title: Barriers to fertility preservation among pediatric oncologists.
abstract: OBJECTIVE
  Limited research has been conducted on the extent to which fertility preservation is discussed by pediatric oncologists with patients and less is known about the discussion content. This study sought to examine factors that may influence the discussion with pediatric cancer patients and families.
  
  
  METHODS
  Qualitative data were collected using open-ended, in-depth interviews with 24 pediatric oncologists in Florida at 13 children's cancer centers, representing 87% of the centers in the state.
  
  
  RESULTS
  Providers practiced between 0.5 and 35 years, treated most types of pediatric cancers, and most were board certified in pediatric hematology/oncology. The main factors associated with a discussion of fertility preservation options were: (1) physician factors that contribute to communication issues with FP discussion (e.g., awareness and sense of comfort in discussing issues, perceptions of the priority); (2) parent factors (e.g., receptiveness and cultural background); (3) patient factors (e.g., receptiveness and age); and (4) institutional factors (e.g., referral sites and practice guidelines).
  
  
  CONCLUSIONS
  Pediatric oncologists may benefit from education about fertility preservation options for pediatric cancer patients, particularly females.
  
  
  CONCLUSIONS
  Training on how to address parents' and patients' emotions, culture, and other factors may also promote the discussion. Although guidelines have been established, barriers related to availability and affordability of resources must also be addressed.
authors.affiliation: College of Medicine, University of South Florida, Tampa, Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, MRC-CANCONT, Tampa, FL 33612, United States. Susan.Vadaparampil@moffitt.org
authors.forename: Susan
authors.initials: S
authors.lastname: Vadaparampil
authors.forename: Gwendolyn
authors.initials: G
authors.lastname: Quinn
authors.forename: Lindsey
authors.initials: L
authors.lastname: King
authors.forename: Crystal
authors.initials: C
authors.lastname: Wilson
authors.forename: Michael
authors.initials: M
authors.lastname: Nieder
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003376:Counseling; D005260:Female; D005431:Florida; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007247:Infertility, Female / Q000517:prevention & control*; D007248:Infertility, Male / Q000517:prevention & control*; D008297:Male; D009369:Neoplasms / Q000628:therapy*; D010818:Practice Patterns, Physicians'