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

Mariah L. Wright, Charleen I. Theroux, Anna L. Olsavsky, Daniel DaJusta, Kate McCracken, Jennifer Hansen‐Moore, Nicholas D. Yeager, Stacy Whiteside, Anthony Audino, Leena Nahata

2022Pediatric Blood & Cancer15 citationsDOI

Abstract

Abstract 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.

Topics & Concepts

FertilityFertility preservationMedicineSurvivorship curveInfertilityOncofertilityFamily medicineRetrospective cohort studyMedical recordDemographyGynecologyGerontologyCancerPregnancyPopulationSurgeryEnvironmental healthInternal medicineGeneticsSociologyBiologyReproductive Biology and FertilityReproductive Health and TechnologiesAssisted Reproductive Technology and Twin Pregnancy