Addressing younger patient's fertility concerns after a breast cancer diagnosis
Association of Breast Surgery ePoster Library. McDaid C. 05/15/17; 166349; P143
Ms. Cathy McDaid
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Abstract
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Introduction: Every year in the UK, 5,000 women under 45 years are diagnosed with breast cancer. Some of the breast cancer treatments can affect fertility. I wished to assess if we are addressing these issues.
Methods: A retrospective audit was conducted of ladies diagnosed under the age of 45, in Belfast Trust, between January and June 2015. Based on change in practice, a re-audit of ladies diagnosed between September and November 2016. Data was collected from the Breast Care Nursing notes. The standards used are the NICE guidelines for people with cancer who wish to preserve their fertility. Also those set out by BCC; patients under 45 years will be given a full explanation during initial treatment discussions about the possible impact of treatment on fertility.
Results: In the initial audit 26 ladies were diagnosed. One was pregnant at the time of diagnosis (PBC) and one was metastatic. 3 ladies (14%) had a record of a fertility being discussed.
The audit highlighted inaccurate recording of discussions about fertility therefore nursing paperwork was updated. In the re-audit period 17 ladies were diagnosed with breast cancer. 15 (88%) ladies had a record of a discussion about fertility. 2 (12%) did not (one PBC and one lady with learning difficulties).
Conclusions: We are discussing fertility with most patients at an early stage unless there is a good reason not to. We are now accurately recording when these conversations happen.
Methods: A retrospective audit was conducted of ladies diagnosed under the age of 45, in Belfast Trust, between January and June 2015. Based on change in practice, a re-audit of ladies diagnosed between September and November 2016. Data was collected from the Breast Care Nursing notes. The standards used are the NICE guidelines for people with cancer who wish to preserve their fertility. Also those set out by BCC; patients under 45 years will be given a full explanation during initial treatment discussions about the possible impact of treatment on fertility.
Results: In the initial audit 26 ladies were diagnosed. One was pregnant at the time of diagnosis (PBC) and one was metastatic. 3 ladies (14%) had a record of a fertility being discussed.
The audit highlighted inaccurate recording of discussions about fertility therefore nursing paperwork was updated. In the re-audit period 17 ladies were diagnosed with breast cancer. 15 (88%) ladies had a record of a discussion about fertility. 2 (12%) did not (one PBC and one lady with learning difficulties).
Conclusions: We are discussing fertility with most patients at an early stage unless there is a good reason not to. We are now accurately recording when these conversations happen.
Introduction: Every year in the UK, 5,000 women under 45 years are diagnosed with breast cancer. Some of the breast cancer treatments can affect fertility. I wished to assess if we are addressing these issues.
Methods: A retrospective audit was conducted of ladies diagnosed under the age of 45, in Belfast Trust, between January and June 2015. Based on change in practice, a re-audit of ladies diagnosed between September and November 2016. Data was collected from the Breast Care Nursing notes. The standards used are the NICE guidelines for people with cancer who wish to preserve their fertility. Also those set out by BCC; patients under 45 years will be given a full explanation during initial treatment discussions about the possible impact of treatment on fertility.
Results: In the initial audit 26 ladies were diagnosed. One was pregnant at the time of diagnosis (PBC) and one was metastatic. 3 ladies (14%) had a record of a fertility being discussed.
The audit highlighted inaccurate recording of discussions about fertility therefore nursing paperwork was updated. In the re-audit period 17 ladies were diagnosed with breast cancer. 15 (88%) ladies had a record of a discussion about fertility. 2 (12%) did not (one PBC and one lady with learning difficulties).
Conclusions: We are discussing fertility with most patients at an early stage unless there is a good reason not to. We are now accurately recording when these conversations happen.
Methods: A retrospective audit was conducted of ladies diagnosed under the age of 45, in Belfast Trust, between January and June 2015. Based on change in practice, a re-audit of ladies diagnosed between September and November 2016. Data was collected from the Breast Care Nursing notes. The standards used are the NICE guidelines for people with cancer who wish to preserve their fertility. Also those set out by BCC; patients under 45 years will be given a full explanation during initial treatment discussions about the possible impact of treatment on fertility.
Results: In the initial audit 26 ladies were diagnosed. One was pregnant at the time of diagnosis (PBC) and one was metastatic. 3 ladies (14%) had a record of a fertility being discussed.
The audit highlighted inaccurate recording of discussions about fertility therefore nursing paperwork was updated. In the re-audit period 17 ladies were diagnosed with breast cancer. 15 (88%) ladies had a record of a discussion about fertility. 2 (12%) did not (one PBC and one lady with learning difficulties).
Conclusions: We are discussing fertility with most patients at an early stage unless there is a good reason not to. We are now accurately recording when these conversations happen.
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