PO.ADV02 · 患者倡导
儿童与青少年癌症的及时诊断与治疗：挑战与机遇
Timely diagnosis and treatment of childhood and adolescent cancer: Challenges and opportunities
作者与单位 Authors & Affiliations
摘要 Abstract
中文摘要
癌症的及时诊断与治疗是优质照护的关键原则，对患者结局和整体健康福祉具有重要意义。由于患者层面、临床层面和卫生系统层面的因素，儿童和青少年尤其容易受到照护延误的影响。我们旨在采用数据驱动的方法，测量2012年至2022年间加拿大魁北克省确诊癌症儿童的诊断间期。作为一项补充性的探索目标，我们回顾了文献，以识别儿童癌症幸存者中幸存者照护的障碍与促成因素。在我们基于人群的队列中，我们识别出2927名患癌儿童和青少年，并观察到诊断延误在年龄、癌症类型、诊断时期和城乡差异方面存在差异。幸存者照护的障碍与促成因素同样在患者、临床医生和卫生系统层面发挥作用，尽管它们的相对重要性可能在幸存历程中有所不同。改善儿童癌症照护不仅需要关注治疗，还需关注照护中的诊断阶段和治疗后阶段。识别整个照护连续体中的障碍或有助于指导干预措施，以改善儿科肿瘤学的可及性与质量。
查看英文原文 English abstract
Timely diagnosis and treatment of cancer are key tenets ofquality care, with important implications for patient outcomes and overallwellbeing. Children and adolescents are particularly vulnerable to delays incare due to patient-, clinical-, and health-system-level factors. We aimed to measure the diagnostic interval in childrendiagnosed with cancer in Québec, Canada, between 2012 and 2022, using adata-driven approach. As a complementary exploratory aim, we reviewed theliterature to identify barriers and enablers to survivorship care amongsurvivors of pediatric cancer. We identified 2927 children and adolescents with cancer inour population-based cohort and observed differences in diagnostic delay byage, cancer type, diagnosis period, and rurality. Barriers and enablers tosurvivorship care also operated at the patient, clinician, and health-systemlevels, although their relative importance likely varies across survivorship.Improving childhood cancer care requires attention not onlyto treatments, but also to the diagnostic and post-treatment phases of care.Identifying barriers across the care continuum may help guide interventions toimprove access and quality in pediatric oncology.