[O-29] TO PRESERVE OR NOT TO PRESERVE: DECISIONAL CONFLICT ASSOCIATED WITH FERTILITY PRESERVATION.
L. R. Goodman, A. M. Deal, H. I. Su, S. Bailey, FIRST Research Group, J. E. Mersereau. Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC; Obstetrics and Gynecology, University of California, San Diego, La Jolla, CA.
OBJECTIVE: The decision to pursue fertility preservation (FP) after an oncologic diagnosis is complex. We examined specific factors that influence this decision using the decisional conflict scale (DCS).
DESIGN: Cross-sectional study.
MATERIALS AND METHODS: The FIRST project is a web-based survey of reproductive-aged women (18-44) from around the United States with a new cancer diagnosis and who received gonadotoxic treatment within the last 10 years. The associations of demographic, socioeconomic and cancer variables with DCS were evaluated using Wilcoxon Rank Sum statistics.
RESULTS: Of the 177 women included for analysis, 94 subjects (53%) had scores consistent with high decisional conflict (>37.5 out of 100), 40 (22%) were in the moderate range (25 - 37.5), and 43 (24%) patients had low DCS (<25). Univariable analyses found that subjects had significantly greater DCS if they had lower income, did not attend college, and were single. Subjects who were referred for FP consultation (FPC), received FP treatment and those with breast cancer had significantly lower DCS (Table 1). Age, race, and insurance status were not associated with DCS.
|Variable||Variable Present (Median DCS)||Variable Absent (Median DCS)||P-Value|
|Education: No college||50.0||37.5||0.03|
|Relationship Status: Single||48.4||35.9||0.02|
|Attitude: Cost Prohibitive of FP||56.3||34.4||<0.01|