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Adolescent and Young Adult (AYA) Cancer Survivorship Practices: An Overview

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Summary: Most adolescent and young adult (AYA) cancer survivors have chronic conditions, leading to significantly higher annual medical expenses. In addition to chronic conditions, lack of physical activity and inability to access care in a timely manner also contribute to increased medical costs.

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Summary: The study illustrates the steps in establishing a dedicated survivorship clinic, showing that most patients entering the clinic have pre-existing physical and mental health issues, yet 85% are willing to remain in long-term follow-up care, emphasizing the value of a clinical database in understanding and coordinating care for AYA survivors.

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Summary: The quality of life (QoL) among adolescent and young adult (AYA) cancer survivors is lower compared to the general population, with poor physical and mental health reported. Factors such as low income, poor sleep quality, negative body image, and higher social support are significantly associated with poorer physical health, while poor sleep quality, body image, and fear of cancer recurrence are linked to poorer mental health. Sleep, body image, and social support are important factors that may be targeted for interventions to improve the QoL of AYAs.

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Summary: Historically, adolescent and young adult (AYA) patients with cancer aged 15 through 39, have often been considered as a lost group in terms of medical care. International efforts are being made to establish AYA care programs to address the specific needs of this group, focusing on improving cure rates and addressing survivorship issues. However, there is less attention given to those with uncertain or poor cancer prognosis.

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