Navigation Links
Teens, Young Adults Missing Out on Latest Cancer Advances
Date:1/25/2008

Treatment gap between pediatric and adult cancer care one reason why, study reports,,,,

FRIDAY, Jan. 25 (HealthDay News) -- When it comes to getting cutting-edge treatments for cancer, teens and young adults might be missing out.

In a study of young oncology patients, researchers found that 38 percent of those under 15 participated in a clinical trial, while just 27 percent of those over 15 were enrolled in a clinical trial. With the overall cancer survival rate lower among teens and young adults than it is among younger children, access to clinical trials appears to be a contributing factor, the researchers noted. In many cases, a clinical trial simply wasn't available for the adolescents, according to the study, which was published in a recent issue of the Journal of Pediatric Hematology/Oncology.

"We've known for several years that older adolescents and young adults don't have the same clinical trial rate as younger patients but didn't know all of the reasons why," explained study author Dr. Peter Shaw, director of the Adolescent and Young Adult Oncology Program at Children's Hospital of Pittsburgh.

"This study showed that the number one cause they're not put into clinical trials was that there aren't clinical trials available for them. Another reason is that many are referred to adult oncologists who may not be as familiar with pediatric disease and its patterns," said Shaw. "And that translates into worse survival rates, because clinical trial enrollment is correlated with better survival when it comes to cancer."

The current study included data from 640 children, adolescents and young adults with cancer who were treated at the Children's Hospital of Pittsburgh between July 2001 and June 2006. Five hundred and one were under 15. Overall, 36 percent were treated in a clinical trial, according to the study.

In the older age group, 57 percent weren't enrolled in a clinical trial because none were available. In children under 15, that number was 41 percent.

"Now that we realize that there's such a deficit, we have to make hard decisions about which clinical trials to run. Funding has been cut and that impacts how the Children's Oncology Group operates. Less protocols can be open," said Shaw.

"This is a historical problem. Some of the diseases span an 18-year range and have never been the domain of either pediatrics or adult oncology," said Dr. Richard Gorlick, division chief of pediatric hematology/oncology at The Children's Hospital at Montefiore in New York City.

"There's not necessarily a fixed dividing line when you think of pediatric or medical [adult] oncology," said Gorlick. "There's been a blurring of the age boundary, and adolescents and young adults should be treated by a provider who has the most expertise in their particular cancer area. The rare adolescent who has colon cancer would probably be better suited to being treated by a medical oncologist. But an adolescent with sarcoma, lymphoma or leukemia may do better with a pediatric oncologist. It all depends on the diagnosis."

Ideally, Shaw said that adolescents and young adults diagnosed with cancer will see both a pediatric and a medical oncologist to make sure they're getting the best treatment possible. Or, even better, he said, is to find an adolescent and young adult cancer treatment program.

More information

To gain a better understanding of the risks and benefits of clinical trials in cancer treatment, visit the Teens Living with Cancer.



SOURCES: Peter Shaw, M.D., pediatric hematologist/oncologist, and director, Adolescent and Young Adult Oncology Program, Children's Hospital of Pittsburgh; Richard Gorlick, M.D., associate professor, pediatrics and molecular pharmacology, and division chief, pediatric hematology/oncology, The Children's Hospital at Montefiore, New York City; December 2007, Journal of Pediatric Hematology/Oncology


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Office-Based Medical Treatment and Internet Resources Are Potential Solution to Rising Painkiller Misuse Among Teens, Young Adults
2. Air pollution linked to cardiovascular risk indices in healthy young adults
3. Urban Smog Tough on Young Adults Hearts
4. Male deer are born to live fast, die young
5. Bipolar Diagnoses in Younger People Show Huge Increase
6. HealthInsuranceFinders.com Launches Video Contest for Young Directors
7. Nuclear medicine approach can be first choice for excluding pulmonary embolism in young women
8. New HIV diagnoses rising in New York City among young men who have sex with men
9. Especially Yours and Paula Young Team up with Diahann Carroll and Jaclyn Smith in the Fight Against Breast Cancer
10. Young Children Thrive on 30,000 Words a Day
11. Young Twin Cities Boy Shows There is Life After Cancer
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Teens, Young Adults Missing Out  on Latest Cancer Advances
(Date:6/27/2016)... ... June 27, 2016 , ... TherapySites, the leading ... with Tennessee Counseling Association. This new relationship allows TherapySites to continue ... Association, adding exclusive benefits and promotional offers. , "TCA is extremely excited about ...
(Date:6/27/2016)... ... 2016 , ... TopConsumerReviews.com recently awarded their highest five-star rating to Best Buy ... in the United States and Canada wear eyeglasses. Once considered to be a purely ... make a fashion statement. Even celebrities use glasses as a way of creating an ...
(Date:6/26/2016)... ... , ... Pixel Film Studios Released ProSlice Levels, a Media Slicing Effect ... a whole new perspective by using the title layers in ProSlice Levels to ... ProSlice Levels contains over 30 Different presets to choose from. FCPX users ...
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... ... fertility once they have been diagnosed with endometriosis. These women need a treatment ... also require a comprehensive approach that can help for preservation of fertility and ...
(Date:6/25/2016)... ... ... The temporary closing of Bruton Memorial Library on June 21 due to a possible lice ... overlooked aspect of head lice: the parasite’s ability to live away from a human host, ... a necessary one in the event that lice have simply gotten out of control. , ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 2016 Capricor Therapeutics, Inc. ... biotechnology company focused on the discovery, development and ... enrollment in its ongoing randomized HOPE-Duchenne clinical trial ... of its 24-patient target. Capricor expects the trial ... of 2016, and to report top line data ...
(Date:6/23/2016)... 2016  Astellas today announced the establishment of Astellas Farma Colombia (AFC), a new affiliate with operations headquartered in ... America . ... ... ... ...
(Date:6/23/2016)... , June 23, 2016  Experian ... integrating and transforming the patient payment and ... several innovative new products and services that ... its revenue cycle offerings. These award-winning solutions ... efficient workflows, remain compliant in an ever-changing ...
Breaking Medicine Technology: