Implications of sperm banking for health-related quality of life up to 1 year after cancer diagnosis

Authors: Pacey, A., Merrick, H., Arden-Close, E., Morris, K., Rowe, R., Stark, D. and Eiser, C.

Journal: British Journal of Cancer

Volume: 108

Issue: 5

Pages: 1004-1011

eISSN: 1532-1827

ISSN: 0007-0920

DOI: 10.1038/bjc.2013.57

Abstract:

Background: Sperm banking is recommended for all men diagnosed with cancer where treatment is associated with risk of long-term gonadatoxicity, to offer the opportunity of fatherhood and improved quality of life. However, uptake of sperm banking is lower than expected and little is known about why men refuse. Our aims were to determine: (i) demographic and medical variables associated with decisions about banking and (ii) differences in quality of life between bankers and non-bankers at diagnosis (Time 1 (T1)) and 1 year later (Time 2 (T2)). Methods: Questionnaires were completed by 91 men (response rate=86.67%) at T1 and 78 (85.71% response rate) at T2.Results:In all, 44 (56.41%) banked sperm. They were younger and less likely to have children than non-bankers. In a subset of men who were not sure if they wanted children in the future (n=36), 24 banked sperm. Among this group, those who banked were younger, more satisfied with clinic appointments and less worried about the health of future children. At T2, there were no differences in quality of life between bankers and non-bankers. Conclusion: For those who are uncertain about future reproductive plans, decisions depend on their health on diagnosis and satisfaction with clinic care. We conclude that extra care should be taken in counselling younger men who may have given little consideration to future parenting. Results support previous findings that the role of the doctor is vital in facilitating decisions, especially for those who are undecided about whether they wanted children in the future or not. © 2013 Cancer Research UK. All rights reserved.

https://eprints.bournemouth.ac.uk/21467/

Source: Scopus

Implications of sperm banking for health-related quality of life up to 1 year after cancer diagnosis.

Authors: Pacey, A., Merrick, H., Arden-Close, E., Morris, K., Rowe, R., Stark, D. and Eiser, C.

Journal: Br J Cancer

Volume: 108

Issue: 5

Pages: 1004-1011

eISSN: 1532-1827

DOI: 10.1038/bjc.2013.57

Abstract:

BACKGROUND: Sperm banking is recommended for all men diagnosed with cancer where treatment is associated with risk of long-term gonadatoxicity, to offer the opportunity of fatherhood and improved quality of life. However, uptake of sperm banking is lower than expected and little is known about why men refuse. Our aims were to determine: (i) demographic and medical variables associated with decisions about banking and (ii) differences in quality of life between bankers and non-bankers at diagnosis (Time 1 (T1)) and 1 year later (Time 2 (T2)). METHODS: Questionnaires were completed by 91 men (response rate=86.67%) at T1 and 78 (85.71% response rate) at T2. RESULTS: In all, 44 (56.41%) banked sperm. They were younger and less likely to have children than non-bankers. In a subset of men who were not sure if they wanted children in the future (n=36), 24 banked sperm. Among this group, those who banked were younger, more satisfied with clinic appointments and less worried about the health of future children. At T2, there were no differences in quality of life between bankers and non-bankers. CONCLUSION: For those who are uncertain about future reproductive plans, decisions depend on their health on diagnosis and satisfaction with clinic care. We conclude that extra care should be taken in counselling younger men who may have given little consideration to future parenting. Results support previous findings that the role of the doctor is vital in facilitating decisions, especially for those who are undecided about whether they wanted children in the future or not.

https://eprints.bournemouth.ac.uk/21467/

Source: PubMed

Preferred by: Emily Arden-Close

Implications of sperm banking for health-related quality of life up to 1 year after cancer diagnosis

Authors: Pacey, A., Merrick, H., Arden-Close, E., Morris, K., Rowe, R., Stark, D. and Eiser, C.

Journal: BRITISH JOURNAL OF CANCER

Volume: 108

Issue: 5

Pages: 1004-1011

eISSN: 1532-1827

ISSN: 0007-0920

DOI: 10.1038/bjc.2013.57

https://eprints.bournemouth.ac.uk/21467/

Source: Web of Science (Lite)

Implications of sperm banking for health-related quality of life up to 1 year after cancer diagnosis.

Authors: Pacey, A., Merrick, H., Arden-Close, E., Morris, K., Rowe, R., Stark, D. and Eiser, C.

Journal: British journal of cancer

Volume: 108

Issue: 5

Pages: 1004-1011

eISSN: 1532-1827

ISSN: 0007-0920

DOI: 10.1038/bjc.2013.57

Abstract:

Background

Sperm banking is recommended for all men diagnosed with cancer where treatment is associated with risk of long-term gonadatoxicity, to offer the opportunity of fatherhood and improved quality of life. However, uptake of sperm banking is lower than expected and little is known about why men refuse. Our aims were to determine: (i) demographic and medical variables associated with decisions about banking and (ii) differences in quality of life between bankers and non-bankers at diagnosis (Time 1 (T1)) and 1 year later (Time 2 (T2)).

Methods

Questionnaires were completed by 91 men (response rate=86.67%) at T1 and 78 (85.71% response rate) at T2.

Results

In all, 44 (56.41%) banked sperm. They were younger and less likely to have children than non-bankers. In a subset of men who were not sure if they wanted children in the future (n=36), 24 banked sperm. Among this group, those who banked were younger, more satisfied with clinic appointments and less worried about the health of future children. At T2, there were no differences in quality of life between bankers and non-bankers.

Conclusion

For those who are uncertain about future reproductive plans, decisions depend on their health on diagnosis and satisfaction with clinic care. We conclude that extra care should be taken in counselling younger men who may have given little consideration to future parenting. Results support previous findings that the role of the doctor is vital in facilitating decisions, especially for those who are undecided about whether they wanted children in the future or not.

https://eprints.bournemouth.ac.uk/21467/

Source: Europe PubMed Central

Implications of sperm banking for health-related quality of life up to 1 year after cancer diagnosis.

Authors: Pacey, A., Merrick, H., Arden-Close, E., Morris, K., Rowe, R., Stark, D. and Eiser, C.

Journal: British Journal of Cancer

Volume: 108

Issue: 5

Pages: 1004-1011

ISSN: 0007-0920

Abstract:

Sperm banking is recommended for all men diagnosed with cancer where treatment is associated with risk of long-term gonadatoxicity, to offer the opportunity of fatherhood and improved quality of life. However, uptake of sperm banking is lower than expected and little is known about why men refuse. Our aims were to determine: (i) demographic and medical variables associated with decisions about banking and (ii) differences in quality of life between bankers and non-bankers at diagnosis (Time 1 (T1)) and 1 year later (Time 2 (T2)).

https://eprints.bournemouth.ac.uk/21467/

Source: BURO EPrints