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Adolescent and young adult oncology patients in France: Heterogeneity in pathways of care

dc.rights.licenseopenen_US
dc.contributor.authorDESANDES, E.
dc.contributor.authorBRUGIERES, L.
dc.contributor.authorMOLINIE, F.
dc.contributor.authorDEFOSSEZ, G.
dc.contributor.authorDELAFOSSE, P.
dc.contributor.authorJEHANNIN-LIGIER, K.
dc.contributor.authorVELTEN, M.
dc.contributor.authorTRETARRE, B.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorAMADEO, Brice
dc.contributor.authorMARRER, E.
dc.contributor.authorWORONOFF, A. S.
dc.contributor.authorGANRY, O.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMONNEREAU, Alain
dc.contributor.authorD'ALMEIDA, T.
dc.contributor.authorTROUSSARD, X.
dc.contributor.authorDAUBISSE-MARLIAC, L.
dc.contributor.authorBARA, S.
dc.contributor.authorGUIZARD, A. V.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBALDI, Isabelle
dc.contributor.authorLAUNOY, G.
dc.contributor.authorCLAVEL, J.
dc.contributor.authorLACOUR, B.
dc.date.accessioned2020-11-03T13:16:45Z
dc.date.available2020-11-03T13:16:45Z
dc.date.issued2018-09
dc.identifier.issn1545-5017 (Electronic) 1545-5009 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/11599
dc.description.abstractEnBACKGROUND: In order to evaluate at the population level the impact of the actions developed in France since 2004 to organize the care of adolescents and young adults (AYAs) with cancer, we conducted the present study to provide an unbiased view of the pathway of care of these patients. METHODS: Using a population-based registry, we conducted a review of all cases of cancer diagnosed during 2012 and 2013 in 15- to 24-year-old patients living in nineteen French administrative areas. RESULTS: The median times for diagnosis and treatment of the 993 included AYAs were 9 weeks (3-22) and 1 day (0-20), respectively. Delays in diagnosis were significantly longer in young adults than in adolescents, especially for soft-tissue sarcomas (48.7 weeks vs. 15.4 weeks, P = 0.04) and bone tumors (21.4 weeks vs. 10.1 weeks, P = 0.04). The first physicians seen by patients were mostly general practitioners (67.4%). Most patients (77.5%) were treated in adult units. Management decisions were taken within the context of a multidisciplinary team (MDT) in 85.3% of cases. MDT meetings that involved both pediatric and adult oncologists were uncommon (15.7% of patients). Twenty-six percent of patients were included in randomized or nonrandomized clinical studies. The proportion of inclusion was significantly higher in adolescents (39.5%) than in young adults (16.8%). CONCLUSION: In France, pathways of care for AYAs are heterogeneous. It is necessary to organize a national network of expert centers with adequate medical skills and specific psychosocial support and facilities to provide the best possible care for these patients.
dc.language.isoENen_US
dc.subject.enEPICENE
dc.title.enAdolescent and young adult oncology patients in France: Heterogeneity in pathways of care
dc.title.alternativePediatr Blood Canceren_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1002/pbc.27235en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed29770995en_US
bordeaux.journalPediatric blood & canceren_US
bordeaux.pagee27235en_US
bordeaux.volume65en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue9en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamEPICENE_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.exportfalse
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