Evaluation of the discussion of late effects and screening recommendations in survivors of adolescent and young adult (AYA) lymphoma

Purpose The study objective was to assess the discussion of late effects (LEs) and screening recommendations (SRs) for adolescent and young adults (AYAs) treated for lymphoma. Methods A retrospective study was conducted on AYA lymphoma survivors aged 15–24 years at diagnosis who received radiation t...

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Bibliographic Details
Published in:Journal of cancer survivorship 2021-04, Vol.15 (2), p.179-189
Main Authors: Lo, Andrea C., Samuel, Vanessa, Chen, Ben, Savage, Kerry J., Freeman, Ciara, Goddard, Karen
Format: Article
Language:English
Subjects:
Adolescents
Breast cancer
Cancer therapies
Carotid artery
Chemotherapy
Evaluation
Health care
Health Informatics
Health Promotion and Disease Prevention
Health risks
Lymphoma
Medicine
Medicine & Public Health
Oncology
Primary Care Medicine
Public Health
Quality of Life Research
Radiation
Radiation effects
Radiation therapy
Stenosis
Survival
Teenagers
Young adults
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Summary:Purpose The study objective was to assess the discussion of late effects (LEs) and screening recommendations (SRs) for adolescent and young adults (AYAs) treated for lymphoma. Methods A retrospective study was conducted on AYA lymphoma survivors aged 15–24 years at diagnosis who received radiation therapy (RT) ± chemotherapy between 1984 and 2010 at any of the six British Columbia (BC) Cancer treatment centers across the province. Charts were reviewed to evaluate discussion of LEs and SRs. Susceptibility to specific LEs was determined by reviewing treatment details. Results Of 305 patients, 212 (70%) had documented discussion of at least one specific LE, 39 (13%) had non-specific documentation only, and 54 (18%) had no documented discussion of LEs. Accounting only for patients susceptible to each LEs, the most frequently discussed LEs was radiation-induced (RI) neoplasm (42%), and the least frequently discussed LEs was carotid artery stenosis (0.4%). The most common SRs discussed in susceptible patients was for RI breast cancer (43%). Of patients discharged between 1985 and 1999 vs 2000 and 2014, LEs were discussed in 63 vs 93% ( P  
ISSN:1932-2259
1932-2267
DOI:10.1007/s11764-020-00922-7