Disparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment

Advancements in cancer screening and implementation of targeted treatments have significantly improved survival rates to 85% for pediatric and AYA survivors. Greater than 75% of survivors will live to experience the long-term adverse outcomes of cancer therapies, termed late effects (LE), that disru...

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Autores principales:	Leslie Coker Appiah, Yueyang Frances Fei, Mallery Olsen, Steven R. Lindheim, Diane M. Puccetti
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	adolescent and young adult cancer oncology fertility fertility preservation disparities Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/4c707b87db324ff7bfecd05ec1719d6f
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spelling	oai:doaj.org-article:4c707b87db324ff7bfecd05ec1719d6f2021-11-11T15:30:55ZDisparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment10.3390/cancers132154192072-6694https://doaj.org/article/4c707b87db324ff7bfecd05ec1719d6f2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5419https://doaj.org/toc/2072-6694Advancements in cancer screening and implementation of targeted treatments have significantly improved survival rates to 85% for pediatric and AYA survivors. Greater than 75% of survivors will live to experience the long-term adverse outcomes of cancer therapies, termed late effects (LE), that disrupt quality of life (QoL). Infertility and poor reproductive outcomes are significant disruptors of QoL in survivorship, affecting 12–88% of survivors who receive at-risk therapies. To mitigate risk, fertility preservation (FP) counseling is recommended as standard of care prior to gonadotoxic therapy. However, disparities in FP counseling, implementation of FP interventions, and screening for gynecologic late effects in survivorship persist. Barriers to care include a lack of provider and patient knowledge of the safety and breadth of current FP options, misconceptions about the duration of time required to implement FP therapies, cost, and health care team bias. Developing strategies to address barriers and implement established guidelines are necessary to ensure equity and improve quality of care across populations.Leslie Coker AppiahYueyang Frances FeiMallery OlsenSteven R. LindheimDiane M. PuccettiMDPI AGarticleadolescent and young adultcanceroncologyfertilityfertility preservationdisparitiesNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5419, p 5419 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescent and young adult cancer oncology fertility fertility preservation disparities Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	adolescent and young adult cancer oncology fertility fertility preservation disparities Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Leslie Coker Appiah Yueyang Frances Fei Mallery Olsen Steven R. Lindheim Diane M. Puccetti Disparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment
description	Advancements in cancer screening and implementation of targeted treatments have significantly improved survival rates to 85% for pediatric and AYA survivors. Greater than 75% of survivors will live to experience the long-term adverse outcomes of cancer therapies, termed late effects (LE), that disrupt quality of life (QoL). Infertility and poor reproductive outcomes are significant disruptors of QoL in survivorship, affecting 12–88% of survivors who receive at-risk therapies. To mitigate risk, fertility preservation (FP) counseling is recommended as standard of care prior to gonadotoxic therapy. However, disparities in FP counseling, implementation of FP interventions, and screening for gynecologic late effects in survivorship persist. Barriers to care include a lack of provider and patient knowledge of the safety and breadth of current FP options, misconceptions about the duration of time required to implement FP therapies, cost, and health care team bias. Developing strategies to address barriers and implement established guidelines are necessary to ensure equity and improve quality of care across populations.
format	article
author	Leslie Coker Appiah Yueyang Frances Fei Mallery Olsen Steven R. Lindheim Diane M. Puccetti
author_facet	Leslie Coker Appiah Yueyang Frances Fei Mallery Olsen Steven R. Lindheim Diane M. Puccetti
author_sort	Leslie Coker Appiah
title	Disparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment
title_short	Disparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment
title_full	Disparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment
title_fullStr	Disparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment
title_full_unstemmed	Disparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment
title_sort	disparities in female pediatric, adolescent and young adult oncofertility: a needs assessment
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/4c707b87db324ff7bfecd05ec1719d6f
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Disparities in Female Pediatric, Adolescent and Young Adult Oncofertility: A Needs Assessment

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