Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA.
Center for Biobehavioral Health, The Abigail Wexner Research Institute, Columbus, Ohio, USA.
Pediatr Blood Cancer. 2022 Sep;69(9):e29857. doi: 10.1002/pbc.29857. Epub 2022 Jul 7.
Fertility navigators (FNs) are important in communicating infertility risk and fertility preservation (FP) options to patients receiving gonadotoxic therapies. This retrospective study examined electronic medical records of patients with fertility consults at a large pediatric institution (2017-2019), before and after hiring a full-time FN. Of 738 patient encounters, 173 consults were performed pre-navigator and 565 post-navigator. Fertility consults for long-term follow-up cancer survivors increased most substantially: pre-navigator (n = 7) and post-navigator (n = 387). Across diagnoses, females had a larger increase in consults compared to males (χ [3, N = 738] = 8.17, p < .05). Findings highlight FNs' impact on counseling rates, particularly in survivorship.
生育导航员（FNs）在向接受性腺毒性治疗的患者传达不孕风险和生育保护（FP）选择方面非常重要。这项回顾性研究检查了一家大型儿科机构（2017-2019 年）的生育咨询患者的电子病历，在聘请全职 FN 前后。在 738 次患者就诊中，有 173 次就诊是在导航员前进行的，565 次就诊是在导航员后进行的。长期随访癌症幸存者的生育咨询数量增加最多：导航员前（n=7）和导航员后（n=387）。在各种诊断中，女性的咨询就诊量比男性增加得更多（χ[3，N=738]=8.17，p<.05）。研究结果强调了 FNs 对咨询率的影响，尤其是在癌症生存者中。
