title: Reimagining care for adolescent and young adult cancer programs: Moving with the times.
abstract: Literature regarding the development of adolescent and young adult (AYA) cancer programs has been dominantly informed by pediatric centers and practitioners. However, the majority of young adults are seen and treated at adult cancer centers, in which cancer volumes afford the development of innovative supportive care services. Although the supportive care services in adult cancer centers are helpful to AYAs, some of the most prominent and distinct issues faced by AYAs are not adequately addressed through these services alone. This article describes how the AYA Program at Princess Margaret Cancer Centre has collaborated with existing supportive care services in addition to supplying its own unique services to meet the comprehensive needs of AYAs in the domains of: symptom management (sexuality and fatigue), behavior modification (return to work and exercise), and health services (advanced cancer and survivorship). These collaborations are augmented by patient education interventions and timely referrals. The objective of this article was to assist other centers in expanding existing services to address the needs of AYA patients with cancer.
authors: Division of Medical Oncology, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.|Division of Hematology/Oncology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
authors: Abha A
authors: AA
authors: Gupta
authors: Oncology Patient and Family Education, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
authors: Janet K
authors: JK
authors: Papadakos
authors: Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
authors: Jennifer M
authors: JM
authors: Jones
authors: Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
authors: Leila
authors: L
authors: Amin
authors: Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
authors: Eugene K
authors: EK
authors: Chang
authors: Division of Supportive Care, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.|Division of Adolescent Medicine, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
authors: Chana
authors: C
authors: Korenblum
authors: Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.|Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada.
authors: Daniel
authors: D
authors: Santa Mina
authors: Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, Canada.
authors: Lianne
authors: L
authors: McCabe
authors: Adolescent and Young Adult Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.|Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
authors: Laura
authors: L
authors: Mitchell
authors: Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.|Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada.
authors: Meredith E
authors: ME
authors: Giuliani
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000458:organization & administration*; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D055815:Young Adult
keywords: adolescent and young adult; exercise; fatigue; palliation; patient education; return to work; sexuality; supportive care