Impact of Adolescent and Young Adult Cancer Expertise in Oncologists on AYA Outcomes in Hodgkin Lymphoma: A Population-Based Study in Ontario, Canada.

ABSTRACT:

Purpose

To determine whether adolescent and young adults (AYA) with Hodgkin lymphoma (HL) who are treated by oncologists with "AYA expertise" improve outcomes.

Methods

All AYA aged 15-21 years diagnosed with HL in Ontario, Canada between 1992 and 2012 were identified, and clinical data abstracted as part of the IMPACT cohort. Linked administrative data were used to identify primary oncologists, defined as "AYA experts" if at diagnosis, ≥ 15% of the oncologist's previous 2 years of chemotherapy billings were for patients aged 15-29 years. Associations between seeing an AYA expert and outcomes were analysed.

Results

Among 863 AYA with HL, 225 unique primary oncologists were identified. A total of 112 (13.0%) AYA had a primary oncologist with AYA expertise. Older patient

SUBMITTER: Andrew EC 

PROVIDER: S-EPMC12856524 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature