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Who should be offered sperm banking for fertility preservation? A survey of UK oncologists and haematologists
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Gilbert, E., Adams, Ann, Mehanna, Hisham M., Harrison, B. and Hartshorne, G. M.. (2011) Who should be offered sperm banking for fertility preservation? A survey of UK oncologists and haematologists. Annals of Oncology, Vol.22 (No.5). pp. 1209-1214. ISSN 0923-7534
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Official URL: http://dx.doi.org/10.1093/annonc/mdq579
Abstract
Background: Fertility after cancer therapy is a significant quality-of-life concern for many patients, their partners and families. Authoritative guidance states that men whose fertility may be affected by impending therapies should be offered sperm banking. Yet some patients are not offered this opportunity and are thereby disadvantaged. We sought to understand oncologists' and haematologists' decision making concerning sperm-banking referrals.
Design: We surveyed all oncologists and haematologists on the Royal College of Radiotherapists' Faculty of Oncology and British Society for Haematology circulation lists.
Results: From 2357 across all specialities, 499 responses were received: 253 haematologists and 246 oncologists (21% response rate). Twenty-one percent of respondents were unaware of local policies on sperm banking and 42% considered that sperm banking should be offered to more patients. Respondents' decisions reveal either assumptions about patients' needs based on characteristics such as age, sexual orientation and severity of illness or the influence of their own moral conclusions upon their patients. The survey identified paucity of training for clinicians, information for patients and systematic recording of discussions about fertility.
Conclusions: A robust care infrastructure supporting male fertility storage is needed urgently to include targeted information for cancer clinicians and patients, identified individuals responsible for coordination and documentation of discussions with patients.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) | ||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School > Translational & Systems Medicine > Reproductive Health Faculty of Medicine > Warwick Medical School |
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| Journal or Publication Title: | Annals of Oncology | ||||
| Publisher: | Oxford University Press | ||||
| ISSN: | 0923-7534 | ||||
| Official Date: | May 2011 | ||||
| Dates: |
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| Volume: | Vol.22 | ||||
| Number: | No.5 | ||||
| Page Range: | pp. 1209-1214 | ||||
| Identification Number: | 10.1093/annonc/mdq579 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | Cancer Research UK (CR-UK), Department of Health National Coordinating Centre for Research Capacity Development , Advantage West Midlands (AWM) | ||||
| Grant number: | C19675/A6228 (Cancer Research UK) | ||||
| URI: | http://wrap.warwick.ac.uk/id/eprint/41797 |
Data sourced from Thomson Reuters' Web of Knowledge
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