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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Clin+Oncol
2013 ; 31
(19
): 2500-10
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Fertility preservation for patients with cancer: American Society of Clinical
Oncology clinical practice guideline update
#MMPMID23715580
Loren AW
; Mangu PB
; Beck LN
; Brennan L
; Magdalinski AJ
; Partridge AH
; Quinn G
; Wallace WH
; Oktay K
J Clin Oncol
2013[Jul]; 31
(19
): 2500-10
PMID23715580
show ga
PURPOSE: To update guidance for health care providers about fertility
preservation for adults and children with cancer. METHODS: A systematic review of
the literature published from March 2006 through January 2013 was completed using
MEDLINE and the Cochrane Collaboration Library. An Update Panel reviewed the
evidence and updated the recommendation language. RESULTS: There were 222 new
publications that met inclusion criteria. A majority were observational studies,
cohort studies, and case series or reports, with few randomized clinical trials.
After review of the new evidence, the Update Panel concluded that no major,
substantive revisions to the 2006 American Society of Clinical Oncology
recommendations were warranted, but clarifications were added. RECOMMENDATIONS:
As part of education and informed consent before cancer therapy, health care
providers (including medical oncologists, radiation oncologists, gynecologic
oncologists, urologists, hematologists, pediatric oncologists, and surgeons)
should address the possibility of infertility with patients treated during their
reproductive years (or with parents or guardians of children) and be prepared to
discuss fertility preservation options and/or to refer all potential patients to
appropriate reproductive specialists. Although patients may be focused initially
on their cancer diagnosis, the Update Panel encourages providers to advise
patients regarding potential threats to fertility as early as possible in the
treatment process so as to allow for the widest array of options for fertility
preservation. The discussion should be documented. Sperm and embryo
cryopreservation as well as oocyte cryopreservation are considered standard
practice and are widely available. Other fertility preservation methods should be
considered investigational and should be performed by providers with the
necessary expertise.
|*Cryopreservation
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Child
[MESH]
|Communication
[MESH]
|Decision Making
[MESH]
|Embryo, Mammalian
[MESH]
|Evidence-Based Medicine
[MESH]
|Female
[MESH]
|Fertility/drug effects/radiation effects
[MESH]
|Health Services Accessibility
[MESH]
|Healthcare Disparities
[MESH]
|Humans
[MESH]
|Infertility, Female/etiology/prevention & control
[MESH]
|Infertility, Male/etiology/prevention & control
[MESH]
|Infertility/*etiology/*prevention & control
[MESH]