Journal of adolescent and young adult oncology最新文献

{"title":"Assessing Palliative Care Needs Among Adolescent and Young Adult Patients with Cancer and Their Caregivers in South Korea.","authors":"Suheon Oh, Seung Yeon Kwon, Mikyung Park, Hyeon-Jin Kim, Hye Joung Cho, Hyun Ji Hong, Sowon Kim, Hyeon Jin Park, Meerim Park, Hee Jo Baek, Jun Ah Lee","doi":"10.1177/21565333261438421","DOIUrl":"https://doi.org/10.1177/21565333261438421","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescents and young adults (AYAs) with cancer experience unique physical, psychosocial, and developmental challenges that differ from those of children and older patients. While palliative care can address these challenges, the care needs of AYAs with cancer and their families are underrecognized and inadequately supported globally and in South Korea. This study aimed to assess the unmet palliative care needs of AYAs with cancer and their caregivers in South Korea.</p><p><strong>Methods: </strong>A cross-sectional survey design was conducted using two validated instruments developed for AYA patients (15-39 years) and their caregivers. Between August 2023 and November 2024, participants were recruited from three major hospitals in South Korea. Descriptive and inferential statistics were used to determine domain-specific needs and group-level differences.</p><p><strong>Results: </strong>Communication and information needs were most frequently unmet across all groups, whereas physical needs were often rated as \"already provided.\" Caregivers-especially of adolescent patients-reported greater unmet needs than patients. Conversely, young adult patients reported the lowest need across all domains. In the caregiver-centered survey, financial and bereavement support were top priorities.</p><p><strong>Conclusion: </strong>This study identified unmet palliative care needs, especially nonphysical ones, among AYA patients and their caregivers. The findings underscore the need for age-appropriate, culturally sensitive services, with a greater focus on communication/information and psychosocial care, and the importance of including caregivers' perspectives in building comprehensive palliative care models. Future studies should explore contextual factors that shape care perceptions and develop standardized screening tools to identify AYAs' specific needs.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261438421"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gonadal Dysfunction in Male Childhood Cancer Survivors: A Report from the St. Luke's Childhood Cancer Survivors Cohort Study (LUKE Cohort Study).","authors":"Hiroki Yoshihara, Saori Aiga, Megumi Hatano, Kyoko Nagase, Michiyo Gunji, Yuri Yoshimoto Suzuki, Yosuke Hosoya, Yasushi Ishida, Kyoko Kobayashi, Atsushi Manabe, Daisuke Hasegawa, Miwa Ozawa","doi":"10.1177/21565333261438096","DOIUrl":"https://doi.org/10.1177/21565333261438096","url":null,"abstract":"<p><strong>Purpose: </strong>Male childhood cancer survivors (CCS) are at increased risk of hypogonadism, which may be overlooked due to subtle symptoms. Early detection of male hypogonadism remains challenging. In Japan, lacking a nationwide surveillance system for gonadal dysfunction in CCS, few studies focus on male CCS. This study aimed to prospectively identify compensated primary hypogonadism (cPH) among male CCS using a comprehensive medical checkup system.</p><p><strong>Methods: </strong>We prospectively recruited CCS aged 18 and older who had been diagnosed with pediatric cancer over 10 years ago and untreated for more than 5 years. Physical checkup and mental health examination were conducted for both CCS and healthy CCS siblings, and analyzed data from male participants. We defined cPH if their testicular volume was 10 mL or lower and/or the follicle-stimulating hormone level was greater than 10 IU/L.</p><p><strong>Results: </strong>Among 30 CCS aged 19-41, 12 were identified as having cPH. Factors significantly associated with cPH in CCS included receiving a cyclophosphamide equivalent dose greater than 7.5 g/m², experiencing secondary cancers, and older age at medical checkup. CCS with cPH exhibited higher fasting blood sugar and elevated luteinizing hormone levels. Furthermore, CCS with cPH reported significantly lower mental component summary scores and reported greater psychological distress.</p><p><strong>Conclusion: </strong>Despite the limited sample size, our preliminary findings suggest that this surveillance approach may help identify male CCS at risk for hypogonadism. These survivors warrant monitoring for gonadal dysfunction and associated complications.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261438096"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Sexual Health in Young Adults with Cancer in Denmark Using the European Organization for Research and Treatment of Cancer Sexual Health Questionnaire (EORTC QLQ-SH22).","authors":"Sara Marie Hansen, Line Bentsen, Anne S Oberguggenberger, Helle Pappot, Maria Aagesen","doi":"10.1177/21565333261438767","DOIUrl":"https://doi.org/10.1177/21565333261438767","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore sexual health among young Danish cancer patients aged 18-39 years and to generate exploratory insights into how sexual health may differ by age, gender, treatment status, and treatment type.</p><p><strong>Methods: </strong>A descriptive observational study was conducted from January 2023 to September 2024. Participants completed the European Organization for Research and Treatment of Cancer Sexual Health Questionnaire. Sexual health outcomes were compared across age groups and gender, between participants undergoing treatment with those post-treatment, and participants that underwent surgery only versus those who received systemic treatment or/and radiation, with or without surgery.</p><p><strong>Results: </strong>Fifty-eight young adults participated (60.3% male, mean age 29 years); 67% had oncological cancers. The most frequently reported challenges involved communication with healthcare professionals, perceptions of femininity, and treatment's impact on sexual activity. Female participants reported lower sexual satisfaction, reduced libido, more sexual pain, treatment impact on sexual activity, and higher fatigue than male participants. Those undergoing active treatment reported greater reduction of libido, treatment impact on sexual activity, and partner-related insecurity compared to those post-treatment. No considerable differences were found between age groups or treatment type.</p><p><strong>Conclusions: </strong>Young adults with cancer face sexual health challenges, regardless of age and treatment intensity. Female participants and those undergoing active treatment report a higher sexual health burden. These findings underscore the need for tailored interventions to address and support sexual health throughout the cancer trajectory.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261438767"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Health Insurance Literacy on Financial Toxicity Among Adolescent and Young Adult Cancer Patients.","authors":"Katie N Rogers, Perla L Vaca Lopez, Amy Chevrier, Heydon K Kaddas, Karely M van Thiel Berghuijs, Austin R Waters, Echo L Warner, Nicole Ray, Karlie Allen, Tomoko Tsukamoto, Douglas B Fair, Mark A Lewis, Giselle K Perez, Elyse R Park, Anne C Kirchhoff","doi":"10.1177/21565333261438106","DOIUrl":"https://doi.org/10.1177/21565333261438106","url":null,"abstract":"<p><p>We explored how sociodemographics and health insurance literacy (HIL) are associated with financial toxicity (FT) among adolescent and young adult (AYA) cancer patients using linear regression. Participants (<i>N</i> = 86; ages: 18-39) diagnosed with cancer in the past year completed baseline surveys of an intervention trial assessing HIL (range: 4-36, lower scores = worse literacy) and the COmprehensive Score for financial Toxicity (COST; range: 0-44, lower scores = higher toxicity). Policyholders had higher FT (β = -5.24, <i>p</i> = 0.02). Among AYAs aged 26-39, each one-point HIL increase correlated with a 0.55 increase in COST score (<i>p</i> = 0.05). Improving HIL could address FT among AYAs aged 26-39, suggesting a potential target for intervention.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261438106"},"PeriodicalIF":1.2,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Effects of the YOUEX Exercise Intervention on Quality of Life and Cancer-Related Fatigue in Young Adults with Cancer.","authors":"Annelie Voland, Verena Krell, Maximilian Köppel, Miriam Götte, Timo Sonntag, Joachim Wiskemann","doi":"10.1177/21565333261438093","DOIUrl":"https://doi.org/10.1177/21565333261438093","url":null,"abstract":"<p><strong>Purpose: </strong>While exercise oncology research has led to broad acceptance of exercise programs for cancer patients, the specific needs of young adults (YA) with cancer remain underexplored. The YOUEX study evaluates the effects of tailored online and in-person exercise programs on quality of life (QoL) and cancer-related fatigue (CRF) in YA.</p><p><strong>Methods: </strong>This three-arm, non-randomized, preference-based intervention study offered three exercise modules (M1) online supervised group-based, (M2) online unsupervised, and (M3) in-person supervised. YA with cancer (≤39 years) participated in a 12-week intervention with a 12-week follow-up. QoL (EORTC QLQ-C30) and CRF (EORTC FA12, QLQ-C30 fatigue scale) were assessed at baseline (T0), 6 weeks (T1), 12 weeks (T2), and follow-up (T3).</p><p><strong>Results: </strong>A total of 92 YA (mean age 31.9 ± 4.9 years, 94% female) participated. M2 was most frequently chosen (54.3%), followed by M1 (34.8%) and M3 (10.9%). Overall QoL improved significantly at follow-up (<i>p</i> < 0.01, <i>r</i> = 0.35). Significant improvements were observed in physical (<i>p</i> < 0.001, <i>r</i> = 0.40), emotional (<i>p</i> < 0.01, <i>r</i> = 0.36), cognitive (<i>p</i> < 0.01, <i>r</i> = 0.34), and social functioning (<i>p</i> < 0.01, <i>r</i> = 0.35) during the intervention, with continued physical and emotional improvements at follow-up. Fatigue symptoms decreased on the QLQ-C30 scale, while FA12 scales remained unchanged. No differences were found between modules.</p><p><strong>Conclusion: </strong>Tailored exercise programs positively impact QoL in YA with cancer, with online interventions being particularly well received. Further research is needed to optimize these programs for CRF management and evaluate the effectiveness of online interventions in more detail.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261438093"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Workforce Capacity in Pediatric, Adolescent, and Young Adult Cancer Survivorship: Evaluation of a National Project ECHO^® Program.","authors":"Jennifer McBride, Allison Rosen, Kimberly Peairs, Michael Roth, Nina Kadan-Lottick, Maggie M Rogers","doi":"10.1177/21565333261438092","DOIUrl":"https://doi.org/10.1177/21565333261438092","url":null,"abstract":"<p><strong>Purpose: </strong>Pediatric, adolescent, and young adult (PAYA) cancer survivors face complex long-term medical and psychosocial needs for which many health care professionals lack training. This study evaluated the PAYA Cancer Survivorship Extension for Community Health care Outcomes (ECHO) program, a virtual, case-based telementoring program, in improving health care professionals' self-reported knowledge and confidence in survivorship care.</p><p><strong>Methods: </strong>A mixed-methods evaluation was done for the 12-session ECHO program (June 2024-May 2025). Surveys assessed changes in self-reported knowledge and confidence (5-point Likert scale), likelihood of applying learning, implementation barriers, and session impact. Quantitative data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>Participants included 219 health care professionals from 153 organizations across the 36 U.S. states, one federal district, and 5 countries. Average session attendance was 57 (M = 56.83, SD = 13.07). Self-reported knowledge increased from 2.8 to 3.5 with confidence increasing from 2.7 to 3.4; gains were statistically significant across all 11 content sessions (<i>p</i> < 0.05). Participants reported a high likelihood to apply session content (mean ratings 3.1-4.6 on a 5-point scale), with all sessions except Session 1 exceeding 4.2. The most frequently cited barriers to applying content were lack of resources (26%), lack of time (23%), need for more training (23%); 10% reported no opportunities to apply information, and 37% (<i>n</i> = 130) reported no barriers.</p><p><strong>Conclusion: </strong>The ECHO program improved health care professionals' knowledge and confidence in PAYA survivorship care, with high intent to apply learning. Findings informed the launch of additional ECHO programs. Future efforts should further engage primary care providers and address barriers to translating knowledge into practice.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261438092"},"PeriodicalIF":1.2,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Priorities and Intervention Preferences among Young Adult Cancer Survivors: A Mixed-Methods Study.","authors":"Acadia W Buro, Adam Z Reynolds, Ellen Burgess, John A Torres, Mark Montoya, Mussammat Snigdha Sowrin, Monique Montes de Oca, Amy Gundelach, Jessica Valdez, Andrew L Sussman, Cindy K Blair","doi":"10.1177/21565333261434224","DOIUrl":"https://doi.org/10.1177/21565333261434224","url":null,"abstract":"<p><strong>Purpose: </strong>Young adult (YA) cancer survivors aged 18-39 years face increased chronic disease risk. Although YA survivors prioritize health, structural barriers may limit their ability to maintain healthy lifestyles, particularly in culturally and geographically diverse regions. This mixed-methods study explored health priorities, social determinants of health (SDoH)-related barriers and facilitators to maintaining a healthy lifestyle, and intervention preferences for YA cancer survivors in New Mexico (NM) to inform future interventions.</p><p><strong>Methods: </strong>Descriptive statistics and thematic analysis were conducted on surveys and semistructured interviews with 17 YA cancer survivors and 11 YA cancer care providers in NM. Surveys assessed demographics and, for survivors, SDoH, and intervention preferences.</p><p><strong>Results: </strong>Social isolation was the most prevalent adverse SDoH, affecting 47% of YAs. YAs expressed interest in diet/physical activity-related programs (82%) and were flexible about group/one-on-one (59%) and in-person/online (71%) program formats. YA themes included: physical and mental health are priorities post-treatment; multilevel barriers and facilitators shape health behaviors; there is a lack of YA-specific resources; community building is key for peer support; support strategies to address psychosocial, behavioral, and health care navigation concerns are needed. Provider themes included: YAs have specific care needs during the survivorship transition to long-term wellness; collaborative, innovative organizational solutions are critical, peer and community support is effective, and integrating psychosocial and culturally informed care enhances outcomes; there is a need for empowering support tailored to the needs of YA survivors in NM.</p><p><strong>Conclusion: </strong>Physical, mental, and social health are priorities for YA cancer survivors post-treatment. Findings highlight the need for flexible, community-informed interventions that support holistic health and long-term survivorship.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261434224"},"PeriodicalIF":1.2,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Novel Psychosocial Intervention to Improve Symptom Management for Adolescents and Young Adults with Advanced or Recurrent Cancer.","authors":"Caroline S Dorfman, Tamara J Somers, Nicole A Arrato, Joseph G Winger, Brianna Herold, Jennifer Plumb Vilardaga, Natalie A Chou, Allison Diachina, Cheyenne M Corbett, Lars Wagner, Gary Maslow, William S Breitbart","doi":"10.1177/21565333261425871","DOIUrl":"10.1177/21565333261425871","url":null,"abstract":"<p><strong>Purpose: </strong>High symptom burden and poor prognosis faced by adolescents and young adults (AYAs; aged 15-29) with advanced or recurrent cancer significantly impact their sense of identity and purpose as they work to achieve developmentally significant goals. The combination of high symptom burden and goal interference may exacerbate suffering, yet palliative care interventions have not addressed the co-occurring symptom management and existential concerns of this population.</p><p><strong>Methods: </strong>Guided by the NIH Stage Model, we systematically developed a psychosocial symptom management intervention to address the needs of AYAs with advanced or recurrent cancer. Quantitative and qualitative data were obtained from AYAs (<i>N</i> = 20) and caregivers (<i>N</i> = 13) who completed semi-structured interviews and self-report measures to assist with intervention development of refinement. Rapid qualitative analysis was used.</p><p><strong>Results: </strong>Intervention development interviews confirmed high symptom burden and the need to develop a psychosocial symptom management intervention targeting this population. A four-session intervention (\"SMILE: <u>S</u>ymptom <u>M</u>anagement for <u>I</u>mproved Physica<u>L</u> and <u>E</u>motional Wellbeing\") was developed integrating behavioral symptom coping strategies with strategies from Meaning-Centered Psychotherapy and Acceptance and Commitment Therapy to (a) reduce symptom burden and interference and (b) promote engagement in values-driven, meaningful action in the face of life-limiting illness. Refinement sessions assisted with further clarifying concepts, tailoring the intervention to the population, and honing protocols.</p><p><strong>Conclusions: </strong>SMILE is a novel integration of three evidence-based approaches to provide AYAs skills to address symptoms that interfere with valued and meaningful action. The feasibility and acceptability of SMILE will next be examined in a pilot randomized controlled trial.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261425871"},"PeriodicalIF":1.2,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diet Quality of Young Adult Survivors of Childhood Cancer.","authors":"Karthi Murari, Renee Gilbert, Kelsey Dean, Kyla Alsman, Becky N Lowry, Eve-Lynn Nelson, Carolyn R Bates","doi":"10.1177/21565333261434505","DOIUrl":"https://doi.org/10.1177/21565333261434505","url":null,"abstract":"<p><strong>Purpose: </strong>Childhood cancer survivors (CCS) face increased morbidity and mortality compared to the general population. Diet quality is an important modifiable factor influencing long-term outcomes. This study aimed to evaluate the diet quality of young adult CCS and compare it with age- and gender-matched peers.</p><p><strong>Methods: </strong>Dietary intake from 25 young adult CCS was assessed using the Automated Self-Administered Dietary Assessment Tool (ASA24) and compared with 100 age- and gender-matched healthy control participants from the National Health and Nutrition Examination Survey 2017-2018. Differences in Healthy Eating Index (HEI) 2020 total and component scores were analyzed using independent <i>t</i>-tests.</p><p><strong>Results: </strong>Overall, HEI scores did not differ between CCS and controls (<i>p</i> = 0.76). The CCS sample had a significantly higher intake of the following adequacy components: whole fruit (<i>p</i> = 0.03), total vegetables (<i>p</i> = 0.01), greens and beans (<i>p</i> = 0.01), total protein foods (<i>p</i> < 0.001), and dairy (<i>p</i> = 0.03). However, the CCS sample also reported a significantly lower unsaturated-to-saturated fatty acid ratio (<i>p</i> = 0.01) and a higher total fatty acid intake (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Excessive consumption of saturated and total fatty acids may exacerbate long-term health risks; therefore, young adult CCSs may benefit from cancer-specific education and resources to encourage reducing unhealthy food consumption.</p>","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333261434505"},"PeriodicalIF":1.2,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Research for Adolescents and Young Adults Cancer: A Position Statement.","authors":"Anao Zhang, Stephanie Dixon, Victoria W Willard, Archie Bleyer","doi":"10.1177/21565333251392237","DOIUrl":"10.1177/21565333251392237","url":null,"abstract":"","PeriodicalId":14769,"journal":{"name":"Journal of adolescent and young adult oncology","volume":" ","pages":"21565333251392237"},"PeriodicalIF":1.2,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}