Fertility Preservation Discussions Between Young Adult Rectal Cancer Survivors and Their Providers: Sex-Specific Prevalence and Correlates
Young adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent infertility. The purpose of this study was to characterize the prevalence of fertility preservation measures used, reasons why such measures were not used,...
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Published in | The oncologist (Dayton, Ohio) Vol. 27; no. 7; pp. 579 - 586 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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England
Oxford University Press
05.07.2022
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Abstract | Young adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent infertility.
The purpose of this study was to characterize the prevalence of fertility preservation measures used, reasons why such measures were not used, and correlates of discussion between providers and YA rectal cancer survivors.
An online, cross-sectional survey was administered on the Facebook page of a national colorectal cancer (CRC) advocacy organization. Eligible participants were rectal cancer survivors diagnosed before age 50, between 6 and 36 months from diagnosis or relapse, and based in the US.
Participants were 148 rectal cancer survivors. Over half of the survivors reported that their doctor did not talk to them about potential therapy-related fertility complications. Only one-fifth of survivors banked sperm (males) or eggs/embryos (females) prior to their cancer therapy. Older age at diagnosis and greater quality of life were significantly associated with a higher likelihood of fertility discussions among males. Greater quality of life was significantly associated with a higher likelihood of fertility discussion among females.
These findings indicate that the majority of YA rectal cancer survivors do not receive, or cannot recall, comprehensive cancer care, and help to identify patients with rectal cancer who may be at risk for inadequate fertility counseling. Clinicians should provide proper counseling to mitigate this late effect and to ensure optimal quality of life for YA rectal cancer survivors. |
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AbstractList | Background: Young adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent infertility. Objective: The purpose of this study was to characterize the prevalence of fertility preservation measures used, reasons why such measures were not used, and correlates of discussion between providers and YA rectal cancer survivors. Design: An online, cross-sectional survey was administered on the Facebook page of a national colorectal cancer (CRC) advocacy organization. Eligible participants were rectal cancer survivors diagnosed before age 50, between 6 and 36 months from diagnosis or relapse, and based in the US. Results: Participants were 148 rectal cancer survivors. Over half of the survivors reported that their doctor did not talk to them about potential therapy-related fertility complications. Only one-fifth of survivors banked sperm (males) or eggs/embryos (females) prior to their cancer therapy. Older age at diagnosis and greater quality of life were significantly associated with a higher likelihood of fertility discussions among males. Greater quality of life was significantly associated with a higher likelihood of fertility discussion among females. Conclusions: These findings indicate that the majority of YA rectal cancer survivors do not receive, or cannot recall, comprehensive cancer care, and help to identify patients with rectal cancer who may be at risk for inadequate fertility counseling. Clinicians should provide proper counseling to mitigate this late effect and to ensure optimal quality of life for YA rectal cancer survivors. Key words: cancer, rectal cancer, fertility, reproductive health, survivorship. Young adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent infertility. The purpose of this study was to characterize the prevalence of fertility preservation measures used, reasons why such measures were not used, and correlates of discussion between providers and YA rectal cancer survivors. An online, cross-sectional survey was administered on the Facebook page of a national colorectal cancer (CRC) advocacy organization. Eligible participants were rectal cancer survivors diagnosed before age 50, between 6 and 36 months from diagnosis or relapse, and based in the US. Participants were 148 rectal cancer survivors. Over half of the survivors reported that their doctor did not talk to them about potential therapy-related fertility complications. Only one-fifth of survivors banked sperm (males) or eggs/embryos (females) prior to their cancer therapy. Older age at diagnosis and greater quality of life were significantly associated with a higher likelihood of fertility discussions among males. Greater quality of life was significantly associated with a higher likelihood of fertility discussion among females. These findings indicate that the majority of YA rectal cancer survivors do not receive, or cannot recall, comprehensive cancer care, and help to identify patients with rectal cancer who may be at risk for inadequate fertility counseling. Clinicians should provide proper counseling to mitigate this late effect and to ensure optimal quality of life for YA rectal cancer survivors. BACKGROUNDYoung adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent infertility. OBJECTIVEThe purpose of this study was to characterize the prevalence of fertility preservation measures used, reasons why such measures were not used, and correlates of discussion between providers and YA rectal cancer survivors. DESIGNAn online, cross-sectional survey was administered on the Facebook page of a national colorectal cancer (CRC) advocacy organization. Eligible participants were rectal cancer survivors diagnosed before age 50, between 6 and 36 months from diagnosis or relapse, and based in the US. RESULTSParticipants were 148 rectal cancer survivors. Over half of the survivors reported that their doctor did not talk to them about potential therapy-related fertility complications. Only one-fifth of survivors banked sperm (males) or eggs/embryos (females) prior to their cancer therapy. Older age at diagnosis and greater quality of life were significantly associated with a higher likelihood of fertility discussions among males. Greater quality of life was significantly associated with a higher likelihood of fertility discussion among females. CONCLUSIONSThese findings indicate that the majority of YA rectal cancer survivors do not receive, or cannot recall, comprehensive cancer care, and help to identify patients with rectal cancer who may be at risk for inadequate fertility counseling. Clinicians should provide proper counseling to mitigate this late effect and to ensure optimal quality of life for YA rectal cancer survivors. Abstract Background Young adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent infertility. Objective The purpose of this study was to characterize the prevalence of fertility preservation measures used, reasons why such measures were not used, and correlates of discussion between providers and YA rectal cancer survivors. Design An online, cross-sectional survey was administered on the Facebook page of a national colorectal cancer (CRC) advocacy organization. Eligible participants were rectal cancer survivors diagnosed before age 50, between 6 and 36 months from diagnosis or relapse, and based in the US. Results Participants were 148 rectal cancer survivors. Over half of the survivors reported that their doctor did not talk to them about potential therapy-related fertility complications. Only one-fifth of survivors banked sperm (males) or eggs/embryos (females) prior to their cancer therapy. Older age at diagnosis and greater quality of life were significantly associated with a higher likelihood of fertility discussions among males. Greater quality of life was significantly associated with a higher likelihood of fertility discussion among females. Conclusions These findings indicate that the majority of YA rectal cancer survivors do not receive, or cannot recall, comprehensive cancer care, and help to identify patients with rectal cancer who may be at risk for inadequate fertility counseling. Clinicians should provide proper counseling to mitigate this late effect and to ensure optimal quality of life for YA rectal cancer survivors. Young adults diagnosed with rectal cancer are disproportionately affected by the gonadotoxic effects of treatment and potential subsequent infertility. This article reports on the prevalence of fertility preservation measures used, reasons why such measures might not be used, and discussions between healthcare providers and survivors of rectal cancer. |
Audience | Professional Academic |
Author | Miller, Kimberly A Barzi, Afsaneh Freyer, David R Milam, Joel E Lenz, Heinz-Josef Stal, Julia Gallagher, Phuong Yi, Serena Y Cohen-Cutler, Sally |
Author_xml | – sequence: 1 givenname: Julia orcidid: 0000-0002-7911-7388 surname: Stal fullname: Stal, Julia organization: Department of Population and Public Health Sciences, Keck School of Medicine of USC, Los Angeles, CA, USA – sequence: 2 givenname: Serena Y surname: Yi fullname: Yi, Serena Y organization: Department of Population and Public Health Sciences, Keck School of Medicine of USC, Los Angeles, CA, USA – sequence: 3 givenname: Sally surname: Cohen-Cutler fullname: Cohen-Cutler, Sally organization: Cancer and Blood Disease Institute, Children's Hospital Los Angeles, Los Angeles, CA, USA – sequence: 4 givenname: Phuong surname: Gallagher fullname: Gallagher, Phuong organization: The Colon Club, USA – sequence: 5 givenname: Afsaneh surname: Barzi fullname: Barzi, Afsaneh organization: Department of Medical Oncology and Therapeutics Research, City of Hope National Medical Center, Duarte, CA, USA – sequence: 6 givenname: David R orcidid: 0000-0001-5280-990X surname: Freyer fullname: Freyer, David R organization: University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA, USA – sequence: 7 givenname: Joel E surname: Milam fullname: Milam, Joel E organization: School of Medicine, Department of Epidemiology and Biostatistics, Chao Family Comprehensive Cancer Center, University of California, Irvine, CA, USA – sequence: 8 givenname: Heinz-Josef surname: Lenz fullname: Lenz, Heinz-Josef organization: Division of Oncology, University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA, USA – sequence: 9 givenname: Kimberly A surname: Miller fullname: Miller, Kimberly A organization: Department of Dermatology, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA |
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Snippet | Young adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent infertility.... Abstract Background Young adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential... Background: Young adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent... BACKGROUNDYoung adults (YA) diagnosed with rectal cancer are disproportionately impacted by the gonadotoxic effects of treatment and potential subsequent... Young adults diagnosed with rectal cancer are disproportionately affected by the gonadotoxic effects of treatment and potential subsequent infertility. This... |
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SubjectTerms | Cancer Cancer Survivors Care and treatment Child, Preschool Colorectal cancer Cross-Sectional Studies Female Fertility Preservation Gastrointestinal Cancer Health aspects Humans Infertility Influence Male Management Neoplasm Recurrence, Local - complications Neoplasms - therapy Physician and patient Prevalence Prevention Quality of Life Rare Diseases Rectal Neoplasms - complications Rectal Neoplasms - therapy Risk factors Semen Survivors - psychology Teenagers Young Adult Young adults Youth |
Title | Fertility Preservation Discussions Between Young Adult Rectal Cancer Survivors and Their Providers: Sex-Specific Prevalence and Correlates |
URI | https://www.ncbi.nlm.nih.gov/pubmed/35427410 https://search.proquest.com/docview/2651686964 https://pubmed.ncbi.nlm.nih.gov/PMC9255970 |
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