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Adolescent oncology services: catching up with the kids.

机译:青少年肿瘤学服务:跟上孩子们的步伐。

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摘要

In the May issue of the Journal, there is a review by Thomas et al. of the special needs of adolescents and young adults (AYA) with cancer. The special needs include cancer-specific expertise and the need for a minimum caseload in uncommon cancers, outcomes, psychosocial support, communication, education and research. The article states that outcomes in AYA patients lag behind the advances in both childhood and adult cancer. It then proceeds to discuss the possible causes for this. Included are the possibilities of adult oncologists' therapeutic nihilism, a small number of concentrated paediatric services versus a more dispersed adult service, leading to a reduction in expertise, minimum caseloads and multidisciplinaryapproach to cancer and the poor relative of adult services in the availability of psychosocial support services, especially needed in the management of the difficult adolescent.Although wholeheartedly endorsing this group's special needs, one must not forget that for the general public, the diagnosis of cancer engenders a fear that markedly exceeds any other diagnosis. Indeed, to many adults, such a personal or family diagnosis is like a large black hole opening up in front of them. All adult hospitals fall short of the National Health and Medical Research Council of Australia guidelines for the psychosocial care of adults with cancer largely because of limited funding.
机译:在《华尔街日报》的5月号中,Thomas等人进行了评论。患有癌症的青少年的特殊需求。特殊需求包括特定于癌症的专业知识,以及在罕见的癌症,结局,社会心理支持,沟通,教育和研究中需要最小病例数的需求。文章指出,AYA患者的结局落后于儿童期癌症和成人癌症的进展。然后继续讨论可能的原因。其中包括成年肿瘤学家治疗虚无的可能性,少数集中的儿科服务与更分散的成年服务,从而导致专业知识的减少,病例数的减少以及癌症的多学科研究方法的减少以及成年心理服务的亲戚关系较差。支持服务,特别是在困难的青少年管理中所需要的服务。尽管我们全心全意地支持这一群体的特殊需要,但一定不要忘记,对于一般公众而言,癌症的诊断引起了一种明显超过任何其他诊断的恐惧。确实,对于许多成年人来说,这样的个人或家庭诊断就像在他们面前打开了一个大黑洞。由于资金有限,所有成人医院均未达到澳大利亚国家卫生与医学研究委员会关于癌症成人心理社会护理的指导原则。

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