Fridgen Olivia, Sehovic Ivana, Bowman Meghan L, Reed Damon, Tamargo Christina, Vadaparampil Susan, Quinn Gwendolyn P
Adolescent and Young Adult Oncology Program, H Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Dr, FOB1, Tampa, FL, 33612, USA.
Health Outcomes and Behavior Program, H Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Dr, MRC CANCONT, Tampa, FL, 33612, USA.
J Cancer Educ. 2017 Dec;32(4):924-932. doi: 10.1007/s13187-016-1003-8.
Little is known about oncology provider recommendations regarding best practices in contraception use during cancer treatment and through survivorship for adolescent and young adult (AYA) cancer patients. This review examined the literature to identify related studies on contraception recommendations, counseling discussions, and methods of contraception in the AYA oncology population. A literature review was conducted using PubMed, including all peer-reviewed journals with no publication date exclusions. A systematic review of the literature was conducted using combinations of the following phrases or keywords: "oncology OR cancer" AND "contraception, family planning, contraceptive devices, contraceptive agents, intrauterine devices OR IUD, vaccines, spermatocidal agents, postcoital, immunologic, family planning, vasectomy, tubal ligation, sterilization" AND "young adult OR adolescent" AND "young adult AND adolescent". Reviewers assessed articles using the "Quality Assessment Tool for Quantitative Studies" which considers: (1) selection bias; (2) study design; (3) confounders; (4) blinding; (5) data collection methods; and (6) withdrawals and dropouts. A total of five articles were included and all studies were quantitative. Results showed no consistent recommendations among providers, references to guidelines, or methods of contraceptive types. Provider guidelines for discussions with AYA patients should be expanded to provide comprehensive, consistent, and quality cancer care in the AYA population.
关于肿瘤学医疗服务提供者针对青少年和青年成年（AYA）癌症患者在癌症治疗期间及生存期避孕最佳做法的建议，目前所知甚少。本综述检索了文献，以确定关于AYA肿瘤患者避孕建议、咨询讨论及避孕方法的相关研究。使用PubMed进行了文献综述，纳入所有同行评审期刊，无出版日期限制。使用以下短语或关键词组合对文献进行了系统综述：“肿瘤学或癌症”与“避孕、计划生育、避孕器具、避孕药物、宫内节育器或IUD、疫苗、杀精剂、性交后、免疫学、计划生育、输精管切除术、输卵管结扎、绝育”与“青年成年或青少年”与“青年成年且青少年”。评审人员使用“定量研究质量评估工具”评估文章，该工具考虑：（1）选择偏倚；（2）研究设计；（3）混杂因素；（4）盲法；（5）数据收集方法；以及（6）退出和失访情况。共纳入五篇文章，所有研究均为定量研究。结果显示，医疗服务提供者之间、对指南的提及或避孕类型的方法均无一致的建议。应扩展针对与AYA患者讨论的医疗服务提供者指南，以便为AYA人群提供全面、一致且高质量的癌症护理。
