Evidence map›Paper›PMID 26421222›Full record

ArticleJournal of adolescent and young adult oncology2015

Who Treats Adolescents and Young Adults with Cancer? A Report from the AYA HOPE Study.

Helen M Parsons, Linda C Harlan, Susanne Schmidt, Theresa H M Keegan, Charles F Lynch, Erin E Kent, Xiao-Cheng Wu, Stephen M Schwartz, Roland L Chu, Gretchen Keel and 2 more

Abstract read
In one paragraph

Article in Journal of adolescent and young adult oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Trial
  2. Article
  3. "I felt so seen": Perspectives on age-appropriate, needs-based survivorship care among young adult survivors of childhood, adolescent, or young adult cancers (CAYA).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
  6. Trends in Radiation Use from 2004 to 2020 among Adolescents and Young Adults with Hodgkin Lymphoma.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  7. Article
  8. Article
  9. Birth Defects in Offspring of Adolescent and Young Adults with a History of Cancer: A Population-Based Study of 27,000 Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  10. Point-of-care assessment of sexual concerns among young adult oncology active patients and survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Patterns of Cancer Care and Association with Survival among Younger Adolescents and Young Adults: A Population-Based Retrospective Cohort Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Article
  16. Article
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  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Helen M ParsonsDepartment of Epidemiology and Biostatistics, The University of Texas Health Science Center , San Antonio, Texas.
Linda C HarlanApplied Research Program, National Cancer Institute , Bethesda, Maryland.
Susanne SchmidtDepartment of Epidemiology and Biostatistics, The University of Texas Health Science Center , San Antonio, Texas.
Theresa H M KeeganThe Cancer Prevention Institute of California , Fremont, California.
Charles F LynchDepartment of Epidemiology, University of Iowa , Iowa City, Iowa.
Erin E KentApplied Research Program, National Cancer Institute , Bethesda, Maryland.
Xiao-Cheng WuLouisiana Tumor Registry, Louisiana State University Health Sciences Center , New Orleans, Louisiana.
Stephen M SchwartzEpidemiology Program, Public Health Sciences Division, Fred Hutchinson Cancer Research Center , Seattle, Washington.
Roland L ChuDepartment of Pediatrics, Wayne State University , Detroit, Michigan.
Gretchen KeelInformation Management Services , Calverton, Maryland.
Ashley Wilder SmithApplied Research Program, National Cancer Institute , Bethesda, Maryland.
AYA HOPE Collaborative Group

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Mark E Burkard · 2000 to 2026
$70.0M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR001120 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2013 to 2017
$16.5M
The Impact of the Medicare Modernization Act of 2003 on Cancer CareK07CA175063 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI PARSONS, HELEN M · 2013 to 2015
$384k
NCATS NIH HHS UL1 TR001120NCI NIH HHS K07 CA175063NCI NIH HHS N01PC-2010-00028NCI NIH HHS N01PC-2010-00029NCI NIH HHS N01PC-2010-00030NCI NIH HHS N01PC-2010-00032NCI NIH HHS N01PC-2010-00034NCI NIH HHS N01PC-2010-00035NCI NIH HHS N01PC-35136NCI NIH HHS N01PC-35143
6 · The paper itself

Abstract

purposePhysicians play a critical role in delivering effective treatment and enabling successful transition to survivorship among adolescent and young adult (AYA) cancer patients. However, with no AYA cancer medical specialty, information on where and by whom AYAs with cancer are treated is limited.

methodsUsing the National Cancer Institute's population-based AYA HOPE Study, 464 AYAs aged 15-39 at diagnosis treated by 903 physicians were identified. Differences in physician and hospital characteristics were examined by age at diagnosis and cancer type (germ cell cancer, non-Hodgkin lymphoma, Hodgkin lymphoma, acute lymphocytic leukemia [ALL], and sarcoma) using chi-square tests.

resultsTreating physicians were predominately 51-64 years old, male, United States-trained in non-pediatric specialties, and in group practices within large metropolitan areas. Older patients were less often treated by pediatric physicians (p < 0.01) and more likely to be treated by United States-trained physicians without research/teaching responsibilities and in hospitals without residency programs (p < 0.05). The majority of the few pediatricians (n = 44) treated ALL patients. Physicians with research/teaching responsibilities and those based in medical schools were more likely to treat patients with ALL and sarcoma compared with other cancer types (p < 0.01). Of HL patients, 73% were treated at a cancer center compared with 56% of patients with germ cell cancer (p < 0.01), while ALL (85%) and sarcoma (87%) patients were more likely to be treated in hospitals with residency programs (p < 0.01).

conclusionsMost AYAs with cancer were treated by non-pediatric physicians in community settings, although physician characteristics varied significantly by patient cancer type and age at diagnosis.

Indexed as

SurvivorsAdolescentAdultCohort StudiesFemaleHumansMaleNational Cancer Institute (U.S.)NeoplasmsUnited StatesYoung AdultAYA HOPE Studyphysiciansplace of caretreatment

Identifiers

PMID26421222
PMCPMC4575540

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.