Examining predictors and outcomes of fertility consults among children, adolescents, and young adults with cancer.
DaJusta D, Saraf AJ, Whiteside S, Yeager N, Audino A, Hansen-Moore J, Nahata L, McCracken K, Stanek J
Pediatr Blood Cancer in press 08/19/2018
Infertility has a negative impact on quality of life among cancer survivors. Studies show establishing a fertility team results in improved patient satisfaction. A review of electronic medical records was performed to examine predictors of fertility referrals, interventions, and the impact of an opt-out consult mechanism. Findings show many patients, particularly those that are younger, are still not receiving fertility counseling despite the presence of a fertility team. Notably, patients were 3.6 times more likely to receive a consult after the opt-out. Strategies are needed to improve access to fertility related care, particularly in groups where consults are underutilized.