Fertility preservation service for children and young adults at high risk of infertility; the hub and spoke model
Topic overview
This study evaluates a decade-long evolution from centralized to networked fertility preservation services for at-risk children and young adults. The hub-and-spoke model expanded from 4 to 349 annual referrals, with 85% of procedures now performed at local spoke sites, successfully delivering ovarian and testicular tissue cryopreservation closer to patients' homes.
Key takeaways
- Hub and Spoke model increased fertility preservation referrals from 4 to 349 patients/year over a decade, expanding access nationwide.
- Testicular cryopreservation grew from 0% to 49% of cases by 2023, addressing previously underserved male pediatric oncology patients.
- Decentralization shifted 85% of procedures to spoke sites by 2023, enabling treatment closer to home while maintaining safety standards.
- 81% of referred patients successfully underwent tissue procurement and storage, demonstrating high conversion from referral to preservation.
- Surgical challenges include theatre access variability, equipment standardization needs, and tissue handling technique consistency across sites.
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How to cite: GlobalCastMD. Fertility preservation service for children and young adults at high risk of infertility; the hub and spoke model. GlobalCastMD Medical Library. 2024-07-19. https://dev.library.globalcastmd.com/article/8900?via_space=staycurrentmd
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