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Factors affecting decision making about fertility preservation after cancer diagnosis

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Factors affecting decision making about fertility preservation after cancer diagnosis : A qualitative study. / Peddie, V.L.; Bhattacharya, S.; Porter, M.A.; Barbour, R.; Culligan, D.; Horn, J.; MacDonald, G.; King, D.

In: BJOG: An International Journal of Obstetrics & Gynaecology, Vol. 119, No. 9, 01.08.2012, p. 1049-1057.

Research output: Contribution to journalArticle

Harvard

Peddie, VL, Bhattacharya, S, Porter, MA, Barbour, R, Culligan, D, Horn, J, MacDonald, G & King, D 2012, 'Factors affecting decision making about fertility preservation after cancer diagnosis: A qualitative study' BJOG: An International Journal of Obstetrics & Gynaecology, vol 119, no. 9, pp. 1049-1057., 10.1111/j.1471-0528.2012.03368.x

APA

Peddie, V. L., Bhattacharya, S., Porter, M. A., Barbour, R., Culligan, D., Horn, J., ... King, D. (2012). Factors affecting decision making about fertility preservation after cancer diagnosis: A qualitative study. BJOG: An International Journal of Obstetrics & Gynaecology, 119(9), 1049-1057. 10.1111/j.1471-0528.2012.03368.x

Vancouver

Peddie VL, Bhattacharya S, Porter MA, Barbour R, Culligan D, Horn J et al. Factors affecting decision making about fertility preservation after cancer diagnosis: A qualitative study. BJOG: An International Journal of Obstetrics & Gynaecology. 2012 Aug 1;119(9):1049-1057. Available from: 10.1111/j.1471-0528.2012.03368.x

Author

Peddie, V.L.; Bhattacharya, S.; Porter, M.A.; Barbour, R.; Culligan, D.; Horn, J.; MacDonald, G.; King, D. / Factors affecting decision making about fertility preservation after cancer diagnosis : A qualitative study.

In: BJOG: An International Journal of Obstetrics & Gynaecology, Vol. 119, No. 9, 01.08.2012, p. 1049-1057.

Research output: Contribution to journalArticle

Bibtex - Download

@article{c5f14f8c102c4f1889f3f3e3f9c36276,
title = "Factors affecting decision making about fertility preservation after cancer diagnosis: A qualitative study",
author = "V.L. Peddie and S. Bhattacharya and M.A. Porter and R. Barbour and D. Culligan and J. Horn and G. MacDonald and D. King",
year = "2012",
doi = "10.1111/j.1471-0528.2012.03368.x",
volume = "119",
number = "9",
pages = "1049--1057",
journal = "BJOG: An International Journal of Obstetrics & Gynaecology",
issn = "1470-0328",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Factors affecting decision making about fertility preservation after cancer diagnosis

T2 - A qualitative study

A1 - Peddie,V.L.

A1 - Bhattacharya,S.

A1 - Porter,M.A.

A1 - Barbour,R.

A1 - Culligan,D.

A1 - Horn,J.

A1 - MacDonald,G.

A1 - King,D.

AU - Peddie,V.L.

AU - Bhattacharya,S.

AU - Porter,M.A.

AU - Barbour,R.

AU - Culligan,D.

AU - Horn,J.

AU - MacDonald,G.

AU - King,D.

PY - 2012/8/1

Y1 - 2012/8/1

N2 - Objective To increase our understanding of factors underlying the decision to store gametes after the diagnosis of cancer. Design Qualitative interview study. Setting Andrology, Haematology, and Oncology Departments of a Scottish teaching hospital, and patients' own homes. Population Sixteen men and 18 women aged 17-49 years recently diagnosed with cancer; 15 health professionals concerned in cancer care. Methods Audio-recorded semi-structured interviews were transcribed verbatim and analysed thematically. Topics included perceptions of diagnosis; prognosis; future reproductive choices; priorities; quality of information received; communication and decisions made about future reproductive choices; and the role of partners, family, friends and healthcare professionals. Professional interviews examined their role in decision making and that of protocols and guidelines, together with information emerging from patient interview analysis. Main outcome measure Themes identified following analysis of interview transcripts. Results The primary barriers to pursuing fertility preservation were the way in which information was provided and the 'urgent need for treatment' conveyed by staff. Survival was always viewed as paramount, with future fertility secondary. Sperm banking was viewed as 'part and parcel' of oncology care, and the majority of men quickly stored sperm as 'insurance' against future infertility. Few women were afforded the opportunity to discuss their options, reflecting clinicians' reservations about the experimental nature of egg and ovarian tissue cryopreservation, and the need for partner involvement in embryo storage. Conclusions Significant gaps in the information provided to young women diagnosed with cancer suggest the need for an early appointment with a fertility expert. © 2012 RCOG.

AB - Objective To increase our understanding of factors underlying the decision to store gametes after the diagnosis of cancer. Design Qualitative interview study. Setting Andrology, Haematology, and Oncology Departments of a Scottish teaching hospital, and patients' own homes. Population Sixteen men and 18 women aged 17-49 years recently diagnosed with cancer; 15 health professionals concerned in cancer care. Methods Audio-recorded semi-structured interviews were transcribed verbatim and analysed thematically. Topics included perceptions of diagnosis; prognosis; future reproductive choices; priorities; quality of information received; communication and decisions made about future reproductive choices; and the role of partners, family, friends and healthcare professionals. Professional interviews examined their role in decision making and that of protocols and guidelines, together with information emerging from patient interview analysis. Main outcome measure Themes identified following analysis of interview transcripts. Results The primary barriers to pursuing fertility preservation were the way in which information was provided and the 'urgent need for treatment' conveyed by staff. Survival was always viewed as paramount, with future fertility secondary. Sperm banking was viewed as 'part and parcel' of oncology care, and the majority of men quickly stored sperm as 'insurance' against future infertility. Few women were afforded the opportunity to discuss their options, reflecting clinicians' reservations about the experimental nature of egg and ovarian tissue cryopreservation, and the need for partner involvement in embryo storage. Conclusions Significant gaps in the information provided to young women diagnosed with cancer suggest the need for an early appointment with a fertility expert. © 2012 RCOG.

UR - http://www.scopus.com/inward/record.url?scp=84863717859&partnerID=8YFLogxK

U2 - 10.1111/j.1471-0528.2012.03368.x

DO - 10.1111/j.1471-0528.2012.03368.x

M1 - Article

JO - BJOG: An International Journal of Obstetrics & Gynaecology

JF - BJOG: An International Journal of Obstetrics & Gynaecology

SN - 1470-0328

IS - 9

VL - 119

SP - 1049

EP - 1057

ER -

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