Sperm Banking Among Adolescents Newly Diagnosed With Cancer: Development of a Profiling and Referral Tool



Status:Completed
Conditions:Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:13 - 21
Updated:5/3/2014
Start Date:July 2010
End Date:June 2015
Contact:James Klosky, Ph.D
Email:info@stjude.org
Phone:1-866-278-5833

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Predictors of Adolescent Sperm Banking: Development of a Profiling and Referral Tool

Despite the known adverse effects of specific cancer treatments on fertility, only 18-26% of
at-risk adolescents and young men cryopreserve sperm prior to cancer treatment in the US:
These already less than optimal rates of sperm banking are even lower among adolescents who
have increased anxiety at cancer diagnosis, are lower in age and socioeconomic status, of
Evangelical religious orientation, or are diagnosed with leukemia/lymphoma: It is not clear
why sperm banking is underutilized, particularly in light of the high priority that
survivors of childhood cancer place on fertility and the high psychological distress
associated with fertility loss. Studies addressing sperm banking among adults with cancer
suggest that factors such as poor physician communication and the resulting lack of
fertility-risk knowledge by patients contributes to the low frequency of sperm
cryopreservation. No well-designed studies have examined risk factors associated with
failure to bank sperm among adolescents with cancer, a developmentally distinct population
ripe for intervention.

This study plans to enroll 206 adolescent males and 412 parents/guardians.

This study will identify factors predictive of sperm banking/not sperm banking in order to
design interventions for increasing fertility preservation among adolescent males newly
diagnosed with cancer. Specifically, this study aims to investigate psychological,
demographic, developmental, parent/guardian, provider, and medical factors predictive of
sperm banking outcomes among at-risk adolescents with cancer. Once these factors have been
identified, the study will develop a novel Profiling and Referral Tool. This instrument
will ultimately serve as an intervention for both healthcare providers and families through
the facilitation of appropriate referrals, and tailored interventions for decreasing
barriers to sperm banking. Finally, the feasibility of the Profiling and Referral tool will
be evaluated based on provider and family report.

Inclusion Criteria:

- Male participants newly diagnosed with cancer.

- Patients must be between 13 years of age (≥ 13 years) and 21 years of age (< 22
years) at time of study enrollment.

- Participant Identified as Tanner stage III or higher.

- Participant identified by his oncologist (or designee) as being at risk for
treatment-related infertility.

- Proficiency speaking and reading English or Spanish.

- Cognitive capacity to complete study questionnaires.

Exclusion Criteria:

- Participant previously treated for cancer.

- History of mental retardation or severe cognitive or learning impairment.
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262 Danny Thomas Pl
Memphis, Tennessee 38105
(901) 495-3300
St. Jude Children's Research Hospital St. Jude is unlike any other pediatric treatment and research...
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100 N Mario Capecchi Dr
Salt Lake City, Utah 84132
(801) 662-1000
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500 S State St
Ann Arbor, Michigan 48109
(734) 764-1817
University of Michigan The University of Michigan was founded in 1817 as one of the...
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1405 Clifton Road NE
Atlanta, Georgia 30322
404-785-6000
Children's Healthcare of Atlanta Whether treating a toddler in an emergency or supporting a teen...
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Boston, MA
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1500 East Duarte Road
Duarte, California 91010
626-256-HOPE (4673)
City of Hope National Medical Center City of Hope is dedicated to making a difference...
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Forth Worth, Texas 76104
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Los Angeles, California 90095
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