Topic: Adolescent and Young Adult Survivorship (Survivorship Month)

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

Questions:

1. > ___ % of the AYA population is expected to survive beyond 5 years
   1. 20
   2. 40
   3. 60
   4. 80
2. Late survivorship is considered how many years post-completion of initial treatment?
   1. 5 years
3. Epithelial cancers, (for example breast and colorectal cancers) are more common in what age group?
   1. 5-10 years old
   2. 10-15 years old
   3. 20-29 years old
   4. 30-39 years old
4. Name three of the long term or late effects of cancer treatment in AYA survivors? (short answer)
   1. Physical Issues, Secondary Malignancies, Cardiovascular Disease, Endocrine Dysfunction, Neurocognitive deficits, fertility, sexual dysfunction, body disfigurement, physical condition, psychological issues, social issues, education, employment, financial issues, and relationships.
5. True or false, there are thorough survivorship guidelines for the AYA population
   1. False
6. A recent report from CanTeen Australia described the transition into survivorship when treatment is over as a complex process, which should ideally be supported by multiple services addressing the care needs of AYAs. These services should focus on what areas? (short answer)
   1. (1) education about cancer (treatment) and related effects, (2) surveillance, screening, and treatment for medical, long-term, and late effects, (3) psychosocial support for reintegration, appropriate for the developmental phase of the AYA, (4) peer support (5) and having access to legal and/or financial support.
7. At the Princess Margaret Cancer Centre in Ontario, Canada (where Dr. Kirsch is going to), the AYA program has a person in charge of their concerns related to both cancer care and “regular life”. What is the title of the person in this role?
   1. Child Life Specialist
   2. Clinical Nurse Specialist
   3. Radiation Oncologist
   4. Dosimetrist
8. Within pediatric oncology, survivorship care has been associated with improvements on both the patient level as well as on a system level. What are some examples of improvements on a system level? (short answer)
   1. fewer emergency room visits, hospitalizations, and better surveillance practices