If you did not document it, it did not happen: Rates of documentation of discussion of infertility risk in adolescent and young adult oncology patients' medical records

Gwendolyn P. Quinn, Rebecca G. Block, Marla L. Clayman, Joanne Kelvin, Sarah R. Arvey, Ji Hyun Lee, Joyce Reinecke, Ivana Sehovic, Paul B. Jacobsen, Damon Reed, Luis Gonzalez, Susan T. Vadaparampil, Christine Laronga, M. Catherine Lee, Julio Pow-Sang, Susan Eggly, Anna Franklin, Bijal Shah, William J. Fulp, Brandon Hayes-Lattin

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Purpose: The adolescent and young adult (AYA) population is underserved because of unique late-effect issues, particularly future fertility. This study sought to establish rates of documentation of discussion of risk of infertility, fertility preservation (FP) options, and referrals to fertility specialists in AYA patients' medical records at four cancer centers. Methods: All centers reviewed randomized records within the top four AYA disease sites (breast, leukemia/lymphoma, sarcoma, and testicular). Eligible records included those of patients: diagnosed in 2011, with no prior receipt of gonadotoxic therapy; age 18 to 45 years; with no multiple primary cancers; and for whom record was not second opinion. Quality Oncology Practice Initiative methods were used to evaluate documentation of discussion of risk of infertility, discussion of FP options, and referral to a fertility specialist. Results: Of 231 records, 26% documented infertility risk discussion, 24% documented FP option discussion, and 13% documented referral to a fertility specialist. Records were less likely to contain evidence of infertility risk and FP option discussions for female patients (P = .030 and .004, respectively) and those with breast cancer (P = .021 and <.001, respectively). Records for Hispanic/Latino patients were less likely to contain evidence of infertility risk discussion (P = .037). Records were less likely to document infertility risk discussion, FP option discussion, and fertility specialist referral for patients age ≥ 40 years (P <.001, <.001, and .002, respectively) and those who already had children (all P <.001). Conclusion: The overall rate of documentation of discussion of FP is low, and results show disparities among specific groups. Although greater numbers of discussions may be occurring, there is a need to create interventions to improve documentation.

Original languageEnglish (US)
Pages (from-to)137-144
Number of pages8
JournalJournal of Oncology Practice
Volume11
Issue number2
DOIs
StatePublished - Mar 1 2015

Fingerprint

Fertility Preservation
Documentation
Infertility
Medical Records
Young Adult
Fertility
Referral and Consultation
Hispanic Americans
Breast Diseases
Vulnerable Populations
Sarcoma
Lymphoma
Neoplasms
Leukemia
Breast Neoplasms

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)
  • Health Policy

Cite this

If you did not document it, it did not happen : Rates of documentation of discussion of infertility risk in adolescent and young adult oncology patients' medical records. / Quinn, Gwendolyn P.; Block, Rebecca G.; Clayman, Marla L.; Kelvin, Joanne; Arvey, Sarah R.; Lee, Ji Hyun; Reinecke, Joyce; Sehovic, Ivana; Jacobsen, Paul B.; Reed, Damon; Gonzalez, Luis; Vadaparampil, Susan T.; Laronga, Christine; Lee, M. Catherine; Pow-Sang, Julio; Eggly, Susan; Franklin, Anna; Shah, Bijal; Fulp, William J.; Hayes-Lattin, Brandon.

In: Journal of Oncology Practice, Vol. 11, No. 2, 01.03.2015, p. 137-144.

Research output: Contribution to journalArticle

Quinn, GP, Block, RG, Clayman, ML, Kelvin, J, Arvey, SR, Lee, JH, Reinecke, J, Sehovic, I, Jacobsen, PB, Reed, D, Gonzalez, L, Vadaparampil, ST, Laronga, C, Lee, MC, Pow-Sang, J, Eggly, S, Franklin, A, Shah, B, Fulp, WJ & Hayes-Lattin, B 2015, 'If you did not document it, it did not happen: Rates of documentation of discussion of infertility risk in adolescent and young adult oncology patients' medical records', Journal of Oncology Practice, vol. 11, no. 2, pp. 137-144. https://doi.org/10.1200/JOP.2014.000786
Quinn, Gwendolyn P. ; Block, Rebecca G. ; Clayman, Marla L. ; Kelvin, Joanne ; Arvey, Sarah R. ; Lee, Ji Hyun ; Reinecke, Joyce ; Sehovic, Ivana ; Jacobsen, Paul B. ; Reed, Damon ; Gonzalez, Luis ; Vadaparampil, Susan T. ; Laronga, Christine ; Lee, M. Catherine ; Pow-Sang, Julio ; Eggly, Susan ; Franklin, Anna ; Shah, Bijal ; Fulp, William J. ; Hayes-Lattin, Brandon. / If you did not document it, it did not happen : Rates of documentation of discussion of infertility risk in adolescent and young adult oncology patients' medical records. In: Journal of Oncology Practice. 2015 ; Vol. 11, No. 2. pp. 137-144.
@article{075dd8816c674b8cbb1aca250128695f,
title = "If you did not document it, it did not happen: Rates of documentation of discussion of infertility risk in adolescent and young adult oncology patients' medical records",
abstract = "Purpose: The adolescent and young adult (AYA) population is underserved because of unique late-effect issues, particularly future fertility. This study sought to establish rates of documentation of discussion of risk of infertility, fertility preservation (FP) options, and referrals to fertility specialists in AYA patients' medical records at four cancer centers. Methods: All centers reviewed randomized records within the top four AYA disease sites (breast, leukemia/lymphoma, sarcoma, and testicular). Eligible records included those of patients: diagnosed in 2011, with no prior receipt of gonadotoxic therapy; age 18 to 45 years; with no multiple primary cancers; and for whom record was not second opinion. Quality Oncology Practice Initiative methods were used to evaluate documentation of discussion of risk of infertility, discussion of FP options, and referral to a fertility specialist. Results: Of 231 records, 26{\%} documented infertility risk discussion, 24{\%} documented FP option discussion, and 13{\%} documented referral to a fertility specialist. Records were less likely to contain evidence of infertility risk and FP option discussions for female patients (P = .030 and .004, respectively) and those with breast cancer (P = .021 and <.001, respectively). Records for Hispanic/Latino patients were less likely to contain evidence of infertility risk discussion (P = .037). Records were less likely to document infertility risk discussion, FP option discussion, and fertility specialist referral for patients age ≥ 40 years (P <.001, <.001, and .002, respectively) and those who already had children (all P <.001). Conclusion: The overall rate of documentation of discussion of FP is low, and results show disparities among specific groups. Although greater numbers of discussions may be occurring, there is a need to create interventions to improve documentation.",
author = "Quinn, {Gwendolyn P.} and Block, {Rebecca G.} and Clayman, {Marla L.} and Joanne Kelvin and Arvey, {Sarah R.} and Lee, {Ji Hyun} and Joyce Reinecke and Ivana Sehovic and Jacobsen, {Paul B.} and Damon Reed and Luis Gonzalez and Vadaparampil, {Susan T.} and Christine Laronga and Lee, {M. Catherine} and Julio Pow-Sang and Susan Eggly and Anna Franklin and Bijal Shah and Fulp, {William J.} and Brandon Hayes-Lattin",
year = "2015",
month = "3",
day = "1",
doi = "10.1200/JOP.2014.000786",
language = "English (US)",
volume = "11",
pages = "137--144",
journal = "Journal of Oncology Practice",
issn = "1554-7477",
publisher = "American Society of Clinical Oncology",
number = "2",

}

TY - JOUR

T1 - If you did not document it, it did not happen

T2 - Rates of documentation of discussion of infertility risk in adolescent and young adult oncology patients' medical records

AU - Quinn, Gwendolyn P.

AU - Block, Rebecca G.

AU - Clayman, Marla L.

AU - Kelvin, Joanne

AU - Arvey, Sarah R.

AU - Lee, Ji Hyun

AU - Reinecke, Joyce

AU - Sehovic, Ivana

AU - Jacobsen, Paul B.

AU - Reed, Damon

AU - Gonzalez, Luis

AU - Vadaparampil, Susan T.

AU - Laronga, Christine

AU - Lee, M. Catherine

AU - Pow-Sang, Julio

AU - Eggly, Susan

AU - Franklin, Anna

AU - Shah, Bijal

AU - Fulp, William J.

AU - Hayes-Lattin, Brandon

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Purpose: The adolescent and young adult (AYA) population is underserved because of unique late-effect issues, particularly future fertility. This study sought to establish rates of documentation of discussion of risk of infertility, fertility preservation (FP) options, and referrals to fertility specialists in AYA patients' medical records at four cancer centers. Methods: All centers reviewed randomized records within the top four AYA disease sites (breast, leukemia/lymphoma, sarcoma, and testicular). Eligible records included those of patients: diagnosed in 2011, with no prior receipt of gonadotoxic therapy; age 18 to 45 years; with no multiple primary cancers; and for whom record was not second opinion. Quality Oncology Practice Initiative methods were used to evaluate documentation of discussion of risk of infertility, discussion of FP options, and referral to a fertility specialist. Results: Of 231 records, 26% documented infertility risk discussion, 24% documented FP option discussion, and 13% documented referral to a fertility specialist. Records were less likely to contain evidence of infertility risk and FP option discussions for female patients (P = .030 and .004, respectively) and those with breast cancer (P = .021 and <.001, respectively). Records for Hispanic/Latino patients were less likely to contain evidence of infertility risk discussion (P = .037). Records were less likely to document infertility risk discussion, FP option discussion, and fertility specialist referral for patients age ≥ 40 years (P <.001, <.001, and .002, respectively) and those who already had children (all P <.001). Conclusion: The overall rate of documentation of discussion of FP is low, and results show disparities among specific groups. Although greater numbers of discussions may be occurring, there is a need to create interventions to improve documentation.

AB - Purpose: The adolescent and young adult (AYA) population is underserved because of unique late-effect issues, particularly future fertility. This study sought to establish rates of documentation of discussion of risk of infertility, fertility preservation (FP) options, and referrals to fertility specialists in AYA patients' medical records at four cancer centers. Methods: All centers reviewed randomized records within the top four AYA disease sites (breast, leukemia/lymphoma, sarcoma, and testicular). Eligible records included those of patients: diagnosed in 2011, with no prior receipt of gonadotoxic therapy; age 18 to 45 years; with no multiple primary cancers; and for whom record was not second opinion. Quality Oncology Practice Initiative methods were used to evaluate documentation of discussion of risk of infertility, discussion of FP options, and referral to a fertility specialist. Results: Of 231 records, 26% documented infertility risk discussion, 24% documented FP option discussion, and 13% documented referral to a fertility specialist. Records were less likely to contain evidence of infertility risk and FP option discussions for female patients (P = .030 and .004, respectively) and those with breast cancer (P = .021 and <.001, respectively). Records for Hispanic/Latino patients were less likely to contain evidence of infertility risk discussion (P = .037). Records were less likely to document infertility risk discussion, FP option discussion, and fertility specialist referral for patients age ≥ 40 years (P <.001, <.001, and .002, respectively) and those who already had children (all P <.001). Conclusion: The overall rate of documentation of discussion of FP is low, and results show disparities among specific groups. Although greater numbers of discussions may be occurring, there is a need to create interventions to improve documentation.

UR - http://www.scopus.com/inward/record.url?scp=84925302856&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84925302856&partnerID=8YFLogxK

U2 - 10.1200/JOP.2014.000786

DO - 10.1200/JOP.2014.000786

M3 - Article

C2 - 25549654

AN - SCOPUS:84925302856

VL - 11

SP - 137

EP - 144

JO - Journal of Oncology Practice

JF - Journal of Oncology Practice

SN - 1554-7477

IS - 2

ER -