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Adolescent and young adult oncology

Adolescent and young adult oncology is a branch of medicine that deals with the prevention, diagnosis, and treatment of cancer in adolescent and young adult (AYA) patients aged 16–40. Studies have continuously shown that while pediatric cancer survival rates have gone up, the survival rate for adolescents and young adults has remained stagnant. While many clinical trials exist for adults with cancer and children with cancer, AYAs underutilize clinical trials.[1][2] Most pediatric clinical trials serve patients up to age 21.[3] Additionally, AYAs face problems that adults and children rarely see including college concerns, fertility, and sense of aloneness.[4] Studies have often shown that treating young adults with the same protocols used in pediatrics is more effective than adult oriented treatments.[5]

In countries like the US and the UK, specialized AYA units have started to be built in children's and adult hospitals to cater to the need of these age groups. AYA wards are designed to be bright and welcoming with many games and televisions to keep patients busy.[6] The need for these spaces come from the findings that AYAs tend to prefer pediatric wards over adult wards, but do not like to be treated like children.[7]

AYA teams are usually made up of specialists that specialize in both pediatric and adult medicine due to the fact that people under 21 tend to do better under pediatric care.[8]

United States edit

Internationally, different countries tend to treat the AYA age group in different environments. Most AYA treatment centers in the US are within larger children's hospitals. The organization, Teen Cancer America was created to establish more AYA wards in hospitals across the US, and currently there are about 21 hospitals affiliated with Teen Cancer America,[9] and many more with AYA programs. The American Academy of Pediatrics' opinion is that children should be under the care of a pediatrician until they deem not necessary, and children's hospitals in the US are increasingly treating older patients well into their twenties as a part of AYA and other adult programs.[10]

United Kingdom edit

The UK is seen to be one of the pioneers of AYA cancer care at its hospitals. Teenage Cancer Trust is a cancer care and support charity in the UK that exists to improve the cancer experience of young people aged 13–24.[11] Founded in 1990, the charity's key service is providing specialist teenage units in NHS hospitals. It also trains and funds staff who are teenage cancer specialists.[12] The units are dedicated areas for teenage and young adult patients, who are involved in their concept and creation. Medical facilities on the units are equipped with computers, TVs, game consoles, and bright colored design. The UK has over 28 units in children's hospitals and adult hospitals dedicated to AYAs aged 13–24.[13][14]

See also edit

References edit

  1. ^ Tai, Eric; Buchanan, Natasha; Eliman, Dena; Westervelt, Lauren; Beaupin, Lynda; Lawvere, Silvana; Bleyer, Archie (June 2014). "Understanding and Addressing the Lack of Clinical Trial Enrollment Among Adolescents With Cancer". Pediatrics. 133 (Suppl 3): S98–S103. doi:10.1542/peds.2014-0122D. ISSN 0031-4005. PMC 6074033. PMID 24918214.
  2. ^ Bleyer, Archie; Tai, Eric; Siegel, Stuart (August 2018). "Role of clinical trials in survival progress of American adolescents and young adults with cancer—and lack thereof". Pediatric Blood & Cancer. 65 (8): e27074. doi:10.1002/pbc.27074. ISSN 1545-5009. PMC 6077840. PMID 29667766.
  3. ^ Chisholm, Julia; Hough, Rachael; Soanes, Louise (February 27, 2018). A Practical Approach to the Care of Adolescents and Young Adults with Cancer. Springer. ISBN 978-3-319-66173-5. from the original on July 9, 2020. Retrieved June 2, 2020.
  4. ^ Nass, Sharyl J; Patlak, Margie, Rapporteurs; National Cancer Policy Forum; Board on Health Care Services; A Livestrong and Institute of Medicine Workshop; Institute of Medicine (January 10, 2014). Psychosocial Aspects Of Aya Cancer Diagnosis And Treatment. National Academies Press (US). from the original on January 18, 2017. Retrieved June 2, 2020.
  5. ^ "Childhood Leukemia Treatment Also Effective for Young Adults". National Cancer Institute. February 25, 2019. from the original on July 9, 2020. Retrieved June 2, 2020.
  6. ^ "How A Space For Young People Can provide Relief During Cancer Treatment". Teen Cancer America. December 19, 2019. from the original on September 26, 2020. Retrieved June 2, 2020.
  7. ^ Sadeghi, Narges; Abdeyazdan, Zahra; Motaghi, Minoo; Rad, Marzieh Ziaei; Torkan, Behnaz (2012). "Satisfaction levels about hospital wards' environment among adolescents hospitalized in adult wards vs. pediatric ones". Iranian Journal of Nursing and Midwifery Research. 17 (6): 430–433. ISSN 1735-9066. PMC 3733288. PMID 23922584.
  8. ^ "Teens Do Better Here". Seattle Children's Hospital. Retrieved November 25, 2020.
  9. ^ "Teen Cancer America – Our Work". Teen Cancer America. from the original on May 13, 2020. Retrieved June 2, 2020.
  10. ^ Hardin, Amy Peykoff; Hackell, Jesse M.; Medicine, Committee on Practice and Ambulatory (September 1, 2017). "Age Limit of Pediatrics". Pediatrics. 140 (3): e20172151. doi:10.1542/peds.2017-2151. ISSN 0031-4005. PMID 28827380. S2CID 31354886. from the original on February 13, 2020. Retrieved June 3, 2020.
  11. ^ Bleyer, Archie W.; Barr, Ronald Duncan (September 23, 2007). Cancer in Adolescents and Young Adults. Springer Science & Business Media. ISBN 978-3-540-68152-6. from the original on August 4, 2020. Retrieved June 6, 2020.
  12. ^ "History". Teenage Cancer Trust. August 29, 2014. from the original on June 11, 2020. Retrieved June 3, 2020.
  13. ^ "Our specialist cancer units". Teenage Cancer Trust. from the original on June 22, 2020. Retrieved June 3, 2020.
  14. ^ Taylor, Rachel M; Fern, Lorna A; Barber, Julie; Alvarez-Galvez, Javier; Feltbower, Richard; Morris, Stephen; Hooker, Louise; McCabe, Martin G; Gibson, Faith; Raine, Rosalind; Stark, Dan P (April 20, 2019). "Description of the Brightlight cohort: the evaluation of teenage and young adult cancer services in England". BMJ Open. 9 (4): e027797. doi:10.1136/bmjopen-2018-027797. ISSN 2044-6055. PMC 6500338. PMID 31005941.

External links edit

  • Teen Cancer America
  • Teenage Cancer Trust
  • Canteen

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Adolescent and young adult oncology is a branch of medicine that deals with the prevention diagnosis and treatment of cancer in adolescent and young adult AYA patients aged 16 40 Studies have continuously shown that while pediatric cancer survival rates have gone up the survival rate for adolescents and young adults has remained stagnant While many clinical trials exist for adults with cancer and children with cancer AYAs underutilize clinical trials 1 2 Most pediatric clinical trials serve patients up to age 21 3 Additionally AYAs face problems that adults and children rarely see including college concerns fertility and sense of aloneness 4 Studies have often shown that treating young adults with the same protocols used in pediatrics is more effective than adult oriented treatments 5 In countries like the US and the UK specialized AYA units have started to be built in children s and adult hospitals to cater to the need of these age groups AYA wards are designed to be bright and welcoming with many games and televisions to keep patients busy 6 The need for these spaces come from the findings that AYAs tend to prefer pediatric wards over adult wards but do not like to be treated like children 7 AYA teams are usually made up of specialists that specialize in both pediatric and adult medicine due to the fact that people under 21 tend to do better under pediatric care 8 Contents 1 United States 2 United Kingdom 3 See also 4 References 5 External linksUnited States editInternationally different countries tend to treat the AYA age group in different environments Most AYA treatment centers in the US are within larger children s hospitals The organization Teen Cancer America was created to establish more AYA wards in hospitals across the US and currently there are about 21 hospitals affiliated with Teen Cancer America 9 and many more with AYA programs The American Academy of Pediatrics opinion is that children should be under the care of a pediatrician until they deem not necessary and children s hospitals in the US are increasingly treating older patients well into their twenties as a part of AYA and other adult programs 10 United Kingdom editMain article Teenage Cancer Trust The UK is seen to be one of the pioneers of AYA cancer care at its hospitals Teenage Cancer Trust is a cancer care and support charity in the UK that exists to improve the cancer experience of young people aged 13 24 11 Founded in 1990 the charity s key service is providing specialist teenage units in NHS hospitals It also trains and funds staff who are teenage cancer specialists 12 The units are dedicated areas for teenage and young adult patients who are involved in their concept and creation Medical facilities on the units are equipped with computers TVs game consoles and bright colored design The UK has over 28 units in children s hospitals and adult hospitals dedicated to AYAs aged 13 24 13 14 See also editTeenage Cancer Trust Childhood cancerReferences edit Tai Eric Buchanan Natasha Eliman Dena Westervelt Lauren Beaupin Lynda Lawvere Silvana Bleyer Archie June 2014 Understanding and Addressing the Lack of Clinical Trial Enrollment Among Adolescents With Cancer Pediatrics 133 Suppl 3 S98 S103 doi 10 1542 peds 2014 0122D ISSN 0031 4005 PMC 6074033 PMID 24918214 Bleyer Archie Tai Eric Siegel Stuart August 2018 Role of clinical trials in survival progress of American adolescents and young adults with cancer and lack thereof Pediatric Blood amp Cancer 65 8 e27074 doi 10 1002 pbc 27074 ISSN 1545 5009 PMC 6077840 PMID 29667766 Chisholm Julia Hough Rachael Soanes Louise February 27 2018 A Practical Approach to the Care of Adolescents and Young Adults with Cancer Springer ISBN 978 3 319 66173 5 Archived from the original on July 9 2020 Retrieved June 2 2020 Nass Sharyl J Patlak Margie Rapporteurs National Cancer Policy Forum Board on Health Care Services A Livestrong and Institute of Medicine Workshop Institute of Medicine January 10 2014 Psychosocial Aspects Of Aya Cancer Diagnosis And Treatment National Academies Press US Archived from the original on January 18 2017 Retrieved June 2 2020 Childhood Leukemia Treatment Also Effective for Young Adults National Cancer Institute February 25 2019 Archived from the original on July 9 2020 Retrieved June 2 2020 How A Space For Young People Can provide Relief During Cancer Treatment Teen Cancer America December 19 2019 Archived from the original on September 26 2020 Retrieved June 2 2020 Sadeghi Narges Abdeyazdan Zahra Motaghi Minoo Rad Marzieh Ziaei Torkan Behnaz 2012 Satisfaction levels about hospital wards environment among adolescents hospitalized in adult wards vs pediatric ones Iranian Journal of Nursing and Midwifery Research 17 6 430 433 ISSN 1735 9066 PMC 3733288 PMID 23922584 Teens Do Better Here Seattle Children s Hospital Retrieved November 25 2020 Teen Cancer America Our Work Teen Cancer America Archived from the original on May 13 2020 Retrieved June 2 2020 Hardin Amy Peykoff Hackell Jesse M Medicine Committee on Practice and Ambulatory September 1 2017 Age Limit of Pediatrics Pediatrics 140 3 e20172151 doi 10 1542 peds 2017 2151 ISSN 0031 4005 PMID 28827380 S2CID 31354886 Archived from the original on February 13 2020 Retrieved June 3 2020 Bleyer Archie W Barr Ronald Duncan September 23 2007 Cancer in Adolescents and Young Adults Springer Science amp Business Media ISBN 978 3 540 68152 6 Archived from the original on August 4 2020 Retrieved June 6 2020 History Teenage Cancer Trust August 29 2014 Archived from the original on June 11 2020 Retrieved June 3 2020 Our specialist cancer units Teenage Cancer Trust Archived from the original on June 22 2020 Retrieved June 3 2020 Taylor Rachel M Fern Lorna A Barber Julie Alvarez Galvez Javier Feltbower Richard Morris Stephen Hooker Louise McCabe Martin G Gibson Faith Raine Rosalind Stark Dan P April 20 2019 Description of the Brightlight cohort the evaluation of teenage and young adult cancer services in England BMJ Open 9 4 e027797 doi 10 1136 bmjopen 2018 027797 ISSN 2044 6055 PMC 6500338 PMID 31005941 External links editTeen Cancer America Teenage Cancer Trust Canteen Retrieved from https en wikipedia org w index php title Adolescent and young adult oncology amp oldid 1168861577, wikipedia, wiki, book, books, library,

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