{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T12:18:42Z","timestamp":1788005922535,"version":"build-2784847793"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007316","name":"Division of Cancer Prevention, National Cancer Institute","doi-asserted-by":"crossref","award":["K08CA286835"],"award-info":[{"award-number":["K08CA286835"]}],"id":[{"id":"10.13039\/100007316","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescent and Young Adult Oncology"],"abstract":"<jats:title\/>\n                  <jats:p>Counseling on infertility risk and fertility preservation (FP) is recommended for childhood cancer survivors (CCS). We describe agreement to and receipt of reproductive endocrinology and infertility (REI) services after counseling during survivorship clinic among female CCS 16\u201340 years old exposed to gonadotoxic therapy. Of 80 eligible CCS without prior FP or post-therapy REI referrals, 7 (9%) agreed to REI referrals, 1 (1%) attended REI consults, and 0 underwent FP. Survivors who agreed and did not agree to REI referrals had similar characteristics and infertility risk. Research to better understand patient-level barriers post-therapy and increase FP engagement is warranted.<\/jats:p>","DOI":"10.1177\/21565333261479355","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T11:45:19Z","timestamp":1787744719000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Agreement to Referral for Consultation and Utilization of Reproductive Endocrinology and Infertility Services among Female Childhood Cancer Survivors from a Regional Childhood Cancer Survivorship Clinic"],"prefix":"10.1177","author":[{"given":"Madhumitha","family":"Saravanan","sequence":"first","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia E.","family":"Kujawski","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime L.","family":"Rotatori","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Hirschman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyn M.","family":"Balsamo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Auerbach","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"de Assis","sequence":"additional","affiliation":[{"name":"Georgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagi G.","family":"Ayad","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, USA."},{"name":"Georgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary M.","family":"Kupfer","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, USA."},{"name":"Georgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina S.","family":"Kadan-Lottick","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia, USA."},{"name":"Georgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5243-3284","authenticated-orcid":false,"given":"Rozalyn L.","family":"Rodwin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA."},{"name":"Yale Cancer Center, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.16875"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2016-3723"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-3994"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30594-5"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2015.08.002"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.5339"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10815-020-02042-8"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2025.07.1222"},{"key":"e_1_3_2_10_1","unstructured":"9.Children\u2019s Oncology Group. Long-term follow-up guidelines for survivors of childhood adolescent and young adult cancers. Children\u2019s Oncology Group: Monrovia CA; 2025. Available from: https:\/\/survivorshipguidelines.org [Last accessed: August1 2025]."},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2018.78.1914"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco-24-02782"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40738-018-0048-2"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10815-021-02376-x"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgaa172"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2018.1443986"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-025-09269-0"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.14511"},{"key":"e_1_3_2_19_1","unstructured":"18.Long-Term Follow-Up Guidelines for Survivors of Childhood Adolescent and Young Adult Cancers Version 6.0. Children\u2019s Oncology Group: Monrovia CA; 2024. Available from: http:\/\/www.survivorshipguidelines.org\/ [Last accessed: May14 2024]."},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2024.0111"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.24679"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/jayao.2020.0012"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.4887"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-022-01187-y"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/21565333251359617"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgac039"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35108"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1200\/op.22.00613"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.70529"}],"container-title":["Journal of Adolescent and Young Adult Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21565333261479355","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21565333261479355","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21565333261479355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T11:46:37Z","timestamp":1788003997000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21565333261479355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,26]]},"references-count":28,"alternative-id":["10.1177\/21565333261479355"],"URL":"https:\/\/doi.org\/10.1177\/21565333261479355","relation":{},"ISSN":["2156-5333","2156-535X"],"issn-type":[{"value":"2156-5333","type":"print"},{"value":"2156-535X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,26]]},"article-number":"21565333261479355"}}