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Z-Scores for Assessing Ovarian Reserve in Young Patients Undergoing Fertility Preservation
Published on: October 25, 2024
The Australian New Zealand Consortium in Children, Adolescents, and Young Adults Oncofertility action plan
Lei Shong Lau1,2, Catherine Allingham1, Antoinette Anazodo3,4
1Department of Obstetrics, Gynaecology and Newborn Health, Royal Women's Hospital, University of Melbourne, Parkville, Melbourne, Victoria, Australia.
Insights
This study describes current pediatric oncofertility practices in Australia and New Zealand. It proposes a 5-year action plan for the Australian New Zealand Consortium in Children, Adolescents, and Young Adults (CAYA) Oncofertility (ANZCO) to improve care.
Area of Science:
- Reproductive medicine
- Pediatric oncology
- Health services research
Background:
- International oncofertility networks have advanced care, but many countries lack a unified approach for pediatric patients.
- Oncofertility services aim to preserve fertility in cancer patients undergoing gonadotoxic treatments.
- Pediatric oncofertility is a critical component of survivorship care in adolescent and young adult oncology.
Purpose of the Study:
- To describe baseline oncofertility practices in Australian and New Zealand pediatric hematology/oncology centers (2019-2021).
- To identify binational priorities for pediatric oncofertility care.
- To propose a 5-year action plan for the Australian New Zealand Consortium in Children, Adolescents, and Young Adults (CAYA) Oncofertility (ANZCO).
Main Methods:
- Cross-sectional survey of Australian and New Zealand Children's Haematology/Oncology Group centers.
- Analysis of current oncofertility service delivery models and patient pathways.
- Consensus-building for future care priorities and strategic planning.
Main Results:
- Baseline data on current oncofertility practices were collected from participating centers.
- Key areas for improvement and binational priorities in pediatric oncofertility care were identified.
- An action plan was developed to guide the implementation of best practices by ANZCO.
Conclusions:
- Standardizing pediatric oncofertility care is essential across Australia and New Zealand.
- The proposed 5-year action plan provides a roadmap for enhancing fertility preservation services for young cancer patients.
- The newly formed ANZCO consortium is poised to lead the implementation of these improvements.
Abstract:
International and national oncofertility networks, including the US-led Oncofertility Consortium, FertiProtekt, and the Danish Network, have played pivotal roles in advancing the discipline of oncofertility over the last decade. Many other countries lack a shared approach to pediatric oncofertility health service delivery. This study aims to describe baseline oncofertility practices at Australian New Zealand Children's Haematology/Oncology Group centers in 2019-2021, describe binational priorities for care, and propose a 5-year action plan for best practice to be implemented by the newly formed Australian New Zealand Consortium in Children, Adolescents, and Young Adults (CAYA) Oncofertility (ANZCO).
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