1558P - A patient-centered approach to the re-development of supportive care services for oncology adolescent and young adult (AYA) patients (pt(s)) across...

Date 10 September 2017
Event ESMO 2017 Congress
Session Poster display session
Topics Cancer in Adolescents
Cancer in Young Adults
Supportive Care
Palliative and Supportive Care
Presenter Petr Kavan
Citation Annals of Oncology (2017) 28 (suppl_5): v543-v567. 10.1093/annonc/mdx388
Authors P. Kavan1, R. Fox1, G. Raskovic1, I. Barrera1, W. Sateren1, G. Batist1, M. Palumbo1, T. Muanza1, N. Johnson2, A. Mamo1, T. Alcindor3, R. Turcotte3, A. Meguerditchian3
  • 1Oncology Department, Jewish General Hospital McGill University, H3T 1E2 - Montreal/CA
  • 2Hematology-oncology Department, Jewish General Hospital McGill University, H3T 1E2 - Montreal/CA
  • 3Oncology Department, MUHC, H4A 3T2 - Montreal/CA

Abstract

Background

Most AYA pts (age 18-44) across the RCN are seen in adult oncology settings tailored to the medical and supportive care needs of the general cancer population. The purpose of this study is to conceptually re-develop the delivery of supportive care services to this pt population and create a care model that could be used as a framework for AYA clinics in Canada and abroad.

Methods

An analysis of the Ambulatory Oncology Patient Satisfaction Survey (AOPSS) 2012-2015 was conducted to better understand AYAs’ satisfaction with the current level of care in RCN. A Chi-square test was employed to investigate differences between AYAs (ages 18-34 vs 35-44) and pts age 45 and over (n = 2,438).

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A Delphi study, composed of two panels (pts vs. health care professionals), was conducted. Panelists were asked to select a set of strategies proposed by Zebrack et al. (2010) to address the service gaps identified through AOPSS. Selection was made by rank ordering strategies based on scores of importance (7 point Likert scale). Analysis of variance (ANOVA) was used to examine study results.

Results

The analysis of the AOPSS results revealed important differences related to i) the overall satisfaction and perception of quality of care; ii) access to services and iii) satisfaction with specific aspects of care such as emotional support, communication, access to information and physical comfort.

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Both Delphi panels have identified access to 1) age-appropriate education programs; 2) standardized symptom management, pain control, palliative care; and 3) fertility preservation as important strategies to enhance delivery of supportive care services to AYAs (Table).rnTable:

1558P Sample Strategies for Improving Patient Quality of Life and Quality of Care Throughout the Cancer Care Continuum (Zebrack et al, 2010)

rnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrn
Patient Panel (n = 31)Health Care Professionals Panel (n = 31)rn
Rank Order (round 1)Importance Score (0-7 Likert scale)Rank Order (round 1)Importance Score (0-7 Likert scale)
Patient education programs that provide AYAs with knowledge regarding treatment options and the potential physical and QOL implications of cancer therapy16.5546.45
Inform reproductive-age patients of cancer- related fertility risks as early in the treatment planning as possible (as per ASCO guideline) and refer as needed to an appropriate fertility preservation specialist26.4226.58
Provide access to a systematic and standardized symptom management, pain control, and palliative care program36.3516.65
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Conclusions

Evidence gathered through the AOPSS and Delphi studies will be used to inform health administrators of strategies needed to better respond to the unique supportive care needs of oncology AYAs.

Clinical trial identification

Legal entity responsible for the study

Petr Kavan

Funding

Rossy Cancer Network

Disclosure

All authors have declared no conflicts of interest.