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The effectiveness of a provincial symptom assessment program in reaching adolescents and young adults with cancer: A population‐based cohort study
- Source :
- Cancer Medicine, Cancer Medicine, Vol 10, Iss 24, Pp 9030-9039 (2021)
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Background Symptom control is prioritized by cancer patients and may improve overall survival. Ontario, Canada thus offers all cancer patients screening using the Edmonton Symptom Assessment System (ESAS) at outpatient cancer‐related visits. We determined whether this initiative reached adolescents and young adults (AYA) and factors associated with screening in this population. Methods We linked all Ontario AYA diagnosed with cancer 2010–2018 aged 15–29 years to population‐based databases identifying outpatient visits and ESAS screening. For each 2‐week period in the year post‐diagnosis, AYA with cancer‐related visits were categorized as “unscreened” (no ESAS score) versus “screened” (≥1 ESAS score). Demographic and disease‐related covariates were examined. Results Among 5435 AYA, 4204 (77.4%) had ≥1 ESAS screen. Within any 2‐week period, only 30%–44% of AYA attending cancer‐related visits were screened. Patients with hematologic malignancies were least likely to be screened [odds ratio (OR) vs. breast cancer 0.77, 95% confidence interval (95% CI) 0.67–0.88; p<br />Symptom control is prioritized by cancer patients; we assessed whether a population‐based symptom screening program was effective in screening adolescents and young adults (AYA). AYA living in rural and remote areas had high rates of screening, but those living in low‐income urban areas and those with hematologic cancers had lower screening rates. AYA‐specific measures may be warranted.
- Subjects :
- young adults
Adult
Gerontology
Cancer Research
Population
Psychological intervention
Symptom assessment
Cohort Studies
Young Adult
Population based cohort
03 medical and health sciences
0302 clinical medicine
Breast cancer
population‐based
Neoplasms
Overall survival
cancer
Humans
Medicine
Symptom control
Radiology, Nuclear Medicine and imaging
adolescents
030212 general & internal medicine
Young adult
education
RC254-282
Research Articles
Retrospective Studies
Ontario
education.field_of_study
business.industry
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Cancer
Odds ratio
medicine.disease
humanities
Confidence interval
3. Good health
Oncology
030220 oncology & carcinogenesis
symptoms
Symptom Assessment
Rural area
patient‐reported outcomes
business
Cancer Prevention
Research Article
Demography
Subjects
Details
- ISSN :
- 20457634
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Cancer Medicine
- Accession number :
- edsair.doi.dedup.....120857219f5bde2530440cf9b1f54090