肿瘤生育诊所 在促进获得生殖专家服务方面的作用。
The Role of Oncofertility Clinics in Facilitating Access to Reproductive Specialists.
作者信息
Hariton Eduardo, Bortoletto Pietro, Cardozo Eden R, Hochberg Ephraim P, Sabatini Mary E
机构信息
Division of Reproductive Endocrinology and Infertility, Vincent Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USA.
Eduardo Hariton and Pietro Bortoletto contributed equally to this work and are co-first authors.
出版信息
J Patient Exp. 2016 Dec;3(4):131-136. doi: 10.1177/2374373516685960. Epub 2016 Dec 1.
PURPOSE
To determine the impact of the establishment of a dedicated oncofertility clinic on the frequency of patient referrals for fertility preservation (FP) consultation and the time from patient referral to consultation.
METHODS
A retrospective chart review of all women aged 21 to 44 years with an active cancer diagnosis who were referred for FP consultation from 2011 to 2015.
RESULTS
A total of 6895 female patients eligible for FP were seen at the Massachusetts General Hospital (MGH) Cancer Center. Of those eligible, a total of 209 patients were referred for FP consultation with 150 included in the final analysis. Since the establishment of the oncofertility clinic, the mean time to nonemergent consultation with a reproductive endocrinologist decreased by 27%, from 10.4 to 7.6 days ( = .03). Furthermore, the proportion of reproductive-aged females seen at the MGH Cancer Center referred for FP consultation increased from 1.7% to 3.0% ( < .01).
CONCLUSION
A dedicated oncofertility clinic increases physician referrals for FP and decreases the mean time to consultation, improving access to FP consultation for reproductive-aged women with cancer.
目的
确定设立专门的肿瘤生育诊所对生育力保存（FP）咨询患者转诊频率以及从患者转诊到咨询的时间的影响。
方法
对2011年至2015年期间所有年龄在21至44岁、被诊断患有活动性癌症且被转诊进行FP咨询的女性进行回顾性病历审查。
结果
在马萨诸塞州总医院（MGH）癌症中心共诊治了6895名符合FP条件的女性患者。在这些符合条件的患者中，共有209名患者被转诊进行FP咨询，其中150名纳入最终分析。自肿瘤生育诊所设立以来，与生殖内分泌学家进行非紧急咨询的平均时间减少了27%，从10.4天降至7.6天（P = .03）。此外，在MGH癌症中心接受诊治并被转诊进行FP咨询的育龄女性比例从1.7%增至3.0%（P < .01）。
结论
专门的肿瘤生育诊所增加了医生对FP的转诊，并缩短了平均咨询时间，改善了癌症育龄女性获得FP咨询的机会。
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