Challenging cases in oncofertility: insights from a national specialized e-meeting for fertility preservation specialists

Purpose To determine the use of a new specialized E-Meeting for Complex Cases in Oncofertility by fertility preservation specialists (FPSs) Material and methods We present 3 years of activity of the E-Meeting for Complex Cases in Oncofertility, a new tool created in September 2016 which allows natio...

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Veröffentlicht in:Journal of assisted reproduction and genetics 2021-09, Vol.38 (9), p.2445-2453
Hauptverfasser: Khiat, Samuel, Pibarot, Michele, Roux, Jennifer, Bottin, Pauline, Saïas, Jacqueline, Rives, Nathalie, Courbiere, Blandine
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container_end_page 2453
container_issue 9
container_start_page 2445
container_title Journal of assisted reproduction and genetics
container_volume 38
creator Khiat, Samuel
Pibarot, Michele
Roux, Jennifer
Bottin, Pauline
Saïas, Jacqueline
Rives, Nathalie
Courbiere, Blandine
description Purpose To determine the use of a new specialized E-Meeting for Complex Cases in Oncofertility by fertility preservation specialists (FPSs) Material and methods We present 3 years of activity of the E-Meeting for Complex Cases in Oncofertility, a new tool created in September 2016 which allows national oncofertility experts to share viewpoints about challenging cases for which they do not have experience or sufficient data in order to provide them an emergency advice within 48 h. Second, a survey was conducted to evaluate the use of this e-meeting for participating FPSs. Results One hundred and four experts have joined the e-meeting since its set-up, and 109 challenging cases have been submitted. The mean age of the patients was 22.4 ± 8.9 years, and 87.0% were female. Each submitted case received on average of 1.8 ± 1.1 different strategies for FP and the opinions of 7.1 ± 3.4 experts. Among the FPSs who submitted cases, seeking opinions from other FPSs allowed them to confirm their care plan ( N = 49, 84.4%), to offer different options to their patients ( N = 34, 58.6%), and to compare their practices with those of other specialists ( N = 23, 39.6%). All respondents reported a self-perceived improvement in their practice of oncologic FP ( n = 80, 100.0%). Conclusion Specific attention should be paid to challenging cases for which the experiences of only a few individuals exist. Enhancing communication between FPSs through oncofertility networks, pooling experiences, and collecting the most complex cases is required to improve the management of these patients.
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Second, a survey was conducted to evaluate the use of this e-meeting for participating FPSs. Results One hundred and four experts have joined the e-meeting since its set-up, and 109 challenging cases have been submitted. The mean age of the patients was 22.4 ± 8.9 years, and 87.0% were female. Each submitted case received on average of 1.8 ± 1.1 different strategies for FP and the opinions of 7.1 ± 3.4 experts. Among the FPSs who submitted cases, seeking opinions from other FPSs allowed them to confirm their care plan ( N = 49, 84.4%), to offer different options to their patients ( N = 34, 58.6%), and to compare their practices with those of other specialists ( N = 23, 39.6%). All respondents reported a self-perceived improvement in their practice of oncologic FP ( n = 80, 100.0%). Conclusion Specific attention should be paid to challenging cases for which the experiences of only a few individuals exist. Enhancing communication between FPSs through oncofertility networks, pooling experiences, and collecting the most complex cases is required to improve the management of these patients.</description><identifier>ISSN: 1058-0468</identifier><identifier>EISSN: 1573-7330</identifier><identifier>DOI: 10.1007/s10815-021-02275-1</identifier><identifier>PMID: 34291419</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Cancer ; Ecology, environment ; Female ; Fertility ; Fertility Preservation ; Fertility Preservation - standards ; Gynecology ; Gynecology and obstetrics ; Health ; Health Personnel - psychology ; Human Genetics ; Human health and pathology ; Humans ; Infertility - epidemiology ; Infertility - pathology ; Infertility - therapy ; Life Sciences ; Male ; Medicine ; Medicine &amp; Public Health ; Neoplasms - physiopathology ; Practice Patterns, Physicians' - standards ; Preservation ; Quality Improvement ; Reproductive Medicine ; Retrospective Studies ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Journal of assisted reproduction and genetics, 2021-09, Vol.38 (9), p.2445-2453</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021</rights><rights>2021. 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Second, a survey was conducted to evaluate the use of this e-meeting for participating FPSs. Results One hundred and four experts have joined the e-meeting since its set-up, and 109 challenging cases have been submitted. The mean age of the patients was 22.4 ± 8.9 years, and 87.0% were female. Each submitted case received on average of 1.8 ± 1.1 different strategies for FP and the opinions of 7.1 ± 3.4 experts. Among the FPSs who submitted cases, seeking opinions from other FPSs allowed them to confirm their care plan ( N = 49, 84.4%), to offer different options to their patients ( N = 34, 58.6%), and to compare their practices with those of other specialists ( N = 23, 39.6%). All respondents reported a self-perceived improvement in their practice of oncologic FP ( n = 80, 100.0%). Conclusion Specific attention should be paid to challenging cases for which the experiences of only a few individuals exist. 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Second, a survey was conducted to evaluate the use of this e-meeting for participating FPSs. Results One hundred and four experts have joined the e-meeting since its set-up, and 109 challenging cases have been submitted. The mean age of the patients was 22.4 ± 8.9 years, and 87.0% were female. Each submitted case received on average of 1.8 ± 1.1 different strategies for FP and the opinions of 7.1 ± 3.4 experts. Among the FPSs who submitted cases, seeking opinions from other FPSs allowed them to confirm their care plan ( N = 49, 84.4%), to offer different options to their patients ( N = 34, 58.6%), and to compare their practices with those of other specialists ( N = 23, 39.6%). All respondents reported a self-perceived improvement in their practice of oncologic FP ( n = 80, 100.0%). Conclusion Specific attention should be paid to challenging cases for which the experiences of only a few individuals exist. Enhancing communication between FPSs through oncofertility networks, pooling experiences, and collecting the most complex cases is required to improve the management of these patients.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34291419</pmid><doi>10.1007/s10815-021-02275-1</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5615-3933</orcidid><orcidid>https://orcid.org/0000-0002-1847-4509</orcidid><orcidid>https://orcid.org/0000-0001-9102-1111</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Cancer
Ecology, environment
Female
Fertility
Fertility Preservation
Fertility Preservation - standards
Gynecology
Gynecology and obstetrics
Health
Health Personnel - psychology
Human Genetics
Human health and pathology
Humans
Infertility - epidemiology
Infertility - pathology
Infertility - therapy
Life Sciences
Male
Medicine
Medicine & Public Health
Neoplasms - physiopathology
Practice Patterns, Physicians' - standards
Preservation
Quality Improvement
Reproductive Medicine
Retrospective Studies
Surveys and Questionnaires
Young Adult
title Challenging cases in oncofertility: insights from a national specialized e-meeting for fertility preservation specialists
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