Jennifer E. Mersereau|Linnea R. Goodman|Allison M. Deal|Jessica R. Gorman|Brian W. Whitcomb|H. Irene Su
To preserve or not to preserve
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of California, San Diego|University of Massachusetts Amherst|University of California, San Diego
background decision pursue fertility preservation fp cancer diagnosis complex examined prevalence high decisional conflict specific factors influence decision using decisional conflict scale dcs methods first project webbased survey female cancer survivors ages 1844 years undergone gonadotoxic treatment evaluated association recalled decisional conflict referral fp counseling demographic socioeconomic cancer variables results 208 participants 115 subjects 55 scores consistent high decisional conflict dcs score gt375 100 43 21 moderate range 25375 unadjusted analysis high decisional conflict associated lack referral fp consultation undergoing fp treatment concerns regarding fp cost length survivorship lower income education partner status cancer type multivariable analysis significantly higher prevalence high decisional conflict observed participants referred fp consultation prevalence ratio pr 125 95 confidence interval ci 106147 well participants reported cost fp services prohibitive pr 116 95 ci 103131 prevalence high dcs lower women underwent fp treatment pr 067 95 ci 052086 conclusions study female young adult cancer survivors majority recalled significant decisional conflict fp cancer diagnosis increasing access fp via referral counseling cost reduction may decrease decisional conflict fp young patients struggling cancer fertility decisions cancer 2013 11940444050 2013 american cancer society