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Contraception: the Need for Expansion of Counsel in Adolescent and Young Adult (AYA) Cancer Care

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Abstract

Little is known about oncology provider recommendations regarding best practices in contraception use during cancer treatment and through survivorship for adolescent and young adult (AYA) cancer patients. This review examined the literature to identify related studies on contraception recommendations, counseling discussions, and methods of contraception in the AYA oncology population. A literature review was conducted using PubMed, including all peer-reviewed journals with no publication date exclusions. A systematic review of the literature was conducted using combinations of the following phrases or keywords: “oncology OR cancer” AND “contraception, family planning, contraceptive devices, contraceptive agents, intrauterine devices OR IUD, vaccines, spermatocidal agents, postcoital, immunologic, family planning, vasectomy, tubal ligation, sterilization” AND “young adult OR adolescent” AND “young adult AND adolescent”. Reviewers assessed articles using the “Quality Assessment Tool for Quantitative Studies” which considers: (1) selection bias; (2) study design; (3) confounders; (4) blinding; (5) data collection methods; and (6) withdrawals and dropouts. A total of five articles were included and all studies were quantitative. Results showed no consistent recommendations among providers, references to guidelines, or methods of contraceptive types. Provider guidelines for discussions with AYA patients should be expanded to provide comprehensive, consistent, and quality cancer care in the AYA population.

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Authors and Affiliations

  1. Adolescent and Young Adult Oncology Program, H Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Dr, FOB1, Tampa, FL, 33612, USA

    Olivia Fridgen

  2. Health Outcomes and Behavior Program, H Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Dr, MRC CANCONT, Tampa, FL, 33612, USA

    Ivana Sehovic, Meghan L Bowman & Christina Tamargo

  3. Adolescent and Young Adult Oncology Program, Sarcoma Oncology Program, H Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Dr, FOB1, Tampa, FL, 33612, USA

    Damon Reed, Susan Vadaparampil & Gwendolyn P Quinn

  4. University of South Florida, Morsani College of Medicine University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL, 33612, USA

    Susan Vadaparampil & Gwendolyn P Quinn

Authors
  1. Olivia Fridgen
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  2. Ivana Sehovic
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  3. Meghan L Bowman
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  4. Damon Reed
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  6. Susan Vadaparampil
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  7. Gwendolyn P Quinn
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Correspondence to Gwendolyn P Quinn.

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Fridgen, O., Sehovic, I., Bowman, M.L. et al. Contraception: the Need for Expansion of Counsel in Adolescent and Young Adult (AYA) Cancer Care. J Canc Educ 32, 924–932 (2017). https://doi.org/10.1007/s13187-016-1003-8

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  • DOI: https://doi.org/10.1007/s13187-016-1003-8

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