title: Provider Influences on Sperm Banking Outcomes Among Adolescent Males Newly Diagnosed With Cancer.
abstract: OBJECTIVE
  The purpose of this study was to examine provider communication and sociodemographic factors which associate with sperm banking outcomes in at-risk adolescents newly diagnosed with cancer.
  
  
  METHODS
  A prospective single-group quasi-experimental study design was used to test the contributions of provider factors on sperm banking outcomes. Medical providers (N = 52, 86.5% oncologists) and 99 of their at-risk adolescent patients from eight leading pediatric oncology centers in North America completed questionnaires querying provider factors and patient sperm banking outcomes. Logistic regression with single covariates was used to test each provider factor as a potential correlate of the two binary sperm banking study outcomes (collection attempt/no attempt and successful sperm bank/no bank). Multicovariate logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CIs) for specified banking outcomes.
  
  
  RESULTS
  Fertility referral (OR, 9.01; 95% CI, 2.54-31.90; p < .001) and provider comfort/skills in negotiating barriers to sperm banking with families (OR, 1.94; 95% CI, 1.03-3.63; p < .04) were associated with collection attempts. Adolescents who were referred for a specialized fertility consultation were also almost five times more likely to successfully bank (OR, 4.96; 95% CI, 1.54-16.00; p < .01) compared to those who were not.
  
  
  CONCLUSIONS
  Provider training in communicating/managing adolescents and their families about sperm banking, and increasing utilization of fertility preservation referrals, should increase the proportion of at-risk males preserving fertility before treatment initiation.
authors.affiliation: Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee. Electronic address: james.klosky@stjude.org.
authors.forename: James L
authors.initials: JL
authors.lastname: Klosky
authors.affiliation: University of Tennessee College of Medicine, Memphis, Tennessee.
authors.forename: L Elizabeth
authors.initials: LE
authors.lastname: Anderson
authors.affiliation: Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee.
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Russell
authors.affiliation: Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
authors.forename: Lu
authors.initials: L
authors.lastname: Huang
authors.affiliation: Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
authors.forename: Hui
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Behavioral Science, MD Anderson Cancer Center, Houston, Texas.
authors.forename: Leslie R
authors.initials: LR
authors.lastname: Schover
authors.affiliation: Department of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Simmons
authors.affiliation: Department of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee; Fertility Associates of Memphis, Memphis, Tennessee.
authors.forename: William H
authors.initials: WH
authors.lastname: Kutteh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003142:Communication; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D011369:Professional-Patient Relations; D011446:Prospective Studies; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D013074:Sperm Banks; D053625:Sperm Retrieval / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Adolescent males; Cryopreservation; Fertility preservation; Infertility; Pediatric cancer; Sperm banking