Systematic review links reproductive concerns to mental health issues in 2,741 cancer patients
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Key Takeaway
Consider addressing reproductive concerns in reproductive-aged male cancer patients to mitigate associated mental health issues.
This systematic review examines reproductive concerns among 2,741 reproductive-aged male patients with cancer. The scope includes associations with negative emotions, anxiety, depression, and broader mental health issues. No specific intervention or comparator was detailed in the source data. The review does not report absolute numbers for secondary outcomes or specific effect sizes for the associations found.
Key findings indicate that reproductive concerns are moderately elevated in this population. The data suggest that negative emotions, including anxiety and depression, are associated with these concerns. Furthermore, the onset of mental health issues is associated with prolonged exposure to moderate-to-high levels of reproductive concerns. No p-values or confidence intervals were provided for these associations.
The authors note that safety data, adverse events, and discontinuations were not reported. Funding or conflicts of interest were not reported. The certainty of the findings is not reported. These limitations suggest the evidence is observational in nature and should be interpreted with caution regarding causal claims.
Practice relevance indicates that clinical healthcare providers must address these specific psychological challenges. Providers should intervene in existing reproductive concerns and assist patients in better accepting and adapting to cancer and related treatments.
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View Original Abstract ↓
ObjectivesAdvancements in medical technology have significantly improved cancer treatment outcomes, enabling an increasing number of patients to survive long-term post-treatment. However, chemotherapy, radiotherapy, and surgery frequently cause varying degrees of damage to the male reproductive system, which affects fertility and leads to varying degrees of reproductive concerns in patients. This study aimed to review the current state and factors influencing reproductive concerns in reproductive-aged male patients with cancer, explore potential support requirements for this population, and lay the theoretical foundation for formulating individualized intervention measures.MethodsA systematic literature search of databases (PubMed, MEDLINE, Cochrane, Web of Science, Embase, EBSCO, CNKI, Wan-fang data, and VIP) was conducted from their inception to December 2024.ResultsThe final analysis included 15 studies involving 2,741 patients. The summary indicates that reproductive concerns among reproductive-aged male patients with cancer are moderately elevated, leading to negative emotions, including anxiety and depression. The reproductive concerns of these patients are predominantly influenced by six factors: sociodemographic factors, cancer and related treatments, reproduction and fertility, the quality of social relationships, fertility preservation, and psychological factors.ConclusionReproductive-aged male patients with cancer commonly experience moderately high levels of reproductive concerns. Prolonged exposure to moderate-to-high levels of reproductive concerns is associated with the onset of mental health issues and the potential adverse impact on cancer treatment. Therefore, clinical healthcare providers must address these specific psychological challenges, intervene in existing reproductive concerns, and assist patients in better accepting and adapting to cancer and related treatments.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024565381, Identifier, CRD42024565381.
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