Critical appraisal:Winkelman WD, Rosen MP, Mok-Lin E 2018
Winkelman WD, Rosen MP, Mok-Lin E. Fertility Preservation Services for Women With Newly Diagnosed Cancer: A National Assessment. Am J Clin Oncol 2018 Oct;41(10):1031-1035 Available from: http://www.ncbi.nlm.nih.gov/pubmed/29315172.
- What is the best practice approach for developing and implementing oncofertility services in relation to referral pathways and models of care?
cross sectional study
To survey members of the Society for Assisted Reproductive Technologies, and assess the resources available for cancer patients once referred for fertility preservation.
The survey included questions regarding clinic setting, patient volume, services offered for fertility preservation, resources available for patients, and the presence of outreach programs for patients.
- Majority of IVF centres received less than 20 cancer referrals annually.
- Centres that receive the highest numbers of cancer referrals are more likely to be associated with a university/academic institution.
- Only about 22 centres (of the 84 clinics that responded) offer OCTP, most offer OOCP or embryo cryopreservation (96 and 97% respectively)
- 76% of clinics reported that they are able to see patients within 24-48 hrs of referral
- The 28 clinics that receive >20 oncology referrals annually are more likely to provide a designated patient navigator (χ2=13.31, P<0.01); hold live educational presentations (χ2=17.14, P<0.01); offer financial support (χ2=7.53, P=0.01); more likely to have long-term follow-up (χ2=5.67, P<0.01); more likely to have cancer patients return to take advantage of their treatment (χ2=11.26, P<0.01).
|High risk of bias||Comments: Due to low participation rate, risk of bias is high.|
|1||Reason for decision:|
IVF centres are more likely to have referrals when a patient navigator is involved, and when they have an affiliation with an academic institution.
- Winkelman WD, Rosen MP, Mok-Lin E. Fertility Preservation Services for Women With Newly Diagnosed Cancer: A National Assessment. Am J Clin Oncol 2018 Oct;41(10):1031-1035 Available from: http://www.ncbi.nlm.nih.gov/pubmed/29315172.
- Assigned to
- Topic area
- Guidelines:COSA:Cancer fertility preservation guidelines/Oncofertility service development
- Clinical question
Section below only relevant for Cancer Council Project Officer