A new survivorship model for adolescents and young adults (AYA).

• DOI: 10.1200/jco.2016.34.3_suppl.43
• Publication Date: 2017-02-24T10:43:18Z
• Authors: Erin Marie Barthel; Sabrina Karim; Elizabeth Kiernan; Katherine Spencer; Rachel Murphy-Banks; Rebecca Burns; Mingqian Lin; Nadine Linendoll; Tully Saunders; Susan K. Parsons
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

43 Background: The AYA population is a growing group of cancer survivors, currently exceeding 600,000 in the US, with 70,000 new diagnoses each year. These survivors experience deficits general health, mental and functional status. Unfortunately, many are lost to follow-up after completion active therapy. They lack clarity about where go for care why such needed. To further complicate this, have not established primary provider (PCP). Methods: We present model survivorship tailored population. Our clinic has dedicated physical space staffed by pediatric- adult-trained oncologists. Survivors paired age-matched peer navigators guide them through logistics assist age- related transitions education, housing, insurance. Additionally, we care, introduced immediately at end therapy, utilizing staged curriculum, plans, point-of-care health-related quality life assessment. Results: Fifty-five unique patients seen 182 visits provided data this report. median age was 26 years (range 18-40). Twenty-nine (53%) were female. majority (58%) had been treated hematologic malignancy. One third completed college (31%). Most employed (71%), but still lived their parents (64%). more than one late effect (62%). Twenty-three (43%) reported health symptoms, including anxiety, mood swings, or sleep problems. Conclusions: A programs AYAs feasible necessary. In our sample, effects almost half psychosocial distress. Clinicians need monitor closely ensure that as they transition from treatment pediatric adult-based care. provides an integrated medical home survivor continues when comes ongoing coordination PCPs subspecialists co-manage complex issues.