Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study
Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Ma...
Ausführliche Beschreibung
Autor*in: |
Hazem I. Assi [verfasserIn] Rasha T. Kakati [verfasserIn] Rose Mary Attieh [verfasserIn] Jessica Khoury [verfasserIn] Fares Sukhon [verfasserIn] Juliett Berro [verfasserIn] Eman Sbaity [verfasserIn] Ziad Salem [verfasserIn] Arafat Tfayli [verfasserIn] Ibrahim A. Alameh [verfasserIn] Nagi El Saghir [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2020 |
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Übergeordnetes Werk: |
In: Breast - Elsevier, 2020, 52(2020), Seite 58-63 |
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Übergeordnetes Werk: |
volume:52 ; year:2020 ; pages:58-63 |
Links: |
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DOI / URN: |
10.1016/j.breast.2020.04.010 |
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Katalog-ID: |
DOAJ042944945 |
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520 | |a Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. | ||
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650 | 4 | |a Fertility preservation | |
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10.1016/j.breast.2020.04.010 doi (DE-627)DOAJ042944945 (DE-599)DOAJ120b79d0e8204fe8a830b7b914b80177 DE-627 ger DE-627 rakwb eng RC254-282 Hazem I. Assi verfasserin aut Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. Breast cancer Pregnancy Fertility Counseling Fertility preservation Chemotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Rasha T. Kakati verfasserin aut Rose Mary Attieh verfasserin aut Jessica Khoury verfasserin aut Fares Sukhon verfasserin aut Juliett Berro verfasserin aut Eman Sbaity verfasserin aut Ziad Salem verfasserin aut Arafat Tfayli verfasserin aut Ibrahim A. Alameh verfasserin aut Nagi El Saghir verfasserin aut In Breast Elsevier, 2020 52(2020), Seite 58-63 (DE-627)320475042 (DE-600)2009043-2 15323080 nnns volume:52 year:2020 pages:58-63 https://doi.org/10.1016/j.breast.2020.04.010 kostenfrei https://doaj.org/article/120b79d0e8204fe8a830b7b914b80177 kostenfrei http://www.sciencedirect.com/science/article/pii/S0960977620301065 kostenfrei https://doaj.org/toc/1532-3080 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 52 2020 58-63 |
spelling |
10.1016/j.breast.2020.04.010 doi (DE-627)DOAJ042944945 (DE-599)DOAJ120b79d0e8204fe8a830b7b914b80177 DE-627 ger DE-627 rakwb eng RC254-282 Hazem I. Assi verfasserin aut Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. Breast cancer Pregnancy Fertility Counseling Fertility preservation Chemotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Rasha T. Kakati verfasserin aut Rose Mary Attieh verfasserin aut Jessica Khoury verfasserin aut Fares Sukhon verfasserin aut Juliett Berro verfasserin aut Eman Sbaity verfasserin aut Ziad Salem verfasserin aut Arafat Tfayli verfasserin aut Ibrahim A. Alameh verfasserin aut Nagi El Saghir verfasserin aut In Breast Elsevier, 2020 52(2020), Seite 58-63 (DE-627)320475042 (DE-600)2009043-2 15323080 nnns volume:52 year:2020 pages:58-63 https://doi.org/10.1016/j.breast.2020.04.010 kostenfrei https://doaj.org/article/120b79d0e8204fe8a830b7b914b80177 kostenfrei http://www.sciencedirect.com/science/article/pii/S0960977620301065 kostenfrei https://doaj.org/toc/1532-3080 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 52 2020 58-63 |
allfields_unstemmed |
10.1016/j.breast.2020.04.010 doi (DE-627)DOAJ042944945 (DE-599)DOAJ120b79d0e8204fe8a830b7b914b80177 DE-627 ger DE-627 rakwb eng RC254-282 Hazem I. Assi verfasserin aut Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. Breast cancer Pregnancy Fertility Counseling Fertility preservation Chemotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Rasha T. Kakati verfasserin aut Rose Mary Attieh verfasserin aut Jessica Khoury verfasserin aut Fares Sukhon verfasserin aut Juliett Berro verfasserin aut Eman Sbaity verfasserin aut Ziad Salem verfasserin aut Arafat Tfayli verfasserin aut Ibrahim A. Alameh verfasserin aut Nagi El Saghir verfasserin aut In Breast Elsevier, 2020 52(2020), Seite 58-63 (DE-627)320475042 (DE-600)2009043-2 15323080 nnns volume:52 year:2020 pages:58-63 https://doi.org/10.1016/j.breast.2020.04.010 kostenfrei https://doaj.org/article/120b79d0e8204fe8a830b7b914b80177 kostenfrei http://www.sciencedirect.com/science/article/pii/S0960977620301065 kostenfrei https://doaj.org/toc/1532-3080 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 52 2020 58-63 |
allfieldsGer |
10.1016/j.breast.2020.04.010 doi (DE-627)DOAJ042944945 (DE-599)DOAJ120b79d0e8204fe8a830b7b914b80177 DE-627 ger DE-627 rakwb eng RC254-282 Hazem I. Assi verfasserin aut Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. Breast cancer Pregnancy Fertility Counseling Fertility preservation Chemotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Rasha T. Kakati verfasserin aut Rose Mary Attieh verfasserin aut Jessica Khoury verfasserin aut Fares Sukhon verfasserin aut Juliett Berro verfasserin aut Eman Sbaity verfasserin aut Ziad Salem verfasserin aut Arafat Tfayli verfasserin aut Ibrahim A. Alameh verfasserin aut Nagi El Saghir verfasserin aut In Breast Elsevier, 2020 52(2020), Seite 58-63 (DE-627)320475042 (DE-600)2009043-2 15323080 nnns volume:52 year:2020 pages:58-63 https://doi.org/10.1016/j.breast.2020.04.010 kostenfrei https://doaj.org/article/120b79d0e8204fe8a830b7b914b80177 kostenfrei http://www.sciencedirect.com/science/article/pii/S0960977620301065 kostenfrei https://doaj.org/toc/1532-3080 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 52 2020 58-63 |
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10.1016/j.breast.2020.04.010 doi (DE-627)DOAJ042944945 (DE-599)DOAJ120b79d0e8204fe8a830b7b914b80177 DE-627 ger DE-627 rakwb eng RC254-282 Hazem I. Assi verfasserin aut Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. Breast cancer Pregnancy Fertility Counseling Fertility preservation Chemotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Rasha T. Kakati verfasserin aut Rose Mary Attieh verfasserin aut Jessica Khoury verfasserin aut Fares Sukhon verfasserin aut Juliett Berro verfasserin aut Eman Sbaity verfasserin aut Ziad Salem verfasserin aut Arafat Tfayli verfasserin aut Ibrahim A. Alameh verfasserin aut Nagi El Saghir verfasserin aut In Breast Elsevier, 2020 52(2020), Seite 58-63 (DE-627)320475042 (DE-600)2009043-2 15323080 nnns volume:52 year:2020 pages:58-63 https://doi.org/10.1016/j.breast.2020.04.010 kostenfrei https://doaj.org/article/120b79d0e8204fe8a830b7b914b80177 kostenfrei http://www.sciencedirect.com/science/article/pii/S0960977620301065 kostenfrei https://doaj.org/toc/1532-3080 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2008 GBV_ILN_2014 GBV_ILN_2025 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2064 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 52 2020 58-63 |
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Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study |
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Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study |
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Hazem I. Assi |
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Hazem I. Assi Rasha T. Kakati Rose Mary Attieh Jessica Khoury Fares Sukhon Juliett Berro Eman Sbaity Ziad Salem Arafat Tfayli Ibrahim A. Alameh Nagi El Saghir |
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fertility in breast cancer survivors in the middle east: a retrospective study |
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Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study |
abstract |
Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. |
abstractGer |
Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. |
abstract_unstemmed |
Introduction: By the time they complete breast cancer therapy, many young patients are still of childbearing age. We aim to estimate the incidence of pregnancies in women who completed treatment and examine the percentage of patients who received fertility counseling before initiation of therapy. Material and methods: Electronic health records of breast cancer patients between 2008 and 2014 at AUBMC were screened for exclusion criteria of having metastatic disease or known infertility, still receiving therapy, and being above 42 years at diagnosis. Data about therapy and tumor characteristics was obtained for the included survivors who were interviewed as well via telephone for information about fertility preservation counseling, pregnancy occurrence, and delivery. Results: 451 breast cancer patients were identified. 39 patients remained after application of exclusion criteria. 30.76% (n = 12) wanted more children at the time of diagnosis. 10.25% (n = 4) of all 39 patients treated for breast cancer achieved one or more pregnancy after a median time of 3.83 years after completion of therapy. 25% (n = 3) of women who wanted more children at diagnosis (n = 12) were able to conceive. 23.07% (n = 9) of patients discussed fertility with their primary oncologist prior to treatment initiation. 35.89% (n = 14) of patients were aware of fertility preservation technique availability, but none of these patients used one. Conclusions: The observed rate of pregnancy is comparable to the literature. There is a lack in fertility counseling of breast cancer patients, and the rate of use of fertility preservation techniques is very low despite prior knowledge about their availability. |
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title_short |
Fertility in Breast Cancer Survivors in the Middle East: A Retrospective Study |
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https://doi.org/10.1016/j.breast.2020.04.010 https://doaj.org/article/120b79d0e8204fe8a830b7b914b80177 http://www.sciencedirect.com/science/article/pii/S0960977620301065 https://doaj.org/toc/1532-3080 |
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Rasha T. Kakati Rose Mary Attieh Jessica Khoury Fares Sukhon Juliett Berro Eman Sbaity Ziad Salem Arafat Tfayli Ibrahim A. Alameh Nagi El Saghir |
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