Development of a Pediatric Fertility Preservation Program: A Report From the Pediatric Initiative Network of the Oncofertility Consortium. [Review]
Development of a Pediatric Fertility Preservation Program: A Report From the Pediatric Initiative Network of the Oncofertility Consortium. [Review]
- 2019
Copyright (c) 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. Infertility is known to decrease quality of life among adults. In some cases, infertility is caused by medical conditions and/or treatments prescribed in childhood, and using methods to protect or preserve fertility may expand future reproductive possibilities. Structured programs to offer counseling about infertility risk and fertility preservation options are essential in the care of pediatric patients facing fertility-threatening conditions or treatments, yet multiple barriers to program development exist. This report was developed from the institutional experiences of members of the Pediatric Initiative Network of the Oncofertility Consortium, with the intent of providing guidance for health care providers aiming to establish programs at institutions lacking pediatric fertility preservation services. The mechanics of building a fertility preservation program are discussed, including essential team members, target populations, fertility preservation options (both established and experimental), survivorship issues, research opportunities, and ethical considerations. Common barriers to program development and utilization, including low referral rates and financial concerns, are also discussed, and recommendations made for overcoming such barriers.
English
1054-139X
10.1016/j.jadohealth.2018.10.297 [doi] S1054-139X(18)30758-4 [pii]
*Fertility Preservation
*Medical Oncology
*Neoplasms/co [Complications]
*Pediatrics
*Program Development
Adolescent
Child
Counseling
Female
Humans
Male
Quality of Life/px [Psychology]
Stakeholder Participation
MedStar Washington Hospital Center
Obstetrics and Gynecology/Pediatric and Adolescent
Journal Article
Review
Copyright (c) 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. Infertility is known to decrease quality of life among adults. In some cases, infertility is caused by medical conditions and/or treatments prescribed in childhood, and using methods to protect or preserve fertility may expand future reproductive possibilities. Structured programs to offer counseling about infertility risk and fertility preservation options are essential in the care of pediatric patients facing fertility-threatening conditions or treatments, yet multiple barriers to program development exist. This report was developed from the institutional experiences of members of the Pediatric Initiative Network of the Oncofertility Consortium, with the intent of providing guidance for health care providers aiming to establish programs at institutions lacking pediatric fertility preservation services. The mechanics of building a fertility preservation program are discussed, including essential team members, target populations, fertility preservation options (both established and experimental), survivorship issues, research opportunities, and ethical considerations. Common barriers to program development and utilization, including low referral rates and financial concerns, are also discussed, and recommendations made for overcoming such barriers.
English
1054-139X
10.1016/j.jadohealth.2018.10.297 [doi] S1054-139X(18)30758-4 [pii]
*Fertility Preservation
*Medical Oncology
*Neoplasms/co [Complications]
*Pediatrics
*Program Development
Adolescent
Child
Counseling
Female
Humans
Male
Quality of Life/px [Psychology]
Stakeholder Participation
MedStar Washington Hospital Center
Obstetrics and Gynecology/Pediatric and Adolescent
Journal Article
Review