在一个大型学术癌症中心开发一个多学科的青少年和年轻成年人计划
Michael E Roth1, Wendy Griffith1, Eunju Choi2
1Division of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, TX.
JCO oncology practice
|January 30, 2026
概括
一个针对青少年和年轻成年人 (AYA) 的专门癌症计划改善了护理协调,并解决了未满足的需求. 患者的高满意度和计划的增长证明了这个模式.
科学领域:
- 在瘤学瘤学.
- 青少年和年轻人的医学 (AYA)
- 癌症的生存率 癌症的生存率
背景情况:
- 患有癌症的青少年和年轻人 (AYA) 经历了独特的挑战,儿童或成人瘤服务无法充分应对.
- 开发专门的项目对于解决癌症AYA的独特医疗,心理和生存需求至关重要.
研究的目的:
- 在一个主要的学术癌症中心描述AYA多学科瘤学项目的发展,结构和增长.
- 介绍AYA专业瘤服务中患者满意度和计划覆盖范围的初步数据.
主要方法:
- 在MD安德森癌症中心对AYA计划进行了回顾性描述性评估.
- 该计划提供综合服务,包括导航,生育咨询,医疗/幸存者护理,心理社会支持,遗传咨询和营养.
- 数据来源于电子健康记录,患者满意度调查和参与AYA编程.
主要成果:
- 在2024年,AYA计划为1600多个独特的AYA提供服务,年增长12%的数量和43%的远程医疗访问.
- 患者人口的平均年龄为29岁,女性占61%. 关键的参考专业包括儿科,乳腺瘤学,淋巴瘤,肉瘤和妇科瘤学.
- 患者的满意度很高 (98%的人认为经验很好/很好),心理健康服务扩展和结构化的同行支持活动.
结论:
- 一个综合的,多学科的AYA瘤学计划有效地扩大了获得专业护理的机会,并解决了整个癌症连续性的未满足需求.
- 集中AYA计划简化了护理协调,并提供特定年龄的支持性癌症护理.
- 这个模型为那些希望改善癌症护理和为AYA提供生存支持的机构提供了一个可扩展的框架.
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