Improving Outcomes for Teenagers and Young Adults (TYA) with Cancer

被引:9
作者
Stark, D. [1 ]
Lewis, I. [2 ]
机构
[1] Leeds Teaching Hosp NHS Trust, Leeds LS9 7TF, W Yorkshire, England
[2] Alderhey Childrens Hosp, Childrens Serv, Liverpool, Merseyside, England
来源
KLINISCHE PADIATRIE | 2013年 / 225卷 / 06期
关键词
cancer; teenager; young adult; specialist services; ACUTE LYMPHOBLASTIC-LEUKEMIA; ADOLESCENTS; SURVIVAL; ONCOLOGY; CHILDREN; SARCOMA; TUMORS;
D O I
10.1055/s-0033-1358392
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The management of TYA with cancer is characterized by biological features in comparison to children. Therefore specialized treatment units have been established within professional structures of care for this group, and a European multidisciplinary framework for the treatment of TYA with cancer was founded. Objectives are to promote interdisciplinary collaboration and provide strategic concepts to improve patient care centered to the special needs of this age group. Access to clinical trials for all TYA in the EU will be improved and research initiated, examining biology, epidemiology and health services. Special goals of the interprofessional cooperation are: Improvement in survival and the quality of survival, where TYA are disadvantaged by existing structures of care. Provision of all the required expertise in dedicated and effective multiprofessional teams, sometimes across traditional healthcare boundaries. Provision of an environment for care that meets the specific needs of TYA. Different measurements are discussed improving outcomes for TYA is proceeding at different speeds in different parts of the world. In some there are established teams, bringing together paediatric and adult specialists from many healthcare professions, reviewing and contributing to the optimal care of all TYA with cancer as part of national health policy.
引用
收藏
页码:331 / 334
页数:4
相关论文
共 27 条
[1]  
[Anonymous], 2012, SURVIVAL TEENAGERS Y
[2]  
[Anonymous], 2010, CURRICULUM SPECIALTY
[3]  
[Anonymous], 2013, TEENAGERS YOUNG ADUL
[4]  
Birch R, 2013, TEENAGERS YOUNG ADUL
[5]   National survival trends of young adults with sarcoma - Lack of progress is associated with lack of clinical trial participation [J].
Bleyer, A ;
Montello, M ;
Budd, T ;
Saxman, S .
CANCER, 2005, 103 (09) :1891-1897
[6]   Relative Lack of Conditional Survival Improvement in Young Adults With Cancer [J].
Bleyer, Archie ;
Choi, Mehee ;
Fuller, C. David ;
Thomas, Charles R., Jr. ;
Wang, Samuel J. .
SEMINARS IN ONCOLOGY, 2009, 36 (05) :460-467
[7]   Should adolescents with acute lymphoblastic leukemia be treated as old children or young adults?: Comparison of the French FRALLE-93 and LALA-94 trials [J].
Boissel, N ;
Auclerc, MF ;
Lhéritier, V ;
Perel, Y ;
Thomas, X ;
Leblanc, T ;
Rousselot, P ;
Cayuela, JM ;
Gabert, J ;
Fegueux, N ;
Piguet, C ;
Huguet-Rigal, F ;
Berthou, C ;
Boiron, JM ;
Poutos, C ;
Michel, G ;
Fière, D ;
Leverger, G ;
Dombret, H ;
Baruchel, A .
JOURNAL OF CLINICAL ONCOLOGY, 2003, 21 (05) :774-780
[8]   Review of Adherence-Related Issues in Adolescents and Young Adults With Cancer [J].
Butow, Phyllis ;
Palmer, Susan ;
Pai, Ahna ;
Goodenough, Belinda ;
Luckett, Tim ;
King, Madeleine .
JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (32) :4800-4809
[9]   Ovarian cancer in younger vs older women: a population-based analysis [J].
Chan, J. K. ;
Urban, R. ;
Cheung, M. K. ;
Osann, K. ;
Husain, A. ;
Teng, N. N. ;
Kapp, D. S. ;
Berek, J. S. ;
Leiserowitz, G. S. .
BRITISH JOURNAL OF CANCER, 2006, 95 (10) :1314-1320
[10]  
Cluzeau TDN, 2010, PEDIAT TREATMENT PH