression analysis revealed a statistically

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Psychological impact of fertility preservation techniques in women with gynaecological cancer

Cited by 51 publications

References 40 publications

Knowledge about and attitude towards fertility preservation in young female cancer patients: a cross-sectional online survey

Knowledge about and attitude towards fertility preservation in young female cancer patients: a cross-sectional online survey

Choosing the most appropriate minimally invasive approach to treat gynecologic cancers in the context of an enhanced recovery program: Insights from a comprehensive cancer center

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