Geographic Access to Fertility Counseling among Adolescent and Young Adult Women with Cancer in North Carolina.

ABSTRACT:

Background

Fertility counseling is recommended for adolescent and young adult women facing gonadotoxic cancer therapy. However, fertility care is subspecialized medical care offered at a limited number of institutions, making geographic access a potential barrier to guideline-concordant care. We assessed the relationship between geographic access and receipt of fertility counseling among adolescent and young adult women with cancer.

Methods

Using data from the North Carolina Central Cancer Registry, we identified women diagnosed with lymphoma, gynecologic cancer, or breast cancer at ages 15 to 39 years during 2004 to 2015. Eligible women were invited to complete an online survey on various topics, including fertility counseling. Geographic access was measured, using geocoded

SUBMITTER: Rodriguez-Ormaza N 

PROVIDER: S-EPMC11371502 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature