Journal of Assisted Reproduction and Genetics

, Volume 28, Issue 3, pp 269–277

Results from the survey for preservation of adolescent reproduction (SPARE) study: gender disparity in delivery of fertility preservation message to adolescents with cancer

  • Tobias S. Köhler
  • Laxmi A. Kondapalli
  • Amul Shah
  • Sarah Chan
  • Teresa K. Woodruff
  • Robert E. Brannigan
Fertility Preservation

DOI: 10.1007/s10815-010-9504-6

Cite this article as:
Köhler, T.S., Kondapalli, L.A., Shah, A. et al. J Assist Reprod Genet (2011) 28: 269. doi:10.1007/s10815-010-9504-6

Abstract

Purpose

Diminished reproductive capacity is a devastating consequence of life-sparing therapies for childhood malignancy. In 2006, the American Society of Clinical Oncology (ASCO) published fertility preservation recommendations (ASCOR) emphasizing the importance of early discussion and intervention for fertility preservation strategies. Using the Survey for Preservation of Adolescent REproduction (SPARE), we sought to determine fertility preservation attitudes and practice patterns post-ASCOR from pediatric oncology specialists nationwide.

Materials and methods

The SPARE survey consists of 22 questions assessing pediatric oncology specialists’ attitudes and practice patterns toward fertility preservation. Broad perspectives on fertility preservation, including a willingness to discuss fertility, knowledge of current fertility preservation methods and awareness of ASCOR, were assessed.

Results

The majority of respondents acknowledged that fertility threats are a major concern for them and agreed that all pubertal cancer patients should be offered a fertility consultation, but only 46% reported they refer male pubertal cancer patients to a fertility specialist prior to cancer treatment >50% of the time, and only 12% reported they refer female pubertal cancer patients to a fertility specialist prior to cancer treatment > 50% of the time. While 44% of respondents were familiar with the 2006 ASCOR, only 39% of those utilized them to guide decision-making in greater than half of their patients.

Conclusion

Our study demonstrates pediatric oncologists’ motivation to preserve fertility in pediatric cancer patients; however, barriers to both gamete cryopreservation and referral to fertility specialists persist. Female pubertal patients are referred to fertility preservation specialists with much less frequency than are male pubertal patients, highlighting a disparity.

Keywords

Pediatric oncologyCryopreservationFertility preservationCancerSurvey

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Tobias S. Köhler
    • 1
    • 7
  • Laxmi A. Kondapalli
    • 2
    • 7
  • Amul Shah
    • 3
  • Sarah Chan
    • 4
  • Teresa K. Woodruff
    • 5
    • 7
  • Robert E. Brannigan
    • 6
    • 7
    • 8
  1. 1.Division of UrologySouthern Illinois University School of MedicineSpringfieldUSA
  2. 2.Division of Reproductive Endocrinology and Infertility, School of MedicineUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  4. 4.Division of UrologyUniversity of Maryland Medical CenterBaltimoreUSA
  5. 5.Department of Obstetrics and Gynecology, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  6. 6.Department of Urology, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  7. 7.Oncofertility ConsortiumNorthwestern UniversityChicagoUSA
  8. 8.Feinberg School of Medicine, Department of UrologyNorthwestern UniversityChicagoUSA