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Author Notes:

Jordan Gilleland Marchak, PhD, 2015 Uppergate Dr., Atlanta, GA 30322, Phone: 404-727-2293 Fax: 404-727-4455, jgillel@emory.edu.

Jordan Gilleland Marchak: Conceptualization, writing – original draft, and writing–review and editing;Kristy D. Seidel: Data curation, formal analysis, methodology, software, writing – original draft, and writing–review and editing;Ann C. Mertens: Conceptualization, project administration, methodology, and writing–review and editing.

Chad W.M. Ritenour: Writing–review and editing;Karen Wasilewski-Masker: Writing–review and editing; Wendy M. Leisenring: Data curation, formal analysis, methodology, software and writing–review and editing; Charles A. Sklar: Writing–review and editing.

Jennifer Ford: Writing–review and editing; Kevin Krull: Writing–review and editing; Marilyn A. Stovall: Data curation, formal analysis, methodology, software, and writing–review and editing; Leslie L. Robison: Data curation, methodology, software, funding acquisition, investigation, and writing–review and editing; Gregory T. Armstrong: Data curation, methodology, software, funding acquisition, investigation, and writing–review and editing; Lillian R. Meacham: Conceptualization, funding acquisition, writing–review and editing, and supervision.

Author Conflicts of Interest: None.

Subjects:

Research Funding:

Study was supported by the Lance Armstrong Foundation (L.R. Meacham) and the National Cancer Institute (CA55727, G.T. Armstrong).

Support to St. Jude Children’s Research Hospital was provided by the Cancer Center Support grant (CA21765, C. Roberts) and the American Lebanese-Syrian Associated Charities (ALSAC).

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Oncology
  • childhood cancer
  • health knowledge
  • infertility
  • survivors
  • LONG-TERM SURVIVORS
  • KNOWLEDGE
  • FERTILITY
  • DIAGNOSIS
  • PARENTS
  • IMPACT
  • MEN

Perceptions of Risk of Infertility Among Male Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study

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Journal Title:

Cancer

Volume:

Volume 124, Number 11

Publisher:

, Pages 2447-2455

Type of Work:

Article | Post-print: After Peer Review

Abstract:

BACKGROUND: The objective of the current study was to characterize and identify factors associated with perceptions of risk of infertility among adult male survivors of childhood cancer. METHODS: A total of 1233 adult male survivors from the Childhood Cancer Survivor Study who were without a history of disease recurrence or subsequent malignancy reported their perceptions of their risk of infertility compared with men never diagnosed with cancer. Survivors were a median age of 37.8 years (range, 22.0-58.7 years) and were 28.4 years from their diagnosis (range, 21.4-39.2 years). Multivariable logistic regression evaluated factors associated with perceptions of risk. RESULTS: Overall, 35.9% of the survivors (443 of 1233 survivors) reported perceptions of their risk of infertility that were discordant with their actual risk based on previous cancer treatment exposures. Discordant perceptions were equally common among men exposed to gonadotoxic therapies (36.3%; 311 of 857 men) and those with no history of gonadotoxic exposure (35.1%; 132 of 376 men). Survivors who fathered children (odds ratio [OR], 4.14; 95% confidence interval [95% CI], 2.74-6.24), had no survivor-focused health care (OR, 3.07; 95% CI, 1.57-5.99), were nonwhite (OR, 2.28; 95% CI, 1.10-4.75), and were of lower income were more likely to report no increased risk of infertility after gonadotoxic treatment. Perceptions of increased risk of infertility among men with no history of gonadotoxic treatment were predicted by never having fathered a child (OR, 1.88; 95% CI, 1.17-3.03), recent participation in survivor-focused health care (OR, 2.11; 95% CI, 1.01-4.42), and higher educational achievement. CONCLUSIONS: Many male survivors of childhood cancer are unaware of how their cancer treatments could impact their reproductive health, underscoring the need for all patients to receive education regarding their risk of infertility throughout the continuum of cancer care. Cancer 2018;124:2447-55. © 2018 American Cancer Society.

Copyright information:

© 2018 American Cancer Society

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