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Medical Trainee Education and Advocacy Regarding Sexual Health and Oncofertility: Gaps and Opportunities. 关于性健康和肿瘤生育的医学培训生教育和宣传:差距与机遇。
IF 1.2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-06-01 Epub Date: 2024-01-30 DOI: 10.1089/jayao.2023.0135
Mariah L Wright-Nadkarni, Leena Nahata, Anthony N Audino
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引用次数: 0
A Scoping Review of Oncosexology Policy and Practice Tools Focused on Adolescents and Young Adults. 以青少年为重点的肿瘤学政策和实践工具范围审查。
IF 1.2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-06-01 Epub Date: 2024-04-02 DOI: 10.1089/jayao.2023.0145
Kexin Sun, Nhu Thao Dinh, Jeremy Lewin, Luke Grzeskowiak, Chiara Mariano, Eliza Bailey, Smaro Lazarakis, Safeera Y Hussainy

Background: Despite being considered a key component of quality-of-life, sexual health concerns in adolescents and young adults (AYA) patients with cancer (aged 15-39 years old) are often unmet due to barriers from both patients and health care professionals (HCPs). Investigation into policy and practice tools in this scope of practice is also limited. Aim: To review the literature on policy and practice tools in AYA oncosexology. Method: A scoping review was conducted using four databases: Medline, EMCARE, EMBASE, and PsycINFO, based on the Joanna Briggs Institute Scoping Review methodology. Retrieved articles were extracted into Covidence, followed by two screening rounds. Descriptive and basic content analyses were performed for evidence synthesis. Results: Seventy-four articles were included after screening rounds and citation searches. Overall, oncosexology policy and practice tools were categorized into screening tools (11 articles), guidelines (38 articles), training programs (15 articles), service delivery initiatives (5 articles), and the evaluation of their feasibility/challenges to implementation (5 articles). Among these, only ten articles were specifically about the AYA population. They helped identify and resolve sexual health concerns in AYA patients with cancer by providing strategies to overcome communication barriers, treatment options, and information resources for patients, and by advocating for more HCP education on this topic. Conclusion: The results warrant the need for more research, implementation and expansion of policy and practice tools for sexual health issues in AYA patients with cancer.

背景:青少年和年轻成人癌症患者(15-39 岁)的性健康问题被认为是生活质量的一个重要组成部分,但由于患者和医疗保健专业人员(HCPs)方面的障碍,青少年和年轻成人癌症患者的性健康问题往往得不到解决。对这一实践范围内的政策和实践工具的调查也很有限。目的:回顾有关青少年性病学政策和实践工具的文献。方法使用四个数据库进行了范围审查:Medline、EMCARE、EMBASE 和 PsycINFO。检索到的文章被提取到 Covidence 中,然后进行两轮筛选。对证据综合进行描述性分析和基本内容分析。结果经过一轮筛选和引文检索,共纳入 74 篇文章。总体而言,性病学政策和实践工具分为筛查工具(11 篇)、指南(38 篇)、培训计划(15 篇)、服务提供计划(5 篇)以及可行性评估/实施挑战(5 篇)。在这些文章中,只有 10 篇是专门针对青少年群体的。这些文章通过提供克服沟通障碍的策略、治疗方案和患者信息资源,以及倡导开展更多有关这一主题的保健医生教育,帮助确定和解决了青少年癌症患者的性健康问题。结论研究结果证明,有必要针对青少年癌症患者的性健康问题开展更多研究,实施并推广相关政策和实践工具。
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引用次数: 0
Survey of Transitional Care Between Pediatrics and Obstetrics/Gynecology in Japan. 日本儿科与妇产科过渡护理调查。
IF 1.2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-06-01 Epub Date: 2024-02-27 DOI: 10.1089/jayao.2023.0017
Kentaro Nakamura, Yukayo Terashita, Atsushi Manabe, Nao Suzuki

Purpose: This study's aim was to determine the actual status of transitional care for patients with pediatric cancer (PPCs) in Japan by surveying obstetricians/gynecologists. Methods: A questionnaire survey on transitional medicine was conducted in the form of an online questionnaire at 579 major training facilities nationwide, which were registered with the Japanese Society of Obstetrics and Gynecology. Results: While 40% of the facilities had received referrals for PPCs, only 13% provided transitional care specifically for PPCs. The most common problems with referrals were related to "insufficient explanation." In addition, at facilities with no experience treating PPCs, many respondents commented that they did not know how to follow the progression of the disease. Regarding the necessity of obstetrics/gynecology visits for PPCs, more than half of the respondents at facilities with experience treating PPCs answered that such visits were "necessary"; only 1% answered that they were "unnecessary." On the other hand, 37% of the facilities that had no experience treating PPCs answered that it was "necessary," whereas 4% answered that it was "unnecessary." Conclusions: This survey of the actual status of transitional care between pediatrics and obstetrics/gynecology in Japan identified issues to be addressed for the spread of transitional care. The results suggest that, in the future, health care professionals need education to increase their knowledge, and that patient education that leads to patients' awareness of their own self-management is necessary.

目的:本研究旨在通过对妇产科医生进行调查,了解日本儿科癌症患者(PPCs)过渡性护理的实际情况。方法:对日本的妇产科医生进行有关过渡性医疗的问卷调查:在日本妇产科学会注册的全国 579 家主要培训机构中,以在线问卷的形式进行了有关过渡性医疗的问卷调查。结果显示虽然有 40% 的培训机构接受过产前综合症患者的转诊,但只有 13% 的培训机构专门为产前综合症患者提供过渡性医疗服务。转诊中最常见的问题与 "解释不充分 "有关。此外,在没有治疗 PPC 经验的医疗机构中,许多受访者表示他们不知道如何跟踪疾病的进展。关于 PPC 妇产科就诊的必要性,在有治疗 PPC 经验的医疗机构中,超过半数的受访者回答 "有必要",只有 1%的受访者回答 "没有必要"。另一方面,在没有治疗 PPC 经验的医疗机构中,37% 的受访者回答 "有必要",而 4% 的受访者回答 "没有必要"。结论:这项针对日本儿科和妇产科之间过渡性护理实际状况的调查发现了过渡性护理推广过程中需要解决的问题。调查结果表明,今后需要对医护人员进行教育,以提高他们的知识水平,同时也需要对患者进行教育,使患者认识到自我管理的重要性。
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引用次数: 0
Ovarian Insufficiency and Fertility Preservation During and After Childhood Cancer Treatment. 儿童癌症治疗期间和之后的卵巢功能不全和生育力保护。
IF 1.2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-06-01 Epub Date: 2024-01-24 DOI: 10.1089/jayao.2023.0111
Kayla L Foster, Danielle J Lee, Selma F Witchel, Catherine M Gordon

Premature ovarian insufficiency (POI) is one of many potential long-term consequences of childhood cancer treatment in females. Causes of POI in this patient population can include chemotherapy, especially alkylating agents, and radiation therapy. Rarely, ovarian tumors lead to ovarian dysfunction. POI can manifest as delayed pubertal development, irregular menses or amenorrhea, and infertility. This diagnosis often negatively impacts emotional health due to the implications of impaired ovarian function after already enduring treatment for a primary malignancy. The emerging adult may be challenged by the impact on energy level, quality of life, and fertility potential. POI can also lead to low bone density and compromised skeletal strength. This review discusses the health consequences of POI in childhood cancer survivors (CCS). We also explore the role of fertility preservation for CCS, including ovarian tissue cryopreservation and other available options. Lastly, knowledge gaps are identified that will drive a future research agenda.

早发性卵巢功能不全(POI)是女性儿童癌症治疗的众多潜在长期后果之一。导致这类患者出现卵巢功能不全的原因包括化疗(尤其是烷化剂)和放疗。卵巢肿瘤导致卵巢功能障碍的情况较为罕见。POI 可表现为青春期发育延迟、月经不调或闭经以及不孕。在接受原发性恶性肿瘤治疗后,由于卵巢功能受损的影响,这种诊断往往会对患者的情绪健康产生负面影响。新近成年的患者可能会因精力水平、生活质量和生育能力受到影响而面临挑战。POI 还可能导致低骨密度和骨骼强度受损。本综述讨论了儿童癌症幸存者(CCS)POI 对健康的影响。我们还探讨了保留生育力对儿童癌症幸存者的作用,包括卵巢组织冷冻和其他可选方案。最后,我们确定了知识差距,这将推动未来的研究议程。
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引用次数: 0
Evaluation of the Cancer Awareness Measure in Adolescents in Turkiye: A Methodological Study. 对土耳其青少年癌症意识测量的评估:方法论研究
IF 1.2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-05-28 DOI: 10.1089/jayao.2024.0005
Şeyma Zeybek, Şeyda Özbiçakçi

Purpose: Cancer awareness can help reduce the associated morbidity and mortality. There is no scale for the assessment of general cancer awareness in Turkiye. This study aimed to evaluate the cultural relevance and psychometric properties of the cancer awareness measure (CAM) for use in adolescents in the Turkish population. Methods: This methodological study included 400 students attending seven high schools in western Turkiye, recruited by convenience sampling. The CAM was translated into Turkish and assessed for content validity by expert panel opinion and content validity index (CVI). The Turkish CAM was administered online, and its reliability was assessed using Cronbach's alpha coefficients, item-total and item-subscale correlation coefficients, and test-retest analysis. Results: The Turkish CAM had excellent content validity (scale CVI = 0.99). Cronbach's alpha for the entire scale was 0.72, and item-subscale correlation coefficients were 0.33-.75 (p < 0.001). Test-retest reliability was good, with an intraclass correlation coefficient of 0.83 for the entire scale (p < 0.001). The students' mean score on the Turkish CAM was 45.60 ± 7.23 (on a scale of 11-77), indicating moderate cancer awareness. Conclusion: The Turkish CAM is a valid and reliable measure that can be used to assess cancer awareness in adolescents in Turkiye. Interventional studies should be performed to measure and increase cancer awareness and promote cancer prevention among young people.

目的:对癌症的认识有助于降低相关的发病率和死亡率。目前在土耳其还没有用于评估癌症常识的量表。本研究旨在评估癌症认知量表(CAM)在土耳其青少年人群中的文化相关性和心理测量特性。研究方法:这项方法学研究通过便利抽样的方式招募了土耳其西部七所高中的 400 名学生。CAM 已被翻译成土耳其语,并通过专家小组意见和内容效度指数 (CVI) 进行了内容效度评估。土耳其语 CAM 采用在线施测,并使用 Cronbach's alpha 系数、项目总相关系数和项目分量表相关系数以及测试-再测分析对其可靠性进行了评估。结果显示土耳其 CAM 具有良好的内容效度(量表 CVI = 0.99)。整个量表的 Cronbach's alpha 为 0.72,项目-子量表相关系数为 0.33-.75(p < 0.001)。测试-重测信度良好,整个量表的类内相关系数为 0.83(p < 0.001)。学生在土耳其语 CAM 中的平均得分为 45.60 ± 7.23(11-77 分),表明其癌症意识处于中等水平。结论土耳其 CAM 是一种有效、可靠的测量方法,可用于评估土耳其青少年的癌症意识。应开展干预性研究,以衡量和提高青少年对癌症的认识,并促进癌症预防工作。
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引用次数: 0
Documentation of Infertility Risk Discussion in Cancer Patients Receiving Cancer-Directed Therapy: The UC Davis Cancer Center Experience. 记录接受癌症导向疗法的癌症患者的不孕风险讨论:加州大学戴维斯分校癌症中心的经验。
IF 2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-04-01 Epub Date: 2023-08-22 DOI: 10.1089/jayao.2023.0034
Colleen McCann, Natalie Kamiyama, Debra Burgess, Angela E Usher, Jeffrey Fine, Machelle Wilson, Andrea Iannucci, Gary S Leiserowitz, Marcio Malogolowkin

Purpose: A complication of cancer-directed therapy that often goes undiscussed is infertility. Although guidelines recommend addressing the possibility of infertility and fertility preservation approaches before initiating treatment, an internal review at our institution showed only 49% of female patients had infertility risk counseling documented. As a result, a fertility assessment communication was added into all oncology treatment plans to improve rates of fertility discussion and documentation. Methods: This retrospective observational study included newly diagnosed patients of childbearing potential who initiated cancer-directed therapy between January 1, 2020, and October 31, 2021. Patients who were no longer of childbearing potential due to age or surgery were excluded. Patients were divided into pre- and post-implementation groups to assess the impact of the fertility assessment communication implemented on November 1, 2020. Results: A total of 152 patients met inclusion criteria, with 80 patients in the pre-implementation group and 72 patients in the post-implementation group. The primary outcome of documentation of infertility risk discussion was 47.5% in the pre-implementation group and 86.1% in the post-implementation group (p < 0.0001). Discussion of fertility preservation options was documented in 28.7% of the pre-implementation group and 43.1% in the post-implementation group (p = 0.13). In the pre-implementation group, 5% underwent fertility preservation versus 27.8% in the post-implementation group (p = 0.0001). Of the 27 patients who received fertility preservation, 13 received hormonal therapy, 11 sperm banking, and 3 egg harvesting. Conclusion: This intervention significantly increased rates of infertility risk discussion and fertility preservation approaches received. There are opportunities to help patients receive fertility preservation, especially sperm banking and egg harvesting.

目的:癌症导向治疗的一个并发症是不孕症,但这一问题往往没有得到讨论。尽管指南建议在开始治疗前讨论不孕症的可能性和保留生育能力的方法,但本机构的一项内部审查显示,只有 49% 的女性患者有不孕症风险咨询记录。因此,我们在所有肿瘤治疗计划中加入了生育评估沟通,以提高生育讨论和记录的比例。研究方法这项回顾性观察研究纳入了 2020 年 1 月 1 日至 2021 年 10 月 31 日期间开始接受癌症导向治疗的新确诊育龄患者。因年龄或手术而不再具有生育能力的患者除外。患者被分为实施前和实施后两组,以评估 2020 年 11 月 1 日实施的生育力评估交流的影响。结果共有 152 名患者符合纳入标准,其中 80 名患者属于实施前组,72 名患者属于实施后组。不孕不育风险讨论记录的主要结果是,实施前组为 47.5%,实施后组为 86.1%(P = 0.13)。在实施前组别中,5% 的患者接受了生育力保存,而在实施后组别中,27.8% 的患者接受了生育力保存(P = 0.0001)。在接受生育力保存的 27 名患者中,13 人接受了激素治疗,11 人接受了精子库治疗,3 人接受了采卵治疗。结论这项干预措施大大提高了不孕不育风险讨论率和接受生育力保存方法的比例。有机会帮助患者接受生育力保存,尤其是精子库和卵子采集。
{"title":"Documentation of Infertility Risk Discussion in Cancer Patients Receiving Cancer-Directed Therapy: The UC Davis Cancer Center Experience.","authors":"Colleen McCann, Natalie Kamiyama, Debra Burgess, Angela E Usher, Jeffrey Fine, Machelle Wilson, Andrea Iannucci, Gary S Leiserowitz, Marcio Malogolowkin","doi":"10.1089/jayao.2023.0034","DOIUrl":"10.1089/jayao.2023.0034","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> A complication of cancer-directed therapy that often goes undiscussed is infertility. Although guidelines recommend addressing the possibility of infertility and fertility preservation approaches before initiating treatment, an internal review at our institution showed only 49% of female patients had infertility risk counseling documented. As a result, a fertility assessment communication was added into all oncology treatment plans to improve rates of fertility discussion and documentation. <b><i>Methods:</i></b> This retrospective observational study included newly diagnosed patients of childbearing potential who initiated cancer-directed therapy between January 1, 2020, and October 31, 2021. Patients who were no longer of childbearing potential due to age or surgery were excluded. Patients were divided into pre- and post-implementation groups to assess the impact of the fertility assessment communication implemented on November 1, 2020. <b><i>Results:</i></b> A total of 152 patients met inclusion criteria, with 80 patients in the pre-implementation group and 72 patients in the post-implementation group. The primary outcome of documentation of infertility risk discussion was 47.5% in the pre-implementation group and 86.1% in the post-implementation group (<i>p</i> < 0.0001). Discussion of fertility preservation options was documented in 28.7% of the pre-implementation group and 43.1% in the post-implementation group (<i>p</i> = 0.13). In the pre-implementation group, 5% underwent fertility preservation versus 27.8% in the post-implementation group (<i>p</i> = 0.0001). Of the 27 patients who received fertility preservation, 13 received hormonal therapy, 11 sperm banking, and 3 egg harvesting. <b><i>Conclusion:</i></b> This intervention significantly increased rates of infertility risk discussion and fertility preservation approaches received. There are opportunities to help patients receive fertility preservation, especially sperm banking and egg harvesting.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"288-292"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10059855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Development of a Bereavement Support Group Curriculum for Bereaved Parents of Young Adult Children: Bridging the Gap. 为年幼成年子女的丧亲父母制定丧亲支持小组课程:弥合差距。
IF 2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-04-01 Epub Date: 2023-10-23 DOI: 10.1089/jayao.2023.0060
Sue E Morris, Annelise K Ryan, Paige Malinowski, Cristina Pozo-Kaderman, Karen M Fasciano

Purpose: There is limited research addressing the bereavement needs of parents whose young adult (YA) children have died from cancer. Research within oncology about the impact of child loss has tended to focus on parents of pediatric aged children. We adapted a general bereavement support group curriculum used with adults to address the unique needs of bereaved parents of YAs. Methods: Using a quality improvement framework, 25 bereaved parents of YA children participated in one of three 6-session bereavement support group programs during 2020 and 2021. Due to the coronavirus disease 2019 (COVID-19) pandemic, the programs were offered virtually. The participants provided feedback and completed an evaluation. Results: Nineteen mothers and six fathers participated with 20 (80%) completing the evaluation. The median time since the death of their child was 6 months. The participants evaluated the program highly, reporting that they felt less isolated (4.25/5 on a 5-point Likert scale); that their concerns were similar to others (4.45/5); and the discussion topics were relevant (4.20/5). Other topics that were identified included the impact on the family of losing a YA child, and how other relationships change. Forty-five percent of participants expressed a preference for a hybrid delivery model, incorporating in-person and virtual sessions. The majority also wished to continue meeting monthly, given they had little contact with other bereaved parents of YAs. Conclusion: The general bereavement support group curriculum was readily adapted for use with bereaved parents of YA children who died from cancer. A hybrid delivery model was the preferred method for future groups.

目的:针对年轻成年(YA)儿童死于癌症的父母的丧亲需求的研究有限。肿瘤学领域关于儿童丢失影响的研究往往集中在儿科年龄儿童的父母身上。我们对成人使用的一般丧亲支持小组课程进行了调整,以满足YA丧亲父母的独特需求。方法:使用质量改进框架,在2020年和2021年期间,25名YA儿童的丧亲父母参加了三个6期丧亲支持小组项目中的一个。由于2019冠状病毒病(新冠肺炎)大流行,这些项目是虚拟提供的。参与者提供了反馈并完成了评估。结果:19位母亲和6位父亲参与了评估,其中20位(80%)完成了评估。孩子死亡后的中位时间为6个月。参与者对该项目评价很高,报告称他们感觉不那么孤立(Likert量表5分为4.25/5);他们的担忧与其他人相似(4.45/5);讨论的主题是相关的(4.20/5)。确定的其他主题包括失去一个YA孩子对家庭的影响,以及其他关系如何改变。45%的参与者表示更喜欢混合交付模式,包括面对面和虚拟会议。大多数人还希望继续每月会面,因为他们与YA的其他丧亲父母几乎没有联系。结论:一般丧亲支持小组课程很容易适用于死于癌症的YA儿童的丧亲父母。混合递送模式是未来群体的首选方法。
{"title":"The Development of a Bereavement Support Group Curriculum for Bereaved Parents of Young Adult Children: Bridging the Gap.","authors":"Sue E Morris, Annelise K Ryan, Paige Malinowski, Cristina Pozo-Kaderman, Karen M Fasciano","doi":"10.1089/jayao.2023.0060","DOIUrl":"10.1089/jayao.2023.0060","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> There is limited research addressing the bereavement needs of parents whose young adult (YA) children have died from cancer. Research within oncology about the impact of child loss has tended to focus on parents of pediatric aged children. We adapted a general bereavement support group curriculum used with adults to address the unique needs of bereaved parents of YAs. <b><i>Methods:</i></b> Using a quality improvement framework, 25 bereaved parents of YA children participated in one of three 6-session bereavement support group programs during 2020 and 2021. Due to the coronavirus disease 2019 (COVID-19) pandemic, the programs were offered virtually. The participants provided feedback and completed an evaluation. <b><i>Results:</i></b> Nineteen mothers and six fathers participated with 20 (80%) completing the evaluation. The median time since the death of their child was 6 months. The participants evaluated the program highly, reporting that they felt less isolated (4.25/5 on a 5-point Likert scale); that their concerns were similar to others (4.45/5); and the discussion topics were relevant (4.20/5). Other topics that were identified included the impact on the family of losing a YA child, and how other relationships change. Forty-five percent of participants expressed a preference for a hybrid delivery model, incorporating in-person and virtual sessions. The majority also wished to continue meeting monthly, given they had little contact with other bereaved parents of YAs. <b><i>Conclusion:</i></b> The general bereavement support group curriculum was readily adapted for use with bereaved parents of YA children who died from cancer. A hybrid delivery model was the preferred method for future groups.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"281-287"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49690579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Supportive and Palliative Care Integration in Adolescent and Young Adult Cancer. 改善青少年和青年癌症的支持和姑息治疗整合。
IF 2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-04-01 Epub Date: 2023-10-25 DOI: 10.1089/jayao.2023.0096
Ruwanthie Amanda Fernando

Purpose: Timely supportive and palliative care (SPC) integration in adolescent and young adult (AYA) cancer management is recommended in curative and palliative settings. However, multiple barriers exist to implementing this goal. Liverpool Cancer Therapy Center (LCTC) serviced a growing AYA (15-39 years) population without AYA-dedicated services and the vast majority receiving no SPC engagement. Concerned this was placing AYA patients' wellbeing at risk, we determined a cultural change was required and that the newly established AYA Supportive and Palliative Care (AYASPC) Service could facilitate this. Methods: The AYASPC Service conducted a 6-month quality improvement project aiming to increase its referrals from a baseline average of one per month to four per month, to increase confidence in making SPC referrals and to enhance appreciation for specialized AYA care. Interventions included formalizing an AYASPC referral pathway with broad indications, and educating clinicians on holistic AYA care, the AYASPC Service's model of care (MoC) and AYASPC referral benefits. Results: During the project, 27 AYASPC referrals were made. Referrals consistently exceeded the Service's baseline, and from 3 months onward exceeded the project target. Additionally, referrals were made earlier (29.6% at diagnosis), for a variety of cancer diagnoses with varied prognoses, and for indications beyond traditional issues of complex symptoms and end-of-life care. Clinicians also expressed greater confidence in supporting AYAs and making SPC referrals. Conclusion: In a brief timeframe, the AYASPC Service's innovative and adaptable MoC and project interventions sustainably improved AYASPC access and affected a positive cultural shift around AYA care and advocacy.

目的:在治疗和姑息治疗环境中,建议在青少年和年轻人(AYA)癌症管理中及时整合支持和姑息治疗(SPC)。然而,实现这一目标存在多重障碍。利物浦癌症治疗中心(LCTC)为不断增长的AYA(15-39岁)人口提供服务,但没有专门的AYA服务,绝大多数人没有接受SPC参与。由于担心这会危及AYA患者的健康,我们确定需要进行文化变革,新成立的AYA支持和姑息治疗(AYASPC)服务可以促进这一点。方法:AYASPC服务进行了一个为期6个月的质量改进项目,旨在将其转诊从基线平均每月一次增加到每月四次,以提高对SPC转诊的信心,并提高对专业AYA护理的赞赏。干预措施包括正式制定具有广泛适应症的AYASPC转诊途径,并就整体AYA护理、AYASPC服务的护理模式(MoC)和AYASPC的转诊福利对临床医生进行教育。结果:在项目期间,共转介了27名AYASPC。转介人数一直超过服务的基线,从3个月起超过了项目目标。此外,早期转诊(诊断时为29.6%),用于各种预后不同的癌症诊断,以及复杂症状和临终关怀等传统问题之外的适应症。临床医生也表示对支持AYA和SPC转诊更有信心。结论:在短时间内,AYASPC服务创新和适应性强的MoC和项目干预措施可持续地改善了AYASPC的使用,并影响了围绕AYA护理和宣传的积极文化转变。
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引用次数: 0
Recommendations from the Professional Advisory Committee on Nursing Practice When Caring for Adolescents and Young Adults with Cancer in Israel. 以色列癌症青少年护理实践专业咨询委员会的建议。
IF 2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-04-01 Epub Date: 2023-10-27 DOI: 10.1089/jayao.2023.0091
Irit Schwartz-Attias, Tova David, Tatiyana Amromin, Michal Bar-Yosef, Yael Bartov, Orna Ben Yaakov, Levana Bernstein, Marcela Broitman, Amira Cohen, Osnat Cohen, Limor Eisenberg, Nurit Eshel, Nati Gindi Amsalem, Natan Gorelik, Shimrit Gerbi, Haya Raz, Nahla Naamneh, Svetlana Nemtsov, Dalit Pintel, Keren Sztrigler, Shoshy Goldberg, Semyon Melnikov
{"title":"Recommendations from the Professional Advisory Committee on Nursing Practice When Caring for Adolescents and Young Adults with Cancer in Israel.","authors":"Irit Schwartz-Attias, Tova David, Tatiyana Amromin, Michal Bar-Yosef, Yael Bartov, Orna Ben Yaakov, Levana Bernstein, Marcela Broitman, Amira Cohen, Osnat Cohen, Limor Eisenberg, Nurit Eshel, Nati Gindi Amsalem, Natan Gorelik, Shimrit Gerbi, Haya Raz, Nahla Naamneh, Svetlana Nemtsov, Dalit Pintel, Keren Sztrigler, Shoshy Goldberg, Semyon Melnikov","doi":"10.1089/jayao.2023.0091","DOIUrl":"10.1089/jayao.2023.0091","url":null,"abstract":"","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"235-238"},"PeriodicalIF":2.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61562776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Examination of the Association Between Psychosocial Aspects of Fertility Issues and Demographic Characteristics of Unmarried Adolescent and Young Adult Cancer Survivors. 未婚青少年和癌症青年幸存者生育问题的心理社会方面与人口统计学特征之间的关系研究。
IF 2 4区 医学 Q4 ONCOLOGY Pub Date : 2024-04-01 Epub Date: 2023-10-30 DOI: 10.1089/jayao.2023.0097
Kanako Yoshida, Yutaka Matsui

Purpose: The purpose of this study was to examine the association between fertility issues and demographic characteristics of unmarried adolescent and young adult cancer survivors. Methods: We conducted a survey among cancer survivors who were 15-39 years old and unmarried at the time of cancer diagnosis and 20-45 years old at the time of the survey. Views on fertility issues, originally developed based on the results of a qualitative study conducted with the same inclusion criteria, were used to assess thoughts and feelings regarding fertility issues. Results: Through exploratory factor analysis of the 128 respondents who either had children or desired children, two factors related to fertility issues were identified: "anxiety related to the possibility of not being able to have children" and "pressure from others to have children." Multiple regression analysis was performed to examine the association between these factors and demographic characteristics. The analysis revealed that being male and having a partner were significant predictors for both factors for views on fertility issues. Additionally, younger age at the time of diagnosis was a significant predictor for the first factor. Conclusions: Greater fertility issues among unmarried cancer survivors were associated with younger age at diagnosis, having a partner, and being male. Surprisingly, contrary to previous findings, male cancer survivors experienced more significant fertility problems than women. This result may be attributed to the well-established gender roles in Japan, where men are predominantly considered the heirs and inheritors of the family.

目的:本研究旨在探讨未婚青少年和癌症青年幸存者的生育问题与人口统计学特征之间的关系。方法:我们对癌症诊断时15-39岁未婚和调查时20-45岁的癌症幸存者进行了调查。关于生育问题的观点最初是根据以相同纳入标准进行的定性研究的结果形成的,用于评估对生育问题的想法和感受。结果:通过对128名有孩子或想要孩子的受访者的探索性因素分析,确定了与生育问题相关的两个因素:“与无法生育的可能性相关的焦虑”和“来自他人的生育压力”。“我们进行了多元回归分析,以检验这些因素与人口统计学特征之间的关系。分析表明,男性和有伴侣是两个因素对生育问题看法的重要预测因素。此外,诊断时年龄较小是第一个因素的重要预测因素。结论:更大的生育问题未婚癌症幸存者中的s与诊断时年龄较小、有伴侣和为男性有关。令人惊讶的是,与之前的研究结果相反,男性癌症幸存者比女性经历了更严重的生育问题。这一结果可能归因于日本根深蒂固的性别角色,在日本,男性主要被视为家庭的继承人和继承人。
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引用次数: 0
期刊
Journal of adolescent and young adult oncology
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