Practices of pediatric oncology and hematology providers regarding fertility issues: A European survey.

Terenziani, Monica; Spinelli, Marco; Jankovic, Momcilo; Bardi, Edit; Hjorth, Lars; Haupt, Riccardo; Michel, Gisela; Byrne, Julianne (2014). Practices of pediatric oncology and hematology providers regarding fertility issues: A European survey. Pediatric blood & cancer, 61(11), pp. 2054-2058. Wiley-Liss 10.1002/pbc.25163

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BACKGROUND Fertility 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. PROCEDURES On 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. RESULTS One 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. CONCLUSIONS There 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;9999:1-5. © 2014 Wiley Periodicals, Inc.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Michel, Gisela

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1545-5009

Publisher:

Wiley-Liss

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

14 Oct 2014 08:48

Last Modified:

22 Sep 2017 19:24

Publisher DOI:

10.1002/pbc.25163

PubMed ID:

25065353

Uncontrolled Keywords:

childhood cancer survivors fertility preservation survey

BORIS DOI:

10.7892/boris.57562

URI:

https://boris.unibe.ch/id/eprint/57562

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