Best evidence summary for the fertility management in testicular cancer patients
10.13263/j.cnki.nja.2025.06.007
- VernacularTitle:睾丸癌患者生育管理的最佳证据总结
- Author:
Cang-mei FU
1
;
Ya HU
;
Ao-xi LIANG
;
Xue FU
Author Information
1. 中南大学湘雅二医院肿瘤中心,湖南长沙 410011
- Publication Type:Journal Article
- Keywords:
testicular cancer;
fertility;
evidence summary;
evidence-based nursing
- From:
National Journal of Andrology
2025;31(6):526-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the relevant evidence of testicular cancer patients' fertility management which provides a basis for fertility guidance for young testicular cancer patients.Methods:The evidence,guidelines,expert consensus,evidence summary,systematic review and Meta-analysis on fertility-related clinical decision-making were searched from computer decision sup-port systems,relevant guideline websites,evidence-based databases,original research databases,and professional association websites at home and abroad.The search period was set dating from the establishment of the database to July 2024.Two researchers with evi-dence-based nursing research background independently completed the quality evaluation,evidence extraction and summary of the liter-ature.Results:A total of 21 articles were selected,including 4 clinical decisions,8 guidelines,4 expert consensuses,3 systematic reviews and 2 Meta-analyses.Thirty-three pieces of best evidence from six aspects were summarized,including fertility assessment,fertility counseling,fertility preservation timing,fertility preservation regimen,anti-tumor therapy and fertility,and contraceptive tim-ing.Conclusion:The best evidence summarized in this study provides a basis for clinical medical staff to carry out fertility manage-ment in testicular cancer patients.In clinical application,medical staff need to fully consider the patient's wishes in combination with the clinical situation,and promote the maximum benefit of the patient,so as to further improve the life quality of the patients.
