Critical appraisal:Razzano A, Revelli A, Delle Piane L, Salvagno F, Casano S, Randaccio S, et al 2014
Razzano A, Revelli A, Delle Piane L, Salvagno F, Casano S, Randaccio S, et al. Fertility preservation program before ovarotoxic oncostatic treatments: role of the psychological support in managing emotional aspects. Gynecol Endocrinol 2014 Nov;30(11):822-4 Available from: http://www.ncbi.nlm.nih.gov/pubmed/25054374.
- What impact does fertility counselling have on the quality of life, mental health and decision making processes of cancer patients?
To assess the role of a psychologist as part of a fertility preservation consultation for young women affected by cancer.
Emotional aspects elicted by the FP consultation (21 multiple choice questions).
Semi-structured interview accessing fears, hostility, expectaions.
STAI (stait and trait anxiety subscales) with >40 above normal levels of anxiety, administered afer consultation and then on return to home.
Questionnaire:71% presence of psychologist helpful
70.9% absolutely satisfying and 16.7% very satisfying the collaboration between gynaecologist and psychologist.
54.2% FP as important part of cancer therapy, 58.3% an open window towards future, 70.8% an option not to be wasted.
STAI: most patient reported high anxiety post consultation, state slightly higher than trait at T1 and after returning home both state and trait increased slightly (T2) however p value not reported.
further results on high satisfaction with information provision, collaboration between oncology and fertility, fertility drs empathy. Interview data suggests diagnosis of cancer and fear of future impact experienced by women, different age groups cope differenly with threat to infertility.
|High risk of bias||Comments: single institution. No pre measures to intervention to assess satisfaction, anxiety etc. No statistical analyses to assess meaning of STAI changes over time.|
|5||Reason for decision: This study utilises an interview, a study designed multiple-choice questionnaire and 1 pre-validated measure of anxiety, with no pre intervention measure and no statistical analyses to assess repeated measure differences across time.|
|5||Additional comments: This is an observation study of a single cohort|
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- Razzano A, Revelli A, Delle Piane L, Salvagno F, Casano S, Randaccio S, et al. Fertility preservation program before ovarotoxic oncostatic treatments: role of the psychological support in managing emotional aspects. Gynecol Endocrinol 2014 Nov;30(11):822-4 Available from: http://www.ncbi.nlm.nih.gov/pubmed/25054374.
- Assigned to
- Topic area
- Guidelines:COSA:Cancer fertility preservation guidelines/Psychological support
- Clinical question
Section below only relevant for Cancer Council Project Officer