caa a22 4500 445817232 CHVBK 20180317145232.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10815-010-9504-6 doi (NATIONALLICENCE)springer-10.1007/s10815-010-9504-6 Results from the survey for preservation of adolescent reproduction (SPARE) study: gender disparity in delivery of fertility preservation message to adolescents with cancer [Elektronische Daten] [Tobias Köhler, Laxmi Kondapalli, Amul Shah, Sarah Chan, Teresa Woodruff, Robert Brannigan] Purpose: Diminished reproductive capacity is a devastating consequence of life-sparing therapies for childhood malignancy. In 2006, the American Society of Clinical Oncology (ASCO) published fertility preservation recommendations (ASCOR) emphasizing the importance of early discussion and intervention for fertility preservation strategies. Using the Survey for Preservation of Adolescent REproduction (SPARE), we sought to determine fertility preservation attitudes and practice patterns post-ASCOR from pediatric oncology specialists nationwide. Materials and methods: The SPARE survey consists of 22 questions assessing pediatric oncology specialists' attitudes and practice patterns toward fertility preservation. Broad perspectives on fertility preservation, including a willingness to discuss fertility, knowledge of current fertility preservation methods and awareness of ASCOR, were assessed. Results: The majority of respondents acknowledged that fertility threats are a major concern for them and agreed that all pubertal cancer patients should be offered a fertility consultation, but only 46% reported they refer male pubertal cancer patients to a fertility specialist prior to cancer treatment >50% of the time, and only 12% reported they refer female pubertal cancer patients to a fertility specialist prior to cancer treatment > 50% of the time. While 44% of respondents were familiar with the 2006 ASCOR, only 39% of those utilized them to guide decision-making in greater than half of their patients. Conclusion: Our study demonstrates pediatric oncologists' motivation to preserve fertility in pediatric cancer patients; however, barriers to both gamete cryopreservation and referral to fertility specialists persist. Female pubertal patients are referred to fertility preservation specialists with much less frequency than are male pubertal patients, highlighting a disparity. Springer Science+Business Media, LLC, 2010 Pediatric oncology nationallicence Cryopreservation nationallicence Fertility preservation nationallicence Cancer nationallicence Survey nationallicence Köhler Tobias Division of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA aut Kondapalli Laxmi Division of Reproductive Endocrinology and Infertility, School of Medicine, University of Pennsylvania, Philadelphia, PA, USA aut Shah Amul Feinberg School of Medicine, Northwestern University, Chicago, IL, USA aut Chan Sarah Division of Urology, University of Maryland Medical Center, Baltimore, MD, USA aut Woodruff Teresa Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA aut Brannigan Robert Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA aut Journal of Assisted Reproduction and Genetics Springer US; http://www.springer-ny.com 28/3(2011-03-01), 269-277 1058-0468 28:3<269 2011 28 10815 https://doi.org/10.1007/s10815-010-9504-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10815-010-9504-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Köhler Tobias Division of Urology, Southern Illinois University School of Medicine, Springfield, IL, USA aut NATIONALLICENCE 700 1- Kondapalli Laxmi Division of Reproductive Endocrinology and Infertility, School of Medicine, University of Pennsylvania, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Shah Amul Feinberg School of Medicine, Northwestern University, Chicago, IL, USA aut NATIONALLICENCE 700 1- Chan Sarah Division of Urology, University of Maryland Medical Center, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Woodruff Teresa Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA aut NATIONALLICENCE 700 1- Brannigan Robert Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA aut NATIONALLICENCE 773 0- Journal of Assisted Reproduction and Genetics Springer US; http://www.springer-ny.com 28/3(2011-03-01), 269-277 1058-0468 28:3<269 2011 28 10815 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer