{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:16:17Z","timestamp":1781849777505,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,2,20]],"date-time":"2018-02-20T00:00:00Z","timestamp":1519084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["CA021765"],"award-info":[{"award-number":["CA021765"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["HD061296"],"award-info":[{"award-number":["HD061296"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine patient and parent understanding of infertility risk (relative to oncologists' risk ratings) among adolescents newly diagnosed with cancer, and to identify background factors related to inaccurate reporting\/estimating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Male patients (N\u00a0=\u00a0137; aged 13\u201021) and their parents completed self\u2010report questionnaires. Those who reported a fertility\u2010related conversation with their provider (N\u00a0=\u00a0102 adolescents, N\u00a0=\u00a074 parents) <jats:italic>reported<\/jats:italic> their infertility risk (ie, what oncologist had communicated) and all participants' <jats:italic>estimated<\/jats:italic> risk (ie, personal belief). Reports\/estimates were compared with oncologists' ratings to assess relative accuracy, and regression analyses assessed potentially related background factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants' agreement of their risk <jats:italic>reports<\/jats:italic> with the oncologist was poor (\u03ba\u00a0=\u00a0.079\/.122 for adolescents\/parents), resulting in most adolescents (59.8%) and parents (58.7%) inaccurately reporting risk. Older adolescents were less likely to overreport risk (OR\u00a0=\u00a00.69; 95% CI, 0.49\u20100.97) and parents of sons with the highest Tanner stage were less likely to underreport (OR\u00a0=\u00a00.28; 95% CI, 0.08\u20100.92). Risk <jats:italic>estimates<\/jats:italic> were also in poor agreement with oncologists' ratings among adolescents (\u03ba\u00a0=\u00a0.040) and parents (\u03ba\u00a0=\u00a0.088). Accordingly, incongruent estimates occurred in most adolescents (63.7%) and parents (62.2%), although all reported fertility\u2010related conversations with their providers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most adolescents and parents inaccurately <jats:italic>reported<\/jats:italic> infertility risk, and more poorly <jats:italic>estimated<\/jats:italic> risk. Research is needed to identify additional factors associated with accurate understanding of cancer\u2010related infertility risk. Providers should be supported with user\u2010friendly educational tools to promote awareness of infertility risk.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4646","type":"journal-article","created":{"date-parts":[[2018,1,19]],"date-time":"2018-01-19T19:16:35Z","timestamp":1516389395000},"page":"1193-1199","source":"Crossref","is-referenced-by-count":11,"title":["Accurate understanding of infertility risk among families of adolescent males newly diagnosed with cancer"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4898-3176","authenticated-orcid":false,"given":"Vicky","family":"Lehmann","sequence":"first","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital  Memphis TN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5020-4701","authenticated-orcid":false,"given":"Jessica S.","family":"Flynn","sequence":"additional","affiliation":[{"name":"Department of Psychology 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