Addressing the risk of infertility in young women with breast cancer (BC): A quality improvement (QI) intervention.

• DOI: 10.1200/jco.2017.35.8_suppl.72
• Publication Date: 2017-04-05T09:48:35Z
• Authors: Karen L. Smith; Enoch Cheung; Beth Thompson; Stacie Jeter; Jill Mull; Jennifer Ensminger; Mary Capano; Catherine Klein; Meghan McTague; Mindy Christianson; Vered Stearns
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

72 Background: Many young women with early BC require systemic therapy (ST) which can result in ovarian damage leading to infertility. Fertility preservation (FP) be performed prior ST, however uptake is low. Data suggest oncology providers do not routinely discuss the risk of treatment related infertility (TRI) or FP BC. Methods: We created a QI protocol ensure address fertility needs Non-pregnant age 18-44 years stage I-III who have initiated ST are identified by screening clinic schedules. Clinicians asked follow requiring assessment patients’ childbearing potential (CBP), for TRI and goals (FG). If appropriate, discussed consultation specialist arranged. A clinical team member completes provider documentation form (PDF) summarizing steps accomplished. Results: Since implementation protocol, there been 80 eligible (mean 38.6). At least one PDF was completed 56 (70%), majority breast surgeons. Among those PDF, 48 (86%) were CBP, all but whom planned associated According 34 (72%) while FG assessed 44 (94%), 8 (18%) desiring undecided about FG. Discussion and/or documented 85% desired undecided. In comparison discussion recorded notes 36 (45%) both 29 (36%). Provider 94% according PDF. Conclusions: Implementation required ensures Providers as frequently assessing Efforts ongoing increase completion rate our incorporate it into electronic medical record. Follow-up regarding cohort ongoing.