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Pathways of care for adolescent patients with cancer in France from 2006 to 2007.
- Source :
-
Pediatric blood & cancer [Pediatr Blood Cancer] 2012 Jun; Vol. 58 (6), pp. 924-9. Date of Electronic Publication: 2011 Dec 16. - Publication Year :
- 2012
-
Abstract
- Background: In France, as in other countries, there is a need for a population-based view of access to care and modalities of treatment for adolescents with cancer.<br />Procedure: Using a population-based registration, we report pathways of care for 15-19-year-old patients, diagnosed with cancer in 2006 and 2007, living in six French regions, accounting for 41% of the French population.<br />Results: The median times (inter-quartile range) for diagnosis and treatment of the 594 included adolescents were 8 weeks (3-17) and 3 days (0-16), respectively. First physicians met by the patients were mostly general practitioners (59%). Seventeen percent of patients were firstly seen on emergency wards. Most of the patients (82%) were treated in an adult environment. Management decisions were taken within the context of a multi-disciplinary team (MDT) in 54% of cases. Twenty-seven percent of patients were included in randomized or non-randomized clinical studies: percentage depended on the tumor type and on the number of on-going trials at the study period. Fifteen percent of patients were included in pediatric studies, 7% in adult studies, and 5% in studies including both adults and children.<br />Conclusions: The pathways of care for French adolescent patients with cancer are heterogeneous. Our results reveal differences in MDT meetings according to tumor types and a lack of effective collaboration between pediatric and adult wards. Efforts must be made to develop cancer networks to ensure that adolescents receive the optimal care in a suitable environment.<br /> (Copyright © 2011 Wiley Periodicals, Inc.)
- Subjects :
- Adolescent
Clinical Trials as Topic
Female
France
Hematology statistics & numerical data
Hospitals, University statistics & numerical data
Humans
Male
Medical Oncology statistics & numerical data
Pediatrics statistics & numerical data
Physicians statistics & numerical data
Referral and Consultation statistics & numerical data
Young Adult
Health Services Accessibility statistics & numerical data
Neoplasms diagnosis
Neoplasms therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1545-5017
- Volume :
- 58
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Pediatric blood & cancer
- Publication Type :
- Academic Journal
- Accession number :
- 22180332
- Full Text :
- https://doi.org/10.1002/pbc.24032