The effects of bundled interventions on clinical practice for fertility preservation amongst young cancer patients

The consequences of cancer and treatment on fertility can be a continuing source of distress for adolescent and young adults. Oncofertility is a developing specialty that focuses on  the reproductive future for cancer survivors as well as interventions to manage the psychosocial aspects of loss of reproductive function. This project aimed to identify the clinical practice of fertility preservation for young people aged 15-24 years across five tertiary cancer centres in Queensland. Data were examined over a five year period (2012-2016) regarding documented risk of infertility discussions, referral to fertility specialists and fertility preservation. Analysis identify variation in clinical practice associated with age, gender and disease type. While targeted interventions in 2015 were effective in reducing variations across some domains, the lack of uniform guidelines, clear referral pathways and limited consensus on the best way to deliver and provide services continue as barriers to equitable fertility preservation. We aim to develop further interventions to address these issues. For more information, please contact the lead PI – Dr Natalie Bradford. Click here to access to report published in the Journal of Adolescent and Young Adult Oncology. 

QCCS Team Members

Prof Ray Chan

Nurse (QCCS Co-Chair/Founding Co-Chair)

Doctor of Philosophy (Queensland University of Technology), Master of Applied Science (Research) (Queensland University of Technology), Bachelor of Nursing (Queensland University of Technology)

Dr Raymond Chan is Professor of Cancer Nursing, Princess Alexandra Hospital and Queensland University of Technology. To date, he has attracted over 8.5 million (AUD) of research project grants as a chief investigator (> $2 Million as CIA) to undertake research in supportive cancer care. Dr Chan is a chief investigator for 4 current/past NHMRC project grants and 1 NHMRC Fellowship, and has published 97 peer-reviewed articles. Ray is currently the Chair for the Survivorship Group, Multinational Association for Supportive Care in Cancer (MASCC), and the Board Director (Knowledge Development and Dissemination) for the International Society of Nurses in Cancer Care (ISNCC). He is a past President for the Cancer Nurses Society of Australia (CNSA), the peak professional body representing cancer nurses across Australia.

Recent funded project highlights include:

  • (2019-2020): ImplEMenting a nurse-coordinated, INtegrated, shared-care model involving specialists and general practitioners in breast cancer post-treatmENT follow-up: a Phase II randomised controlled trial (The EMINENT Trial). Metro South Health (CIA)
  • (2017-2020): A sequential multiple assignment randomised trial (SMART) of nursing interventions to reduce pain associated with chemotherapy induced peripheral neuropathy. NHMRC (CID)
  • (2016-2019): Peripherally InSerted Central catheter Securement: the PISCES Trial. NHMRC (CIC)
  • (2014-2017): Development and evaluation of a nurse-led, tailored self-management behavioural intervention for managing distressing symptoms in patients with advanced cancer (The SM2 Study). RBWH Foundation and NHMRC (CIA)
  • (2014-2015): Younger women’s wellness after cancer program.  RBWH Foundation (CID)
  • (2014): Central venous Access device SeCurement And Dressing Effectiveness in Cancer Care: The CASCADE Trial.  RBWH Foundation (CIA)
  • (2013-2016): Improving quality of life in high-risk cancer populations: a randomised trial of a structured intervention for head and neck cancer survivors. NHMRC (CIJ)
  • (2012-2013): A double-blind randomised controlled trial of Moogoo Udder Cream® versus aqueous cream for managing radiation-induced skin reactions in patients with cancer.  RBWH Foundation; Office of Health and Medical Research; Cancer Nurses Society of Australia; Moogoo Skincare
  • (2011-2014): The RSVP Trial:  Replacement of Intravascular device administration sets after Standard Versus Prolonged use. NHMRC and RBWH Foundation (CIG)
  • (2010): Self-management associated with fatigue in patients with advanced cancer. RBWH Foundation, Queensland Nursing Council, Royal College of Nursing Australia (CIA)

Recent QCCS Project

Research Keywords 

Cancer Care, Supportive Care, Cancer Nursing, Survivorship Care
40%

 

Symptom Management, Quality of Life, Palliative Care, End-of-life Care
40%

 

Evidence-based Practice, Cochrane Systematic Reviews
20%

 

  

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Dr Natalie Bradford

Nurse

Senior Research Fellow, Queensland University of Technology

The consequences of cancer and treatment on fertility can be a continuing source of distress for adolescent and young adults. Oncofertility is a developing specialty that focuses on  the reproductive future for cancer survivors as well as interventions to manage the psychosocial aspects of loss of reproductive function. This project aimed to identify the clinical practice of fertility preservation for young people aged 15-24 years across five tertiary cancer centres in Queensland. Data were examined over a five year period (2012-2016) regarding documented risk of infertility discussions, referral to fertility specialists and fertility preservation. Analysis identify variation in clinical practice associated with age, gender and disease type. While targeted interventions in 2015 were effective in reducing variations across some domains, the lack of uniform guidelines, clear referral pathways and limited consensus on the best way to deliver and provide services continue as barriers to equitable  fertility preservation. We aim to develop further interventions to address these issues.

Projects

  • The effects of bundled interventions on clinical practice for fertility preservation amongst young cancer patients