Abstract
The population of adolescents and young adults (AYA) in France has derived little benefit from the advances in oncology in recent decades. Nevertheless, the number of epidemiological studies and publications in the field of cancer for this age group have increased recently. This has allowed identification of specific needs in terms of cancer treatments, supportive care and psychosocial care, during and after the treatment. Only an improvement in the structure of care, especially the link between adult and paediatric medicine, will improve the results in terms of survival, and physical and psychological well-being in the short and long term, for this population.
Résumé
La population des adolescents et jeunes adultes (AJA) en France a peu bénéficié des progrès de la cancérologie ces dernières décennies. Malgré tout, les études épidémiologiques et les publications récentes dans le domaine du cancer concernant cette tranche d’âge se multiplient depuis peu. Il en ressort l’identification de besoins spécifiques, tant en termes de soins oncologiques et complémentaires, que de prise en charge psychosociale pendant et après la fin du traitement. Seule une amélioration de la structuration des soins, et notamment du lien entre médecine adulte et pédiatrique les concernant, permettra de faire progresser les résultats en termes de survie mais aussi de bien-être physique et psychique à court et à long terme chez ces patients.
Similar content being viewed by others
Références
Bleyer A, Budd T, Montello M (2006) Adolescents and young adults with cancer: the scope of the problem and criticality of clinical trials. Cancer 107: 1645–1655
Bleyer A, Montello M, Budd T, et al (2005) National survival trends of young adults with sarcoma: lack of progress is associated with lack of clinical trial participation. Cancer 103: 1891–1897
Bleyer WA (2002) Cancer in older adolescents and young adults: epidemiology, diagnosis, treatment, survival, and importance of clinical trials. Med Pediatr Oncol 38: 1–10
Boissel N, Auclerc MF, Lhéritier V, et al (2003) Should adolescents with acute lymphoblastic leukemia be treated as old children or young adults? Comparison of the French FRALLE-93 and LALA-94 trials. J Clin Oncol 21: 774–780
Brugières L (2006) The unit for adolescent with cancer, institut Gustave-Roussy. Arch Pediatr 13: 706–707
Dauchy S, Razavi D (2010) L’adolescent atteint de cancer et les siens. Quelle détresse, quelles difficultés, quels souhaits d’aide ? Springer, Paris, Berlin, Heidelberg, New York
Janeway KA, Barkauskas DA, Krailo M, et al. (2010) Age as a prognostic factor in osteosarcoma: an analysis of patients treated on North American cooperative group studies. CO 895226. CTOS
Desandes E (2010) Quality of management of adolescents with cancer in France. O022. 42nd Congress of the International Society of Paediatric Oncology, Oct 21–24 2010, Boston
Desandes E, Lacour B, Belot A, et al. (2007) Cancer incidence and survival among adolescents and young adults in France (1978–1997). Bull Cancer 94: 331–337
Festa RS, Tamaroff MH, Chasalow F, et al (1992) Therapeutic adherence to oral medication regimens by adolescents with cancer. J Pediatr 120: 807–811
Fiere D, Schaison G, Bancillon A, et al. (1990) What is the best treatment for patients between 15 years and 20 years with acute lymphoblastic leukemia? Comparative results of two protocols, one for adults, one for children. Blood 76: 270
Freyer DR, Brugieres L (2008) Adolescent and young adult oncology: transition of care. Pediatr Blood Cancer 50: 1116–1119
Goyal S, Roscoe J, Ryder WD, at al. (2004) Symptom interval in young people with bone cancer. Eur J Cancer 40: 2280–2286
Grimer RJ (2006) Size matters for sarcomas! Ann R Coll Surg Engl 88: 519–524
Grünfeld (2009) Recommandations pour le Plan cancer 2009–2013. http://www.plan-cancer.gouv.fr/historique/la-commission-grunfeld.html
Hussein R, Smith MA (2005) Soft tissue sarcomas: are current referral guidelines sufficient? Ann R Coll Surg Engl 87: 171–173
Jacobsen PB (2009) Clinical practice guidelines for the psychosocial care of cancer survivors: current status and future prospects. Cancer 115: 4419–4429
Larsson G, Mattsson E, von Essen L (2010) Aspects of quality of life, anxiety, and depression among persons diagnosed with cancer during adolescence: a long-term follow-up study. Eur J Cancer 46: 1062–1068
Paulussen M (2009) Same protocol, different centres: EuroEwingexample. CONTICANET WORKSHOP: Paediatric, teenage and young adults in sarcomas, April 22–23 2009, Barcelona
Schnurr C, Pippan M, Stuetzer H, et al (2008) Treatment delay of bone tumours, compilation of a sociodemographic risk profile: a retrospective study. BMC Cancer 8: 22
Sebio A, Lopez-Pousa A, Quintana M, et al. (2010) Prognostic factors in localized Ewing’s sarcoma: a single institution experience. P 893878. CTOS
Seitz DC, Besier T, Debatin KM, et al (2010) Posttraumatic stress, depression and anxiety among adult long-term survivors of cancer in adolescence. Eur J Cancer 46: 1596–1606
Stock W, La M, Sanford B, et al. (2008) What determines the outcomes for adolescents and young adults with acute lymphoblastic leukemia treated on cooperative group protocols? A comparison of Children’s Cancer Group and Cancer and Leukemia Group B studies. Blood 112: 1646–1654
Toutenu P, Chauvin F (2007) L’information des adolescents atteints de cancer: état des lieux en oncologie pédiatrique en France. Bull Cancer 94: 357–362
Zebrack B, Bleyer A, Albritton K, et al. (2006) Assessing the health care needs of adolescent and young adult cancer patients and survivors. Cancer 107: 2915–2923
Zebrack B, Mathews-Bradshaw B, Siegel S (2010) Quality cancer care for adolescents and young adults: a position statement. J Clin Oncol 28: 4862–4867
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Corradini, N., Laurence, V., Dreno, L. et al. Adolescents et cancer: une prise en charge spécifique pour ne plus être lost in transition. Oncologie 13, 157–164 (2011). https://doi.org/10.1007/s10269-011-2003-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10269-011-2003-2