Affiliation:
1. From the Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale Tumori, Milan; Youth Area Project, Centro di Riferimento Oncologico, Aviano, Italy; Peter MacCallum Cancer Centre, Victoria, Australia; Children's Cancer Hospital, The University of Texas M. D. Anderson Cancer Center, Houston; Cook Children's Hospital; University of North Texas Health Science Center, Fort Worth, TX; Oregon Health and Science University Knight Cancer Institute, Portland, OR; and Radboud University...
Abstract
Adolescent and young adult (AYA) patients seem to be in a sort of no-man's land, halfway between the two different worlds of pediatric and adult medical oncology and bearing the brunt, in terms of inclusion in clinical trials and quality of professional care, of the lack of integration between these two worlds. This article discusses the different organization models of care used in pediatric oncology (mainly family-focused) and in adult medical oncology (disease-focused). There is a growing awareness that these models are not ideally suited to the complex needs of AYA patients, which require a different, new, patient-focused multidisciplinary approach. A comprehensive, multipronged effort is required to bridge the gap in the care of AYA patients, with the ultimate challenge of creating a new discipline, AYA oncology. In this article, we review the experiences of AYA oncology programs in Europe, North America, and Australia, focusing on similarities and differences in strategy, as well as the major challenges and opportunities faced by these programs. Among the most important factors for the successful establishment of an AYA oncology service are the degree of engagement of both pediatric and adult medical oncologists, the philanthropic support of powerful charities, and the role of dedicated professionals across a range of disciplines in driving the development of services for AYA patients.
Publisher
American Society of Clinical Oncology (ASCO)
Cited by
195 articles.
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