Antineoplastic Agents and (In)fertility: Informing Patients to Improve Decisions

J Adolesc Young Adult Oncol. 2018 Jun;7(3):306-314. doi: 10.1089/jayao.2017.0094. Epub 2018 Jan 3.

Abstract

Purpose: Infertility is a potential adverse effect of cancer treatment, and future fertility is an important issue for cancer patients. In Portugal, the Centre for Fertility Preservation of CHUC, EPE, conducted a project to develop and disseminate oncofertility information resources. In this study, we report the results of the specific component of this program, which intended to produce information resources that promote patients' awareness of the subject and to support decisions concerning fertility preservation.

Methods: Guidance for writing health information for patients and criteria for developing decision aids were gathered. Information needs were assessed (literature review and locally applied questionnaire). Resources were pre-tested with a sample of patients and professionals. Their readability, presentation quality, and ability to support decisions were evaluated.

Results: General information handouts on infertility risk and decision aids about fertility preservation options were developed and positively evaluated. The resources are currently being distributed in collaboration with several national organizations.

Conclusions: Through our multidisciplinary information program, reproductive-age cancer patients now have access to relevant information resources that will support timely, shared decision-making concerning fertility preservation.

Keywords: decision support; fertility preservation; infertility; information resources; oncofertility.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Agents / adverse effects*
  • Consumer Health Information / methods*
  • Consumer Health Information / statistics & numerical data
  • Decision Making
  • Decision Support Techniques*
  • Female
  • Fertility Preservation*
  • Humans
  • Infertility / chemically induced
  • Infertility / prevention & control*
  • Information Dissemination
  • Male
  • Needs Assessment
  • Neoplasms / psychology
  • Neoplasms / therapy*
  • Patient Education as Topic*
  • Prognosis
  • Young Adult

Substances

  • Antineoplastic Agents