title: Adolescent and young adult cancer: principles of care.
abstract: Adolescents and young adults (ayas) with cancer in active treatment face a number of barriers to optimal care. In the present article, we focus on the 3 critical domains of care for ayas-medical, psychosocial, and research-and how changes to the system could overcome barriers. We summarize the current literature, outline recommended principles of care, raise awareness of barriers to optimal care, and suggest specific changes to the system to overcome those barriers in the Canadian context. Many of the recommendations can nevertheless be applied universally. These recommendations are endorsed by the Canadian Task Force on Adolescents and Young Adults with Cancer and build on outcomes from two international workshops held by that group.
authors.affiliation: Division of Pediatric Hematology/Oncology, University of Ottawa, Ottawa, ON;
authors.forename: R
authors.initials: R
authors.lastname: Ramphal
authors.affiliation: Division of Gynecologic Oncology, McGill University, Montreal, QC;
authors.forename: S
authors.initials: S
authors.lastname: Aubin
authors.affiliation: Division of Hematology/Oncology, University of Manitoba, Winnipeg, MB;
authors.forename: P
authors.initials: P
authors.lastname: Czaykowski
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON;
authors.forename: S
authors.initials: S
authors.lastname: De Pauw
authors.affiliation: Division of Pediatric Hematology, Oncology and Bone Marrow Transplantation, BC Children's Hospital and University of British Columbia, Vancouver, BC;
authors.forename: A
authors.initials: A
authors.lastname: Johnson
authors.affiliation: Division of Pediatric Hematology/Oncology, University of Alberta, Edmonton, AB;
authors.forename: S
authors.initials: S
authors.lastname: McKillop
authors.affiliation: Department of Internal Medicine, University of Manitoba, Winnipeg, MB;
authors.forename: D
authors.initials: D
authors.lastname: Szwajcer
authors.affiliation: Faculty of Nursing, University of New Brunswick, Fredericton, NB.
authors.forename: K
authors.initials: K
authors.lastname: Wilkins
authors.affiliation: Division of Hematology/Oncology, University of Manitoba, Winnipeg, MB;
authors.forename: P
authors.initials: P
authors.lastname: Rogers
keywords: Adolescents; young adults