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Cancer Survivors' Use of Fertility Preservation.

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Title: Cancer Survivors' Use of Fertility Preservation.
Authors: Bann, Carla M., Treiman, Katherine, Squiers, Linda, Tzeng, Janice, Nutt, Stephanie, Arvey, Sarah, McGoldrick, Devon, Rechis, Ruth
Source: Journal of Women's Health (15409996). Dec2015, Vol. 24 Issue 12, p1030-1037. 8p.
Subjects: Cancer patients, Chi-squared test, Confidence intervals, Questionnaires, Research funding, Sex distribution, Logistic regression analysis, Socioeconomic factors, Descriptive statistics, Fertility preservation, Odds ratio
Abstract: Background: Some cancer diagnoses and treatments can place patients at risk for infertility. The American Society of Clinical Oncology recommends that health care providers address the possibility of infertility with cancer patients who are treated during their reproductive years; however, research suggests that many providers do not disclose the risk of infertility to their patients. This study examines adolescent/young adult (AYA) cancer survivors' use of and costs for fertility preservation (FP) over time. Methods: The study included 550 AYA cancer survivors diagnosed at the ages of 15 and 39 years between 2006 and 2012. Logistic regression analyses and chi-squared tests were conducted to identify factors associated with FP use, barriers, and expenses. Results: One hundred eighty two (33%) of the AYA survivors took steps to preserve their fertility. Men, survivors who did not have children, those who received chemotherapy, and those who lived in the Northeast (vs. the South) were more likely to have FP. The majority of men using FP used sperm banking (99%), whereas women used egg preservation (40%), embryo preservation (40%), and other methods (37%). On average, women paid more for FP than men ( p < 0.001); however, costs for women significantly declined over time ( p = 0.021). Conclusions: The study points to other areas for research in women's health, including the development of educational interventions with patients and providers to reduce gender disparities in FP and ensure timely patient-provider discussions related to fertility issues. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
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  Data: Cancer Survivors&#39; Use of Fertility Preservation.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Bann%2C+Carla+M%2E%22&quot;&gt;Bann, Carla M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Treiman%2C+Katherine%22&quot;&gt;Treiman, Katherine&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Squiers%2C+Linda%22&quot;&gt;Squiers, Linda&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tzeng%2C+Janice%22&quot;&gt;Tzeng, Janice&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Nutt%2C+Stephanie%22&quot;&gt;Nutt, Stephanie&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Arvey%2C+Sarah%22&quot;&gt;Arvey, Sarah&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McGoldrick%2C+Devon%22&quot;&gt;McGoldrick, Devon&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rechis%2C+Ruth%22&quot;&gt;Rechis, Ruth&lt;/searchLink&gt;
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– Name: Abstract
  Label: Abstract
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  Data: Background: Some cancer diagnoses and treatments can place patients at risk for infertility. The American Society of Clinical Oncology recommends that health care providers address the possibility of infertility with cancer patients who are treated during their reproductive years; however, research suggests that many providers do not disclose the risk of infertility to their patients. This study examines adolescent/young adult (AYA) cancer survivors&#39; use of and costs for fertility preservation (FP) over time. Methods: The study included 550 AYA cancer survivors diagnosed at the ages of 15 and 39 years between 2006 and 2012. Logistic regression analyses and chi-squared tests were conducted to identify factors associated with FP use, barriers, and expenses. Results: One hundred eighty two (33%) of the AYA survivors took steps to preserve their fertility. Men, survivors who did not have children, those who received chemotherapy, and those who lived in the Northeast (vs. the South) were more likely to have FP. The majority of men using FP used sperm banking (99%), whereas women used egg preservation (40%), embryo preservation (40%), and other methods (37%). On average, women paid more for FP than men ( p &lt; 0.001); however, costs for women significantly declined over time ( p = 0.021). Conclusions: The study points to other areas for research in women&#39;s health, including the development of educational interventions with patients and providers to reduce gender disparities in FP and ensure timely patient-provider discussions related to fertility issues. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Women&#39;s Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=111556206
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1089/jwh.2014.5160
    Languages:
      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 1030
    Subjects:
      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Fertility preservation
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      – SubjectFull: Odds ratio
        Type: general
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      – TitleFull: Cancer Survivors' Use of Fertility Preservation.
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            NameFull: Bann, Carla M.
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              M: 12
              Text: Dec2015
              Type: published
              Y: 2015
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