Survey of Fertility Preservation Options Available to Patients With Cancer Around the Globe

Author:

Rashedi Alexandra S.1,de Roo Saskia F.2,Ataman Lauren M.1,Edmonds Maxwell E.1,Silva Adelino Amaral3,Scarella Anibal4,Horbaczewska Anna5,Anazodo Antoinette6,Arvas Ayse7,Ramalho de Carvalho Bruno8,Sartorio Cassio9,Beerendonk Catharina C.M.2,Diaz-Garcia Cesar10,Suh Chang Suk11,Melo Cláudia12,Yding Andersen Claus13,Motta Eduardo14,Greenblatt Ellen M.15,Van Moer Ellen16,Zand Elnaz17,Reis Fernando M.14,Sánchez Flor18,Terrado Guillermo19,Rodrigues Jhenifer K.14,de Meneses e Silva João Marcos20,Smitz Johan16,Medrano Jose21,Lee Jung Ryeol11,Winkler-Crepaz Katharina22,Smith Kristin1,Ferreira Melo e Silva Lígia Helena20,Wildt Ludwig22,Salama Mahmoud23,del Mar Andrés María21,Bourlon Maria T.24,Vega Mario25,Chehin Maurício Barbour26,De Vos Michel27,Khrouf Mohamed28,Suzuki Nao29,Azmy Osama23,Fontoura Paula30,Campos-Junior Paulo Henrique Almeida31,Mallmann Peter32,Azambuja Ricardo33,Marinho Ricardo M.34,Anderson Richard A.35,Jach Robert5,Antunes Roberto de A.36,Mitchell Rod35,Fathi Rouhollah17,Adiga Satish Kumar37,Takae Seido29,Kim Seok Hyun11,Romero Sergio18,Chedid Grieco Silvana38,Shaulov Talya39,Furui Tatsuro40,Almeida-Santos Teresa12,Nelen Willianne2,Jayasinghe Yasmin41,Sugishita Yodo29,Woodruff Teresa K.1

Affiliation:

1. Northwestern University, Chicago, IL

2. Radboud University Medical Centre, Nijmegen, the Netherlands

3. GENESIS-Center for Assistance in Human Reproduction, Brasília, Brazil

4. Universidad de Valparaiso, Valparaiso, Chile

5. Jagiellonian University Medical College, Kraków, Poland

6. University of New South Wales, Sydney, New South Wales, Australia

7. Onkofertilite Turkiye, Istanbul, Turkey

8. BONVENA-Reproductive Medicine, Brasília, Brazil

9. Vida Centro de Fertilidade, Brazil

10. University of Valencia, Valencia, Spain

11. Seoul National University Hospital College of Medicine, Seoul, South Korea

12. University of Coimbra, Coimbra, Portugal

13. University of Copenhagen, Copenhagen, Denmark

14. Universidade Federal de Minas Gerais, Brazil

15. University of Toronto, Toronto, Ontario, Canada

16. Universitair Ziekenhuis Brussel, Brussels, Belgium

17. Royan Institute for Reproductive Biomedicine, Tehran, Iran

18. Centro de Estudios e Investigaciones en Biología y Medicina Reproductiva, Lima, Peru

19. Pregna Medicina Reproductiva, Caba, Argentina

20. Ceará Blood Center, Fortaleza, Brazil

21. Instituto de Investigación Sanitaria La Fe, Valencia, Spain

22. Medical University of Innsbruck, Innsbruck, Austria

23. National Research Center, Cairo, Egypt

24. Instituto Nacional de Ciencias Médicas y Nutricíon Salvador Zubirán, Mexico City, Mexico

25. IVF Centro de Reproducción, Panama City, Panama

26. University of Santo Amaro, Manila, Philippines

27. Vrije Universiteit Brussel, Brussels, Belgium

28. Université de Tunis El Manar, Tunis, Tunisia

29. St Marianna University School of Medicine, Kawasaki, Japan

30. Banco de Sêmen do Rio de Janeiro, Rio de Janeiro, Brazil

31. Federal University of São João del-Rei, São João del-Rei, Brazil

32. University of Cologne, Cologne, Germany

33. Fertilitat Centro de Medicina Reprodutiva, Porto Alegre, Brazil

34. Pró-Criar Medicina Reprodutiva, Minas Gerais, Belo Horizonte, Brazil

35. University of Edinburgh, Edinburgh, United Kingdom

36. Fertipraxis Centro de Reprodução Humana, Rio de Janeiro, Brazil

37. Manipal University, Manipal, India

38. IVI São Paulo–Chedid Grieco, São Paulo, Brazil

39. University of Montreal Hospital Centre, Montreal, Quebec, Canada

40. Gifu University School of Medicine, Gifu, Japan

41. Royal Women’s Hospital, Melbourne, Victoria, Australia

Abstract

Purpose Oncofertility focuses on providing fertility and endocrine-sparing options to patients who undergo life-preserving but gonadotoxic cancer treatment. The resources needed to meet patient demand often are fragmented along disciplinary lines. We quantify assets and gaps in oncofertility care on a global scale. Methods Survey-based questionnaires were provided to 191 members of the Oncofertility Consortium Global Partners Network, a National Institutes of Health–funded organization. Responses were analyzed to measure trends and regional subtleties about patient oncofertility experiences and to analyze barriers to care at sites that provide oncofertility services. Results Sixty-three responses were received (response rate, 25%), and 40 were analyzed from oncofertility centers in 28 countries. Thirty of 40 survey results (75%) showed that formal referral processes and psychological care are provided to patients at the majority of sites. Fourteen of 23 respondents (61%) stated that some fertility preservation services are not offered because of cultural and legal barriers. The growth of oncofertility and its capacity to improve the lives of cancer survivors around the globe relies on concentrated efforts to increase awareness, promote collaboration, share best practices, and advocate for research funding. Conclusion This survey reveals global and regional successes and challenges and provides insight into what is needed to advance the field and make the discussion of fertility preservation and endocrine health a standard component of the cancer treatment plan. As the field of oncofertility continues to develop around the globe, regular assessment of both international and regional barriers to quality care must continue to guide process improvements.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

Cancer Research,Oncology

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