Table 5 Evaluation of healthcare circuits for patients worldwide
Location | Authors, Date, Reference | Study design | Results |
|---|---|---|---|
USA | Zebrack et al., 2004, [40] | 32 childhood cancer survivors | Only 1/3 of patients had a discussion with the medical team on the risk of pregnancy during or after treatment. |
USA | Salih et al., 2015, [41] | 222 female childhood cancers survivors [≤21 years] | 31% patients older than 13 years had decreased ovarian reserve or have premature ovarian failure 33 patients had reproductive counseling prior to treatment, only 2 had counseling during or after treatment 1 patient had oocryopreservation prior to initiation of chemotherapy. |
USA | Kim et al., 2012, [42] | 183 breast cancer patients | 42% did not undergo FP treatment Women who had FP treatment were older, wealthier and had lower cancer stage |
USA | Letourneau et al., 2012, [43] | 1041 women with cancer | 61% were counseled on the risk of cancer treatment for fertility 4% of women pursued FP Disparities in access to FP were observed based on educational level, ethnicity and sexual orientation |
France | Huyghe et al., 2009, [44] | 1000 cancer patients | 20 to 30% would like to have more information on the potential risk of premature ovarian failure. 1/3 aged less than 50 years would have liked a fertility consultation before cancer treatment. 21% of women would definitely want to visit a reproductive health clinic in the next year. |
France | Bouhnik et al., 2014, [45] | 4349 cancer survivors 2 years after diagnosis | 31.9% of women under 45 had a parental project 2/3 under 45 did not have FP discussion prior to initiation of treatment 2.2% of women under 45 had access to cryopreservation of gametes |
Germany | Geue et al., 2013, [29] | 149 cancer patients [18-45 years] | 74% of patients wanted to have children at the time of diagnosis 50% of those who wanted a child needed supportive care concerning this issue 60% of the total sample had discussed fertility aspects with their oncologists and 20% with fertility specialists Men (56%) underwent fertility preservation more often than women (31%) |
Sweden | Armuand et al., 2012, [46] | 484 Patients(men and women) | 48% of women reported that they received information about treatment impact on fertility. 14% reported that they received information about FP. Only 2% underwent FP Large gender disparities in access to FP care |
UK | Corney and Swinglehurst, 2014, [47] | 19 childless women aged below 45 withbreast cancer | Only half were given the opportunity to pursue assisted reproductive techniques prior to chemotherapy. |