Cancer adolescent pathway in France between 1988 and 1997
| Autor: | Mélanie White-Koning, Nabil Maarouf, Laurence Brugières, Patricia Delafosse, Brigitte Trétarre, Danièle Sommelet, Anne-Valérie Guizard, Emmanuel Desandes, Angelina Marr, Brigitte Lacour, Christine Cotte, Michel Velten, Arlette Danzon |
|---|---|
| Přispěvatelé: | Centre Alexis Vautrin (CAV), Registre National des Tumeurs Solides de l'Enfant (RNTSE), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Cancéropôle du Grand Est, Registre des Cancers de l'Enfant de Lorraine, Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), FRANCIM, Réseau des registres français du cancer, Registre des cancers de la Manche, CHPC - Site Louis Pasteur, Centre Hospitalier Public du Cotentin (CHPC)-Centre Hospitalier Public du Cotentin (CHPC), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Département de Pédiatrie, Institut Gustave Roussy (IGR), Centre Alexis Vautrin ( CAV ), Registre National des Tumeurs Solides de l'Enfant ( RNTSE ), Centre Hospitalier Régional Universitaire de Nancy ( CHRU Nancy ) -Cancéropôle du Grand Est, Centre Hospitalier Régional Universitaire de Nancy ( CHRU Nancy ), registre des cancers de la Manche, Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ) -Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ), Institut Gustave Roussy ( IGR ) |
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Male
Pediatrics MESH : Pediatrics Adolescent cancer Aftercare MESH: Community Health Planning Medical Oncology MESH : Referral and Consultation Health Services Accessibility [ SDV.CAN ] Life Sciences [q-bio]/Cancer MESH: Aftercare 0302 clinical medicine MESH : Physician's Practice Patterns MESH : Health Services Accessibility MESH: Practice Guidelines as Topic Neoplasms hemic and lymphatic diseases Outcome Assessment Health Care MESH: Cooperative Behavior MESH : Female MESH: Neoplasms MESH: Specialties Surgical Cooperative Behavior Practice Patterns Physicians' 10. No inequality Referral and Consultation MESH: Medical Oncology education.field_of_study Clinical Trials as Topic MESH: Health Services Accessibility Oncology (nursing) Communication General Medicine MESH : Cooperative Behavior MESH : Survival Rate 3. Good health Survival Rate MESH : Practice Guidelines as Topic 030220 oncology & carcinogenesis Practice Guidelines as Topic MESH: Pediatrics Female MESH: Communication France Health Services Research MESH : Communication Family Practice MESH: Health Services Research MESH : Health Services Needs and Demand MESH: Health Services Needs and Demand medicine.medical_specialty Referral Adolescent MESH : Outcome Assessment (Health Care) MESH : Family Practice MESH: Clinical Trials as Topic MESH: Survival Rate MESH : Male Population MESH : Health Services Research [SDV.CAN]Life Sciences [q-bio]/Cancer Community Health Planning Specialties Surgical 03 medical and health sciences MESH: Referral and Consultation MESH : Medical Oncology 030225 pediatrics MESH : Adolescent medicine Cooperative group Humans education MESH : France MESH: Physician's Practice Patterns MESH: Outcome Assessment (Health Care) MESH: Family Practice MESH: Adolescent Health Services Needs and Demand MESH: Humans MESH : Specialties Surgical business.industry MESH : Humans Cancer medicine.disease MESH : Neoplasms MESH: Male Clinical trial MESH : Clinical Trials as Topic MESH: France MESH : Aftercare Lymphoblastic leukaemia business Haematological malignancy MESH : Community Health Planning MESH: Female |
| Zdroj: | European Journal of Oncology Nursing European Journal of Oncology Nursing, Elsevier, 2007, 11 (1), pp.74-81. ⟨10.1016/j.ejon.2006.04.036⟩ European Journal of Oncology Nursing, Elsevier, 2007, 11 (1), pp.74-81. 〈10.1016/j.ejon.2006.04.036〉 |
| ISSN: | 1462-3889 |
| DOI: | 10.1016/j.ejon.2006.04.036⟩ |
| Popis: | International audience; We report an adolescent cancer pathway from referral, through diagnosis and treatment, to follow-up in France. All cases of cancer among 15-19 years, diagnosed from 1988 to 1997, recorded by nine French population-based cancer registries (10% of French population) were included. The management of adolescent cancer by paediatricians was rare. An adolescents' pathway through cancer care can be summarized as first visit to general practitioner, referral to adult oncologist for haematological malignancy and medical or surgical specialists for solid tumours, treatment in adult unit, and follow-up by adult oncologist, adult medical or surgical specialist, or general practitioner. Only 9% of the 15-19 years are entered into a clinical trial (respectively 6% and 3% into adult and paediatric clinical trial). The inclusion rate changes according to the diagnosis, higher for acute lymphoblastic leukaemia (39%), non-Hodgkin's lymphomas (NHL) (27%), and acute non-lymphoblastic leukaemia (20%). Only 4% of adolescent cancers were managed on shared adult/paediatric departments, especially for soft-tissue sarcomas (14.9%), malignant bone tumours (13.4), central nervous system tumours (6.2%), and NHL (4.4%). Whatever the reasons for lack of participation in clinical trials, an ideal model requiring communication and cooperation between all adult and paediatric specialists involved in adolescent cancer treatment should reduce the large gap in access to cooperative groups. |
| Databáze: | OpenAIRE |
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