Digital health interventions for oncofertility in female patients: a systematic review.
Juyoung Ha, Minji Kim, Hyojin Park
PMID 40639861WHAT IT FOUND
Web-based fertility-preservation support for female cancer patients showed mixed effects.
Some studies reduced fertility stress or improved knowledge, but many outcomes did not differ from control.
Key findings
01Only five studies met inclusion criteria, and all used web-based interventions.
02Fertility-stress results were inconsistent: one study showed a significant reduction immediately after the intervention, while another found no significant difference in the total score.
03Knowledge results were also inconsistent: one study showed significant improvement, while another did not find a significant difference.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only five studies met inclusion criteria, so the evidence base is very small. All included interventions were web-based, so findings may not apply to mobile apps, wearable devices, virtual reality or face-to-face counseling. The studies differed in design, control groups, outcomes and timing, so the reviewers could not combine them statistically. The included interventions varied in design, so the review did not isolate which component produced each effect. Two preliminary studies had serious risk of bias in at least one domain, and two randomized trials had some concerns. Effectiveness was assessed immediately after the intervention in all five studies, and the authors called for long-term follow-up in future research. Some studies had no control group, and the included symptom outcomes focused on general reproductive health rather than genital pain or sexual dysfunction.
Declared interests
The authors declared no conflict of interest, and the study reported no funding.
The easy way to misread this
Do not conclude that digital health interventions reliably improve oncofertility outcomes. Many outcomes did not differ from control, and the review included only five heterogeneous studies with several risk-of-bias concerns.