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How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care

BACKGROUND: Fertility preservation (FP) is an important quality of life issue for cancer survivors of reproductive age. Despite the existence of broad international guidelines, the delivery of oncofertility care, particularly amongst paediatric, adolescent and young adult patients, remains a challen...

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Autores principales: Anazodo, Antoinette, Laws, Paula, Logan, Shanna, Saunders, Carla, Travaglia, Jo, Gerstl, Brigitte, Bradford, Natalie, Cohn, Richard, Birdsall, Mary, Barr, Ronald, Suzuki, Nao, Takae, Seido, Marinho, Ricardo, Xiao, Shuo, Qiong-Hua, Chen, Mahajan, Nalini, Patil, Madhuri, Gunasheela, Devika, Smith, Kristen, Sender, Leonard, Melo, Cláudia, Almeida-Santos, Teresa, Salama, Mahmoud, Appiah, Leslie, Su, Irene, Lane, Sheila, Woodruff, Teresa K, Pacey, Allan, Anderson, Richard A, Shenfield, Francoise, Ledger, William, Sullivan, Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390168/
https://www.ncbi.nlm.nih.gov/pubmed/30462263
http://dx.doi.org/10.1093/humupd/dmy038
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author Anazodo, Antoinette
Laws, Paula
Logan, Shanna
Saunders, Carla
Travaglia, Jo
Gerstl, Brigitte
Bradford, Natalie
Cohn, Richard
Birdsall, Mary
Barr, Ronald
Suzuki, Nao
Takae, Seido
Marinho, Ricardo
Xiao, Shuo
Qiong-Hua, Chen
Mahajan, Nalini
Patil, Madhuri
Gunasheela, Devika
Smith, Kristen
Sender, Leonard
Melo, Cláudia
Almeida-Santos, Teresa
Salama, Mahmoud
Appiah, Leslie
Su, Irene
Lane, Sheila
Woodruff, Teresa K
Pacey, Allan
Anderson, Richard A
Shenfield, Francoise
Ledger, William
Sullivan, Elizabeth
author_facet Anazodo, Antoinette
Laws, Paula
Logan, Shanna
Saunders, Carla
Travaglia, Jo
Gerstl, Brigitte
Bradford, Natalie
Cohn, Richard
Birdsall, Mary
Barr, Ronald
Suzuki, Nao
Takae, Seido
Marinho, Ricardo
Xiao, Shuo
Qiong-Hua, Chen
Mahajan, Nalini
Patil, Madhuri
Gunasheela, Devika
Smith, Kristen
Sender, Leonard
Melo, Cláudia
Almeida-Santos, Teresa
Salama, Mahmoud
Appiah, Leslie
Su, Irene
Lane, Sheila
Woodruff, Teresa K
Pacey, Allan
Anderson, Richard A
Shenfield, Francoise
Ledger, William
Sullivan, Elizabeth
author_sort Anazodo, Antoinette
collection PubMed
description BACKGROUND: Fertility preservation (FP) is an important quality of life issue for cancer survivors of reproductive age. Despite the existence of broad international guidelines, the delivery of oncofertility care, particularly amongst paediatric, adolescent and young adult patients, remains a challenge for healthcare professionals (HCPs). The quality of oncofertility care is variable and the uptake and utilization of FP remains low. Available guidelines fall short in providing adequate detail on how oncofertility models of care (MOC) allow for the real-world application of guidelines by HCPs. OBJECTIVE AND RATIONALE: The aim of this study was to systematically review the literature on the components of oncofertility care as defined by patient and clinician representatives, and identify the barriers, facilitators and challenges, so as to improve the implementation of oncofertility services. SEARCH METHODS: A systematic scoping review was conducted on oncofertility MOC literature published in English between 2007 and 2016, relating to 10 domains of care identified through consumer research: communication, oncofertility decision aids, age-appropriate care, referral pathways, documentation, training, supportive care during treatment, reproductive care after cancer treatment, psychosocial support and ethical practice of oncofertility care. A wide range of electronic databases (CINAHL, Embase, PsycINFO, PubMed, AEIPT, Education Research Complete, ProQuest and VOCED) were searched in order to synthesize the evidence around delivery of oncofertility care. Related citations and reference lists were searched. The review was undertaken following registration (International prospective register of systematic reviews (PROSPERO) registration number CRD42017055837) and guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). OUTCOMES: A total of 846 potentially relevant studies were identified after the removal of duplicates. All titles and abstracts were screened by a single reviewer and the final 147 papers were screened by two reviewers. Ten papers on established MOC were identified amongst the included papers. Data were extracted from each paper and quality scores were then summarized in the oncofertility MOC summary matrix. The results identified a number of themes for improving MOC in each domain, which included: the importance of patients receiving communication that is of a higher quality and in different formats on their fertility risk and FP options; improving provision of oncofertility care in a timely manner; improving access to age-appropriate care; defining the role and scope of practice of all HCPs; and improving communication between different HCPs. Different forms of decision aids were found useful for assisting patients to understand FP options and weigh up choices. WIDER IMPLICATIONS: This analysis identifies core components for delivery of oncofertility MOC. The provision of oncofertility services requires planning to ensure services have safe and reliable referral pathways and that they are age-appropriate and include medical and psychological oncofertility care into the survivorship period. In order for this to happen, collaboration needs to occur between clinicians, allied HCPs and executives within paediatric and adult hospitals, as well as fertility clinics across both public and private services. Training of both cancer and non-cancer HCPs is needed to improve the knowledge of HCPs, the quality of care provided and the confidence of HCPs with these consultations.
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spelling pubmed-63901682019-03-04 How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care Anazodo, Antoinette Laws, Paula Logan, Shanna Saunders, Carla Travaglia, Jo Gerstl, Brigitte Bradford, Natalie Cohn, Richard Birdsall, Mary Barr, Ronald Suzuki, Nao Takae, Seido Marinho, Ricardo Xiao, Shuo Qiong-Hua, Chen Mahajan, Nalini Patil, Madhuri Gunasheela, Devika Smith, Kristen Sender, Leonard Melo, Cláudia Almeida-Santos, Teresa Salama, Mahmoud Appiah, Leslie Su, Irene Lane, Sheila Woodruff, Teresa K Pacey, Allan Anderson, Richard A Shenfield, Francoise Ledger, William Sullivan, Elizabeth Hum Reprod Update Review BACKGROUND: Fertility preservation (FP) is an important quality of life issue for cancer survivors of reproductive age. Despite the existence of broad international guidelines, the delivery of oncofertility care, particularly amongst paediatric, adolescent and young adult patients, remains a challenge for healthcare professionals (HCPs). The quality of oncofertility care is variable and the uptake and utilization of FP remains low. Available guidelines fall short in providing adequate detail on how oncofertility models of care (MOC) allow for the real-world application of guidelines by HCPs. OBJECTIVE AND RATIONALE: The aim of this study was to systematically review the literature on the components of oncofertility care as defined by patient and clinician representatives, and identify the barriers, facilitators and challenges, so as to improve the implementation of oncofertility services. SEARCH METHODS: A systematic scoping review was conducted on oncofertility MOC literature published in English between 2007 and 2016, relating to 10 domains of care identified through consumer research: communication, oncofertility decision aids, age-appropriate care, referral pathways, documentation, training, supportive care during treatment, reproductive care after cancer treatment, psychosocial support and ethical practice of oncofertility care. A wide range of electronic databases (CINAHL, Embase, PsycINFO, PubMed, AEIPT, Education Research Complete, ProQuest and VOCED) were searched in order to synthesize the evidence around delivery of oncofertility care. Related citations and reference lists were searched. The review was undertaken following registration (International prospective register of systematic reviews (PROSPERO) registration number CRD42017055837) and guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). OUTCOMES: A total of 846 potentially relevant studies were identified after the removal of duplicates. All titles and abstracts were screened by a single reviewer and the final 147 papers were screened by two reviewers. Ten papers on established MOC were identified amongst the included papers. Data were extracted from each paper and quality scores were then summarized in the oncofertility MOC summary matrix. The results identified a number of themes for improving MOC in each domain, which included: the importance of patients receiving communication that is of a higher quality and in different formats on their fertility risk and FP options; improving provision of oncofertility care in a timely manner; improving access to age-appropriate care; defining the role and scope of practice of all HCPs; and improving communication between different HCPs. Different forms of decision aids were found useful for assisting patients to understand FP options and weigh up choices. WIDER IMPLICATIONS: This analysis identifies core components for delivery of oncofertility MOC. The provision of oncofertility services requires planning to ensure services have safe and reliable referral pathways and that they are age-appropriate and include medical and psychological oncofertility care into the survivorship period. In order for this to happen, collaboration needs to occur between clinicians, allied HCPs and executives within paediatric and adult hospitals, as well as fertility clinics across both public and private services. Training of both cancer and non-cancer HCPs is needed to improve the knowledge of HCPs, the quality of care provided and the confidence of HCPs with these consultations. Oxford University Press 2019-03 2018-11-20 /pmc/articles/PMC6390168/ /pubmed/30462263 http://dx.doi.org/10.1093/humupd/dmy038 Text en © The Author(s) 2018. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Review
Anazodo, Antoinette
Laws, Paula
Logan, Shanna
Saunders, Carla
Travaglia, Jo
Gerstl, Brigitte
Bradford, Natalie
Cohn, Richard
Birdsall, Mary
Barr, Ronald
Suzuki, Nao
Takae, Seido
Marinho, Ricardo
Xiao, Shuo
Qiong-Hua, Chen
Mahajan, Nalini
Patil, Madhuri
Gunasheela, Devika
Smith, Kristen
Sender, Leonard
Melo, Cláudia
Almeida-Santos, Teresa
Salama, Mahmoud
Appiah, Leslie
Su, Irene
Lane, Sheila
Woodruff, Teresa K
Pacey, Allan
Anderson, Richard A
Shenfield, Francoise
Ledger, William
Sullivan, Elizabeth
How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care
title How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care
title_full How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care
title_fullStr How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care
title_full_unstemmed How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care
title_short How can we improve oncofertility care for patients? A systematic scoping review of current international practice and models of care
title_sort how can we improve oncofertility care for patients? a systematic scoping review of current international practice and models of care
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390168/
https://www.ncbi.nlm.nih.gov/pubmed/30462263
http://dx.doi.org/10.1093/humupd/dmy038
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