The National Physicians Cooperative: transforming fertility management in the cancer setting and beyond

doi:10.2217/fon-2018-0278

. 2018 Dec;14(29):3059-3072.

doi: 10.2217/fon-2018-0278. Epub 2018 Nov 26.

The National Physicians Cooperative: transforming fertility management in the cancer setting and beyond

Brigid M Smith¹, Francesca E Duncan¹, Lauren Ataman¹, Kristin Smith^{1

2}, Gwendolyn P Quinn³, R Jeffrey Chang⁴, Courtney Finlayson^{5

6}, Kyle Orwig^{7

8}, Hanna Valli-Pulaski^{7

8}, Molly B Moravek⁹, Mary B Zelinski^{10

11}, H Irene Su¹², Wendy Vitek¹³, James F Smith¹⁴, Jacqueline S Jeruss^{15

16}, Clarisa Gracia¹⁷, Christos Coutifaris¹⁷, Divya Shah¹⁷, Leena Nahata^{18

19}, Veronica Gomez-Lobo²⁰, Leslie Coker Appiah²¹, Robert E Brannigan²², Valerie Gillis²², William Gradishar²³, Asma Javed²⁴, Alice S Rhoton-Vlasak²⁵, Laxmi A Kondapalli²⁶, Evelyn Neuber²⁷, Jill P Ginsberg²⁸, Charles H Muller²⁹, Jennifer Hirshfeld-Cytron³⁰, William H Kutteh^{31

32

33}, Steven R Lindheim³⁴, Brooke Cherven³⁵, Lillian R Meacham³⁶, Pooja Rao³⁷, Lilibeth Torno³⁸, Leonard S Sender³⁸, Susan T Vadaparampil^{39

40}, Jodi L Skiles^{41

42}, Tara Schafer-Kalkhoff⁴³, Oliva J Frias⁴³, Julia Byrne⁴⁴, Lynn M Westphal⁴⁵, Danny J Schust⁴⁶, James L Klosky^{36

47}, Kate A McCracken^{48

49}, Alison Ting^{10

50}, Zaraq Khan^{51

52}, Candace Granberg⁵³, Barbara Lockart^{54

55}, Bert Scoccia⁵⁶, Monica M Laronda^{6

57}, Jennifer E Mersereau⁵⁸, Courtney Marsh⁵⁹, Mary Ellen Pavone², Teresa K Woodruff¹

Affiliations

¹ Department of Obstetrics & Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
² Department of Obstetrics & Gynecology, Division of Reproductive Endocrinology & Infertility, Feinberg School of Medicine, Northwestern Medicine, Chicago, IL 60611, USA.
³ Department of Obstetrics & Gynecology, New York University School of Medicine, New York, NY 10016, USA.
⁴ Department of OB/GYN & Reproductive Sciences, Division of Reproductive Endocrinology & Infertility, University of California San Diego, La Jolla, CA 92093, USA.
⁵ Division of Endocrinology, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611 USA.
⁶ Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
⁷ Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
⁸ Magee-Womens Research Institute, Pittsburgh, PA 15213, USA.
⁹ Department of Obstetrics & Gynecology, Division of Reproductive Endocrinology & Infertility, University of Michigan, Ann Arbor, MI 48109, USA.
¹⁰ Division of Reproductive & Developmental Science, Oregon National Primate Research Center, Beaverton, OR 97006, USA.
¹¹ Department of Obstetrics & Gynecology, Oregon Health & Sciences University, Portland, OR 97239, USA.
¹² Department of Reproductive Medicine & Moores Cancer Center, University of California San Diego, La Jolla, CA 92093, USA.
¹³ Department of Obstetrics and Gynecology, University of Rochester School of Medicine & Dentistry, Rochester, NY 14642, USA.
¹⁴ Department of Urology, University of California San Francisco, San Francisco, CA 94110, USA.
¹⁵ Department of Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
¹⁶ Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48109, USA.
¹⁷ Department of Obstetrics & Gynecology, University of Pennsylvania, Philadelphia, PA 19104, USA.
¹⁸ Department of Pediatrics, Division of Endocrinology, The Ohio State University College of Medicine/Nationwide Children's Hospital, Columbus, OH 43210, USA.
¹⁹ Center for Behavioral Health, the Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
²⁰ Division of Pediatric & Adolescent Gynecology, MedStar Washington Hospital Center, Children's National Health System, Washington, DC 20010, USA.
²¹ The James Cancer Center, Nationwide Children's Hospital, The Ohio State University, Columbus, OH 43210, USA.
²² Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
²³ Department of Medicine, Division of Hematology/Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
²⁴ Department of Pediatric & Adolescent Medicine, Division of Pediatric & Adolescent Gynecology, Mayo Clinic, Rochester, MN 55905, USA.
²⁵ Department of Obstetrics & Gynecology, Division of Reproductive Endocrinology & Infertility, University of Florida, Gainesville, FL 32608, USA.
²⁶ Colorado Center for Reproductive Medicine, Lone Tree, CO 80124, USA.
²⁷ Center for Advanced Reproductive Services, University of Connecticut, Farmington, CT 06032, USA.
²⁸ Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
²⁹ Department of Urology, University of Washington School of Medicine, Seattle, WA 98195, USA.
³⁰ Fertility Centers of Illinois, Chicago, IL, USA, 60610.
³¹ Division of Reproductive Endocrinology, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
³² Department of Surgery, St Jude Children's Research Hospital, Memphis, TN 38105, USA.
³³ Fertility Associates of Memphis, Memphis, TN 38120, USA.
³⁴ Department of Obstetrics & Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH 45435, USA.
³⁵ Aflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA 30342, USA.
³⁶ Aflac Cancer & Blood Disorders Center & Department of Pediatrics, Division of Hematology/Oncology & Division of Endocrinology, Emory University, Atlanta, GA 30322, USA.
³⁷ Division of Pediatric Hematology/Oncology, Penn State Health Children's Hospital, Hershey, PA 17033, USA.
³⁸ Division of Oncology, CHOC Children's Hospital, Orange, CA 92868, USA.
³⁹ Department of Health Outcomes & Behavior, Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA.
⁴⁰ Department of Health Outcomes and Behaviors, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.
⁴¹ Department of Pediatrics, Division of Hematology and Oncology, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
⁴² Riley Hospital for Children at IU Health, Indianapolis, IN 46202, USA.
⁴³ Division of Pediatric & Adolescent Gynecology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
⁴⁴ Children's Research Center, Mayo Clinic, Rochester, MN 55905, USA.
⁴⁵ Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA 94305, USA.
⁴⁶ Department of Obstetrics, Gynecology & Women's Health, University of Missouri School of Medicine, Columbia, MO 65212, USA.
⁴⁷ Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30307, USA.
⁴⁸ Section of Pediatric & Adolescent Gynecology, Nationwide Children's Hospital, Columbus, OH 43205, USA.
⁴⁹ Department of Obstetrics & Gynecology, The Ohio State University, Columbus, OH 43210, USA.
⁵⁰ 21st Century Medicine, Inc., Fontana, CA 92336, USA.
⁵¹ Division of Reproductive Endocrinology & Infertility, Mayo Clinic, Rochester, MN 55905, USA.
⁵² Division of Minimally Invasive Gynecologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
⁵³ Department of Urology, Mayo Clinic, Rochester, MN 55905, USA.
⁵⁴ Division of Hematology, Oncology & Stem Cell Transplant, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
⁵⁵ Division of General Pediatric Surgery, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
⁵⁶ Department of Obstetrics & Gynecology, University of Illinois at Chicago, Chicago, IL 60607, USA.
⁵⁷ Stanley Manne Children's Research Institute, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
⁵⁸ Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, University of North Carolina, Raleigh, NC 27599, USA.
⁵⁹ Department of Obstetrics & Gynecology, University of Kansas Health System, Kansas City, KS 66160, USA.

PMID: 30474429
PMCID: PMC6331694
DOI: 10.2217/fon-2018-0278

The National Physicians Cooperative: transforming fertility management in the cancer setting and beyond

Brigid M Smith et al. Future Oncol. 2018 Dec.

. 2018 Dec;14(29):3059-3072.

doi: 10.2217/fon-2018-0278. Epub 2018 Nov 26.

Authors

Affiliations

¹ Department of Obstetrics & Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
² Department of Obstetrics & Gynecology, Division of Reproductive Endocrinology & Infertility, Feinberg School of Medicine, Northwestern Medicine, Chicago, IL 60611, USA.
³ Department of Obstetrics & Gynecology, New York University School of Medicine, New York, NY 10016, USA.
⁴ Department of OB/GYN & Reproductive Sciences, Division of Reproductive Endocrinology & Infertility, University of California San Diego, La Jolla, CA 92093, USA.
⁵ Division of Endocrinology, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611 USA.
⁶ Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
⁷ Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
⁸ Magee-Womens Research Institute, Pittsburgh, PA 15213, USA.
⁹ Department of Obstetrics & Gynecology, Division of Reproductive Endocrinology & Infertility, University of Michigan, Ann Arbor, MI 48109, USA.
¹⁰ Division of Reproductive & Developmental Science, Oregon National Primate Research Center, Beaverton, OR 97006, USA.
¹¹ Department of Obstetrics & Gynecology, Oregon Health & Sciences University, Portland, OR 97239, USA.
¹² Department of Reproductive Medicine & Moores Cancer Center, University of California San Diego, La Jolla, CA 92093, USA.
¹³ Department of Obstetrics and Gynecology, University of Rochester School of Medicine & Dentistry, Rochester, NY 14642, USA.
¹⁴ Department of Urology, University of California San Francisco, San Francisco, CA 94110, USA.
¹⁵ Department of Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
¹⁶ Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48109, USA.
¹⁷ Department of Obstetrics & Gynecology, University of Pennsylvania, Philadelphia, PA 19104, USA.
¹⁸ Department of Pediatrics, Division of Endocrinology, The Ohio State University College of Medicine/Nationwide Children's Hospital, Columbus, OH 43210, USA.
¹⁹ Center for Behavioral Health, the Research Institute at Nationwide Children's Hospital, Columbus, OH 43205, USA.
²⁰ Division of Pediatric & Adolescent Gynecology, MedStar Washington Hospital Center, Children's National Health System, Washington, DC 20010, USA.
²¹ The James Cancer Center, Nationwide Children's Hospital, The Ohio State University, Columbus, OH 43210, USA.
²² Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
²³ Department of Medicine, Division of Hematology/Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
²⁴ Department of Pediatric & Adolescent Medicine, Division of Pediatric & Adolescent Gynecology, Mayo Clinic, Rochester, MN 55905, USA.
²⁵ Department of Obstetrics & Gynecology, Division of Reproductive Endocrinology & Infertility, University of Florida, Gainesville, FL 32608, USA.
²⁶ Colorado Center for Reproductive Medicine, Lone Tree, CO 80124, USA.
²⁷ Center for Advanced Reproductive Services, University of Connecticut, Farmington, CT 06032, USA.
²⁸ Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
²⁹ Department of Urology, University of Washington School of Medicine, Seattle, WA 98195, USA.
³⁰ Fertility Centers of Illinois, Chicago, IL, USA, 60610.
³¹ Division of Reproductive Endocrinology, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
³² Department of Surgery, St Jude Children's Research Hospital, Memphis, TN 38105, USA.
³³ Fertility Associates of Memphis, Memphis, TN 38120, USA.
³⁴ Department of Obstetrics & Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH 45435, USA.
³⁵ Aflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA 30342, USA.
³⁶ Aflac Cancer & Blood Disorders Center & Department of Pediatrics, Division of Hematology/Oncology & Division of Endocrinology, Emory University, Atlanta, GA 30322, USA.
³⁷ Division of Pediatric Hematology/Oncology, Penn State Health Children's Hospital, Hershey, PA 17033, USA.
³⁸ Division of Oncology, CHOC Children's Hospital, Orange, CA 92868, USA.
³⁹ Department of Health Outcomes & Behavior, Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA.
⁴⁰ Department of Health Outcomes and Behaviors, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.
⁴¹ Department of Pediatrics, Division of Hematology and Oncology, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
⁴² Riley Hospital for Children at IU Health, Indianapolis, IN 46202, USA.
⁴³ Division of Pediatric & Adolescent Gynecology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
⁴⁴ Children's Research Center, Mayo Clinic, Rochester, MN 55905, USA.
⁴⁵ Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA 94305, USA.
⁴⁶ Department of Obstetrics, Gynecology & Women's Health, University of Missouri School of Medicine, Columbia, MO 65212, USA.
⁴⁷ Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30307, USA.
⁴⁸ Section of Pediatric & Adolescent Gynecology, Nationwide Children's Hospital, Columbus, OH 43205, USA.
⁴⁹ Department of Obstetrics & Gynecology, The Ohio State University, Columbus, OH 43210, USA.
⁵⁰ 21st Century Medicine, Inc., Fontana, CA 92336, USA.
⁵¹ Division of Reproductive Endocrinology & Infertility, Mayo Clinic, Rochester, MN 55905, USA.
⁵² Division of Minimally Invasive Gynecologic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
⁵³ Department of Urology, Mayo Clinic, Rochester, MN 55905, USA.
⁵⁴ Division of Hematology, Oncology & Stem Cell Transplant, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
⁵⁵ Division of General Pediatric Surgery, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
⁵⁶ Department of Obstetrics & Gynecology, University of Illinois at Chicago, Chicago, IL 60607, USA.
⁵⁷ Stanley Manne Children's Research Institute, Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
⁵⁸ Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, University of North Carolina, Raleigh, NC 27599, USA.
⁵⁹ Department of Obstetrics & Gynecology, University of Kansas Health System, Kansas City, KS 66160, USA.

PMID: 30474429
PMCID: PMC6331694
DOI: 10.2217/fon-2018-0278

Abstract

Once unimaginable, fertility management is now a nationally established part of cancer care in institutions, from academic centers to community hospitals to private practices. Over the last two decades, advances in medicine and reproductive science have made it possible for men, women and children to be connected with an oncofertility specialist or offered fertility preservation soon after a cancer diagnosis. The Oncofertility Consortium's National Physicians Cooperative is a large-scale effort to engage physicians across disciplines - oncology, urology, obstetrics and gynecology, reproductive endocrinology, and behavioral health - in clinical and research activities to enable significant progress in providing fertility preservation options to children and adults. Here, we review the structure and function of the National Physicians Cooperative and identify next steps.

Keywords: fertility preservation; oncofertility; reproductive health.

PubMed Disclaimer

Conflict of interest statement

Financial & competing interests disclosure

This work was supported by the Center for Reproductive Health After Disease (P50HD076188) from the NIH National Center for Translational Research in Reproduction and Infertility (NCTRI). The below authors acknowledge relationships with the following: J Hirschfeld-Cytron is a consultant in the Natera Genetics Company; ME Pavone is an advisory board member in Ferring Pharmaceuticals; SR Lindheim is a consultant and speaker in Bayer; a medical advisor in Crossbay; a speaker in Abbvie and Cooper Surgical; LA Kondapalli is a memeber of Speakers’ Bureau in Ferring Pharmaceuticals. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Figures

<b>Figure 1.</b> — **Figure 1.**. **States with National Physicians Cooperative member institutions are shown in purple, demonstrating the geographical reach of the Oncofertility Consortium.**

See this image and copyright information in PMC

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References

1. Woodruff TK. From the bench to bedside to babies: translational medicine made possible by funding multidisciplinary team science. J. Assist. Reprod. Genet. 2013;30(10):1249–1253. - PMC - PubMed
1. Woodruff TK. The Oncofertility Consortium – addressing fertility in young people with cancer. Nat. Rev. Clin. Oncol. 2010;7(8):466–475. - PMC - PubMed
1. Woodruff TK. Oncofertility: a grand collaboration between reproductive medicine and oncology. Reproduction. 2015;150(3):S1–S10. - PMC - PubMed
2. •• Describes the interaction between fundamental and clinical science leading to the field of oncofertility.
1. Jeruss JS, Woodruff TK. Preservation of fertility in patients with cancer. N. Engl. J. Med. 2009;360(9):902–911. - PMC - PubMed
2. • Clinical basis for fertility management in the cancer setting.
1. Woodruff TK. The emergence of a new interdiscipline: oncofertility. Cancer Treat. Res. 2007;138:3–11. - PubMed

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[1] Woodruff TK. From the bench to bedside to babies: translational medicine made possible by funding multidisciplinary team science. J. Assist. Reprod. Genet. 2013;30(10):1249–1253. - PMC - PubMed

[2] Woodruff TK. From the bench to bedside to babies: translational medicine made possible by funding multidisciplinary team science. J. Assist. Reprod. Genet. 2013;30(10):1249–1253. - PMC - PubMed

[3] Woodruff TK. The Oncofertility Consortium – addressing fertility in young people with cancer. Nat. Rev. Clin. Oncol. 2010;7(8):466–475. - PMC - PubMed

[4] Woodruff TK. The Oncofertility Consortium – addressing fertility in young people with cancer. Nat. Rev. Clin. Oncol. 2010;7(8):466–475. - PMC - PubMed

[5] Woodruff TK. Oncofertility: a grand collaboration between reproductive medicine and oncology. Reproduction. 2015;150(3):S1–S10. - PMC - PubMed

•• Describes the interaction between fundamental and clinical science leading to the field of oncofertility.

[6] Woodruff TK. Oncofertility: a grand collaboration between reproductive medicine and oncology. Reproduction. 2015;150(3):S1–S10. - PMC - PubMed

[7] •• Describes the interaction between fundamental and clinical science leading to the field of oncofertility.

[8] Jeruss JS, Woodruff TK. Preservation of fertility in patients with cancer. N. Engl. J. Med. 2009;360(9):902–911. - PMC - PubMed

• Clinical basis for fertility management in the cancer setting.

[9] Jeruss JS, Woodruff TK. Preservation of fertility in patients with cancer. N. Engl. J. Med. 2009;360(9):902–911. - PMC - PubMed

[10] • Clinical basis for fertility management in the cancer setting.

[11] Woodruff TK. The emergence of a new interdiscipline: oncofertility. Cancer Treat. Res. 2007;138:3–11. - PubMed

[12] Woodruff TK. The emergence of a new interdiscipline: oncofertility. Cancer Treat. Res. 2007;138:3–11. - PubMed

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The National Physicians Cooperative: transforming fertility management in the cancer setting and beyond

Affiliations

The National Physicians Cooperative: transforming fertility management in the cancer setting and beyond

Authors

Affiliations

Abstract

Conflict of interest statement

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Cited by

References

MeSH terms

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LinkOut - more resources

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