Mackenzie Naert, Kimia Sorouri, Andrea Lanes, Abigail M. Kempf, Lucy Chen, Randi Goldman, Ann H. Partridge, Elizabeth Ginsburg, Serene S. Srouji, Zachary Walker
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The objective of this study was to determine the impact of a dedicated Nurse Navigator Program (NNP) on the rate of referrals and utilization of FP services.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A retrospective cohort study of all women ≥ 18 years old referred for FP consultation with a known cancer diagnosis from 2007 to 2021 at a single, large academic center was conducted. FP referrals for non-cancer indications were excluded. Descriptive statistics were performed including comparing referrals received per 30 days and FP utilization rates pre-NNP (October 2007–September 2013) to post-NNP (October 2013–December 2021).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 176 patients were included pre-NNP and 990 patients post-NNP. Overall, the mean age at the time of referral was 31.5 ± 6.9 years. The referral rates post-NNP were higher among those without prior exposure to chemotherapy/radiation (0.33 pre-NNP vs. 2.75 post-NNP per 30 days, <i>p <</i> 0.01) and lower among those with prior exposure to chemotherapy/radiation (1.26 pre-NNP vs. 0.70 post-NNP per 30 days, <i>p</i> < 0.01).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>After the launch of a dedicated fertility preservation nurse navigation program at our institution, we observed a higher number of referrals for FP as well as greater use of FP overall. While not the only variable that changed during this period, this program has optimized patient care and clinical workflow at our institution and serves as a model for such improvement.</p>\n </section>\n </div>","PeriodicalId":139,"journal":{"name":"Cancer Medicine","volume":"14 3","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782191/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of a Nurse Navigator Program on Referral Rates and Use of Fertility Preservation Among Female Cancer Patients: A 14-Year Retrospective Cohort Study\",\"authors\":\"Mackenzie Naert, Kimia Sorouri, Andrea Lanes, Abigail M. Kempf, Lucy Chen, Randi Goldman, Ann H. Partridge, Elizabeth Ginsburg, Serene S. 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引用次数: 0
摘要
简介：考虑到已知的癌症治疗对生育能力的不利影响，建议新诊断为癌症的育龄患者保留生育能力（FP）。然而，转介到生育专家的比率仍然不理想。本研究的目的是确定专门的护士导航员计划（NNP）对计划生育服务的转诊率和利用率的影响。方法：对2007年至2021年在一个大型学术中心就诊的所有≥18岁的已知癌症诊断的妇女进行回顾性队列研究。排除了非癌症适应症的FP转诊。进行描述性统计，包括比较nnp前（2007年10月- 2013年9月）和nnp后（2013年10月- 2021年12月）每30天收到的转诊和FP利用率。结果：nnp前176例，nnp后990例。总体而言，转诊时的平均年龄为31.5±6.9岁。在未接受过化疗/放疗的患者中，nnp后的转诊率更高（每30天nnp前0.33 vs. nnp后2.75）。结论：在我们机构启动专门的生育保护护士导航计划后，我们观察到更多的FP转诊数量以及总体上更多的FP使用。在此期间，虽然不是唯一的变量发生了变化，但该项目优化了我们机构的患者护理和临床工作流程，并作为此类改进的典范。
Impact of a Nurse Navigator Program on Referral Rates and Use of Fertility Preservation Among Female Cancer Patients: A 14-Year Retrospective Cohort Study
Introduction
Given the known detrimental impact of cancer treatment on fertility, fertility preservation (FP) is recommended for reproductive age patients who are newly diagnosed with cancer. However, the rate of referral to fertility specialists remains suboptimal. The objective of this study was to determine the impact of a dedicated Nurse Navigator Program (NNP) on the rate of referrals and utilization of FP services.
Methods
A retrospective cohort study of all women ≥ 18 years old referred for FP consultation with a known cancer diagnosis from 2007 to 2021 at a single, large academic center was conducted. FP referrals for non-cancer indications were excluded. Descriptive statistics were performed including comparing referrals received per 30 days and FP utilization rates pre-NNP (October 2007–September 2013) to post-NNP (October 2013–December 2021).
Results
A total of 176 patients were included pre-NNP and 990 patients post-NNP. Overall, the mean age at the time of referral was 31.5 ± 6.9 years. The referral rates post-NNP were higher among those without prior exposure to chemotherapy/radiation (0.33 pre-NNP vs. 2.75 post-NNP per 30 days, p < 0.01) and lower among those with prior exposure to chemotherapy/radiation (1.26 pre-NNP vs. 0.70 post-NNP per 30 days, p < 0.01).
Conclusions
After the launch of a dedicated fertility preservation nurse navigation program at our institution, we observed a higher number of referrals for FP as well as greater use of FP overall. While not the only variable that changed during this period, this program has optimized patient care and clinical workflow at our institution and serves as a model for such improvement.
期刊介绍：
Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas:
Clinical Cancer Research
Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations
Cancer Biology:
Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery.
Cancer Prevention:
Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach.
Bioinformatics:
Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers.
Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.
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