Login / Signup

The impact of hiring a full-time fertility navigator on fertility-related care and fertility preservation at a pediatric institution.

Mariah L WrightCharleen I TherouxAnna L OlsavskyDaniel DaJustaKate A McCrackenJennifer Hansen-MooreNicholas D YeagerStacy L WhitesideAnthony N AudinoLeena Nahata
Published in: Pediatric blood & cancer (2022)
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 2 [3, N = 738] = 8.17, p < .05). Findings highlight FNs' impact on counseling rates, particularly in survivorship.
Keyphrases
  • childhood cancer
  • young adults
  • healthcare
  • palliative care
  • type diabetes
  • hepatitis c virus
  • metabolic syndrome
  • skeletal muscle
  • insulin resistance
  • drug induced