TY - JOUR
T1 - Use of cryopreserved ovarian tissue in the Danish fertility preservation cohort
AU - Kristensen, Stine Gry
AU - Wakimoto, Yu
AU - Colmorn, Lotte Berdiin
AU - Dueholm, Margit
AU - Pors, Susanne Elisabeth
AU - Macklon, Kirsten Tryde
AU - Mamsen, Linn Salto
AU - Nikiforov, Dmitry
AU - Cadenas, Jesús
AU - Greve, Vinnie Hornshøj
AU - Bay Bjørn, Anne-Mette
AU - Rosendahl, Mikkel
AU - Pedersen, Anette Tønnes
AU - Nyboe Andersen, Anders
AU - Fedder, Jens
AU - Ernst, Erik
AU - Andersen, Claus Yding
N1 - Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.
PY - 2021
Y1 - 2021
N2 - OBJECTIVE: To evaluate the use of cryopreserved ovarian tissue in the Danish fertility preservation cohort.DESIGN: Retrospective cohort study.SETTING: University hospitals and fertility clinics.PATIENT(S): Ovarian tissue cryopreservation (OTC) was performed for 1,186 Danish girls and women from 1999-2020, of whom 117 subsequently underwent ovarian tissue transplantation (OTT). Subgroup 1 included 759 patients with a follow-up period of >5 years. Out of these, OTT rates were further analyzed for those patients who were alive and aged >24 years in July 2020 (subgroup 2; n = 554).INTERVENTION(S): OTC and OTT.MAIN OUTCOME MEASURE(S): OTT, death, donation of tissue.RESULT(S): In subgroup 1, 14% of the patients had undergone OTT, 18% had died, 9% had donated their tissue for research, and 59% still had their tissue stored. In subgroup 2, 19% had undergone OTT and for most diagnoses the OTT rates ranged from 15% to 22% with benign hematologic diseases having the highest OTT rate (35%). On the basis of the entire cohort, stratified age analysis indicated that women aged ≥30 years at OTC were more likely to return for OTT than women aged 18-29 years at OTC; mean storage times were 3.7 and 3.6 years, respectively. Only 4% of the girls aged <18 years at OTC had undergone OTT.CONCLUSION(S): The OTT rates depended on the diagnosis, age at OTC, and follow-up time. Specific criteria are needed for reporting and comparing OTT rates. Six out of 10 patients still had their cryopreserved tissue stored and longer follow-up is needed, especially for younger girls.
AB - OBJECTIVE: To evaluate the use of cryopreserved ovarian tissue in the Danish fertility preservation cohort.DESIGN: Retrospective cohort study.SETTING: University hospitals and fertility clinics.PATIENT(S): Ovarian tissue cryopreservation (OTC) was performed for 1,186 Danish girls and women from 1999-2020, of whom 117 subsequently underwent ovarian tissue transplantation (OTT). Subgroup 1 included 759 patients with a follow-up period of >5 years. Out of these, OTT rates were further analyzed for those patients who were alive and aged >24 years in July 2020 (subgroup 2; n = 554).INTERVENTION(S): OTC and OTT.MAIN OUTCOME MEASURE(S): OTT, death, donation of tissue.RESULT(S): In subgroup 1, 14% of the patients had undergone OTT, 18% had died, 9% had donated their tissue for research, and 59% still had their tissue stored. In subgroup 2, 19% had undergone OTT and for most diagnoses the OTT rates ranged from 15% to 22% with benign hematologic diseases having the highest OTT rate (35%). On the basis of the entire cohort, stratified age analysis indicated that women aged ≥30 years at OTC were more likely to return for OTT than women aged 18-29 years at OTC; mean storage times were 3.7 and 3.6 years, respectively. Only 4% of the girls aged <18 years at OTC had undergone OTT.CONCLUSION(S): The OTT rates depended on the diagnosis, age at OTC, and follow-up time. Specific criteria are needed for reporting and comparing OTT rates. Six out of 10 patients still had their cryopreserved tissue stored and longer follow-up is needed, especially for younger girls.
KW - Adolescent
KW - Adult
KW - Cryopreservation/trends
KW - Denmark
KW - Female
KW - Fertility
KW - Fertility Preservation
KW - Humans
KW - Infertility, Female/diagnosis
KW - Organ Transplantation/trends
KW - Ovary/transplantation
KW - Pregnancy
KW - Primary Ovarian Insufficiency/etiology
KW - Retrospective Studies
KW - Risk Factors
KW - Time Factors
KW - Young Adult
U2 - 10.1016/j.fertnstert.2021.05.096
DO - 10.1016/j.fertnstert.2021.05.096
M3 - Journal article
C2 - 34130800
VL - 116
SP - 1098
EP - 1106
JO - Sexuality, Reproduction and Menopause
JF - Sexuality, Reproduction and Menopause
SN - 1546-2501
IS - 4
ER -