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Looking Through the Lens of a Family Planner to Prioritize Reproductive Health Among Women with Cancer



Details

  • Personal Author:
  • Description:
    PURPOSE: Prioritization of cancer treatment initiation in women of reproductive age may underscore potential implications on reproductive health. This study describes a family planning quotient (FPQ) and reproductive life index (RepLI) tool designed to help providers to discuss effectively reproductive health with women with cancer. METHODS: We tailored the FPQ/RepLI tool for patients with cancer after development in the family planning setting and piloted it with 36 oncology patients referred to our family planning clinic. Each patient completed the FPQ/RepLI with a health educator or medical student and then met with a physician to create a reproductive life plan. A subsample evaluated the tool by rating satisfaction using a Likert scale. Summary statistics were calculated overall and by childbearing status. RESULTS: Of the 36 women, 22 did not desire additional children and received contraception. One third (n = 14) had not completed childbearing, four of whom continued with fertility preservation counseling. Women who desired childbearing were less likely to already have children (P = .02), and more than one half were using long-term contraception. All agreed that the FPQ/RepLI helped them to talk to their provider about their reproductive goals. Only 44.4% agreed that their oncologist knew how many children they desired, and 88.9% found the tool helpful and would use it for future tracking of their reproductive goals. CONCLUSION: The FPQ/RepLI is useful for assessing the reproductive health of young women with a new cancer diagnosis, understanding desires of future childbearing, and providing effective contraception. We recommend the incorporation of this tool into practice to better understand patients' reproductive needs. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    1554-7477
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Volume:
    15
  • Issue:
    2
  • NIOSHTIC Number:
    nn:20063586
  • Citation:
    J Oncol Pract 2019 Feb; 15(2):e141-e152
  • Contact Point Address:
    Ashlesha Patel, MD, MPH, Department of Obstetrics and Gynecology, Cook County Health and Hospitals System, 1900 W Polk, Room 540, Chicago, IL 60612
  • Email:
    apatel2@cookcountyhhs.org
  • Federal Fiscal Year:
    2019
  • Performing Organization:
    University of Illinois at Chicago
  • Peer Reviewed:
    True
  • Start Date:
    20050701
  • Source Full Name:
    Journal of Oncology Practice
  • End Date:
    20290630
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:4da7494fff100267e2adda319340d9854b71b9eaf1e061fa1b02a1e6733d4f3adc0bb5219dcf982a300954018e62465c78b2f1aeb914491e5932e9e8f4aa6445
  • Download URL:
  • File Type:
    Filetype[PDF - 1.20 MB ]
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