Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement
Abstract Background Clinical practice guidelines recommend to inform female cancer patients about their infertility risks due to cancer treatment. Unfortunately, it seems that guideline adherence is suboptimal. In order to improve quality of integrated female oncofertility care, a systematic assessm...
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Wiley
2023-02-01
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| Series: | Cancer Medicine |
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| Online Access: | https://doi.org/10.1002/cam4.5149 |
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| author | Michelle van denBerg Suzanne E. J. Kaal Teska N. Schuurman Didi D. M. Braat Caroline M. P. W. Mandigers Jolien Tol Jacqueline M. Tromp Maurice J. D. L. van derVorst Catharina C. M. Beerendonk Rosella P. M. G. Hermens |
| author_facet | Michelle van denBerg Suzanne E. J. Kaal Teska N. Schuurman Didi D. M. Braat Caroline M. P. W. Mandigers Jolien Tol Jacqueline M. Tromp Maurice J. D. L. van derVorst Catharina C. M. Beerendonk Rosella P. M. G. Hermens |
| author_sort | Michelle van denBerg |
| collection | DOAJ |
| description | Abstract Background Clinical practice guidelines recommend to inform female cancer patients about their infertility risks due to cancer treatment. Unfortunately, it seems that guideline adherence is suboptimal. In order to improve quality of integrated female oncofertility care, a systematic assessment of current practice is necessary. Methods A multicenter cross‐sectional survey study in which a set of systematically developed quality indicators was processed, was conducted among female cancer patients (diagnosed in 2016/2017). These indicators represented all domains in oncofertility care; risk communication, referral, counseling, and decision‐making. Indicator scores were calculated, and determinants were assessed by multilevel multivariate analyses. Results One hundred twenty‐one out of 344 female cancer patients participated. Eight out of 11 indicators scored below 90% adherence. Of all patients, 72.7% was informed about their infertility, 51.2% was offered a referral, with 18.8% all aspects were discussed in counseling, and 35.5% received written and/or digital information. Patient's age, strength of wish to conceive, time before cancer treatment, and type of healthcare provider significantly influenced the scores of three indicators. Conclusions Current quality of female oncofertility care is far from optimal. Therefore, improvement is needed. To achieve this, improvement strategies that are tailored to the identified determinants and to guideline‐specific barriers should be developed. |
| format | Article |
| id | doaj-art-3fcdea6bf9d24971a34945c8dd68a430 |
| institution | OA Journals |
| issn | 2045-7634 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj-art-3fcdea6bf9d24971a34945c8dd68a4302025-08-20T02:33:05ZengWileyCancer Medicine2045-76342023-02-011232691270110.1002/cam4.5149Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurementMichelle van denBerg0Suzanne E. J. Kaal1Teska N. Schuurman2Didi D. M. Braat3Caroline M. P. W. Mandigers4Jolien Tol5Jacqueline M. Tromp6Maurice J. D. L. van derVorst7Catharina C. M. Beerendonk8Rosella P. M. G. Hermens9Department of Obstetrics and Gynecology Radboud University Medical Center Nijmegen the NetherlandsDepartment of Medical Oncology Radboud University Medical Center Nijmegen the NetherlandsCenter for Gynecologic Oncology Amsterdam The Netherlands Cancer Institute‐Antoni van Leeuwenhoek Hospital Amsterdam The NetherlandsDepartment of Obstetrics and Gynecology Radboud University Medical Center Nijmegen the NetherlandsDepartment of Medical Oncology, Canisius‐Wilhelmina Hospital Nijmegen The NetherlandsDepartment of Medical Oncology, Jeroen Bosch Hospital Den Bosch The NetherlandsDutch AYA ‘Young and Cancer’ Care Network IKNL Utrecht the NetherlandsDepartment of Medical Oncology, Rijnstate Hospital Arnhem The NetherlandsDepartment of Obstetrics and Gynecology Radboud University Medical Center Nijmegen the NetherlandsDepartment of IQ Healthcare Radboud University Medical Center Nijmegen the NetherlandsAbstract Background Clinical practice guidelines recommend to inform female cancer patients about their infertility risks due to cancer treatment. Unfortunately, it seems that guideline adherence is suboptimal. In order to improve quality of integrated female oncofertility care, a systematic assessment of current practice is necessary. Methods A multicenter cross‐sectional survey study in which a set of systematically developed quality indicators was processed, was conducted among female cancer patients (diagnosed in 2016/2017). These indicators represented all domains in oncofertility care; risk communication, referral, counseling, and decision‐making. Indicator scores were calculated, and determinants were assessed by multilevel multivariate analyses. Results One hundred twenty‐one out of 344 female cancer patients participated. Eight out of 11 indicators scored below 90% adherence. Of all patients, 72.7% was informed about their infertility, 51.2% was offered a referral, with 18.8% all aspects were discussed in counseling, and 35.5% received written and/or digital information. Patient's age, strength of wish to conceive, time before cancer treatment, and type of healthcare provider significantly influenced the scores of three indicators. Conclusions Current quality of female oncofertility care is far from optimal. Therefore, improvement is needed. To achieve this, improvement strategies that are tailored to the identified determinants and to guideline‐specific barriers should be developed.https://doi.org/10.1002/cam4.5149cancerfemale cancer patientsoncofertility carequality indicatorsquality of care |
| spellingShingle | Michelle van denBerg Suzanne E. J. Kaal Teska N. Schuurman Didi D. M. Braat Caroline M. P. W. Mandigers Jolien Tol Jacqueline M. Tromp Maurice J. D. L. van derVorst Catharina C. M. Beerendonk Rosella P. M. G. Hermens Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement Cancer Medicine cancer female cancer patients oncofertility care quality indicators quality of care |
| title | Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement |
| title_full | Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement |
| title_fullStr | Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement |
| title_full_unstemmed | Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement |
| title_short | Quality of integrated female oncofertility care is suboptimal: A patient‐reported measurement |
| title_sort | quality of integrated female oncofertility care is suboptimal a patient reported measurement |
| topic | cancer female cancer patients oncofertility care quality indicators quality of care |
| url | https://doi.org/10.1002/cam4.5149 |
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