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Current Oncology
Volume 32
Issue 2
10.3390/curroncol32020058
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Article

Patient-Centered Care for Adolescents and Young Adults with an Uncertain or Poor Cancer Prognosis: A Secondary Analysis of What Is Needed According to Patients, Caregivers, and Healthcare Providers

by
Milou J. P. Reuvers
1,2,†,
Vivian W. G. Burgers
1,2,†,
Eveliene Manten-Horst
3,
Kim Messelink
4,
Elsbeth J. H. M. van der Laan
1,
Winette T. A. van der Graaf
1,2 and
Olga Husson
1,5,6,*
1
Department of Medical Oncology, Netherlands Cancer Institute—Antoni van Leeuwenhoek, 1000 SE Amsterdam, The Netherlands
2
Department of Medical Oncology, Erasmus MC Cancer Institute, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
3
Dutch AYA Care Network, 3511 DT Utrecht, The Netherlands
4
Medical Oncology, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands
5
Department of Surgical Oncology, Erasmus MC Cancer Institute, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
6
Department of Public Health, Erasmus MC Cancer Institute, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Curr. Oncol. 2025, 32(2), 58; https://doi.org/10.3390/curroncol32020058
Submission received: 5 November 2024 / Revised: 17 January 2025 / Accepted: 20 January 2025 / Published: 21 January 2025
(This article belongs to the Special Issue Closing the Cancer Equity Gap: Cancer Services in Rural and Medically Underserved Communities)
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Abstract

Patient-centered care focuses on aligning healthcare with a person’s values and preferences to support their health and life goals. This approach is especially crucial among adolescents and young adults (AYAs—with a primary cancer diagnosis between the ages of 18 and 39) facing an uncertain or poor cancer prognosis (UPCP), whose care needs differ from those undergoing curative treatment. This study aims to gain insights from AYAs with a UPCP, their informal caregivers, and healthcare professionals (HCPs) to define optimal patient-centered care and identify barriers to its implementation. We conducted semi-structured interviews with 46 AYAs, 39 informal caregivers, and 49 HCPs from various clinical backgrounds. Findings highlighted the need of AYAs for an equal relationship with HCPs and active involvement in decision-making, alongside tailored information addressing their unique challenges. Informal caregivers expressed the need for information to support patients while preferring a minimal focus on themselves. HCPs noted the necessity for specialized training to meet the specific needs of AYAs with a UPCP, reporting difficulties in providing tailored support due to the disease’s uncertainties. This study’s results can lead to improved healthcare for this population and enhance educational modules for HCPs, equipping them to better support AYAs facing a UPCP.
Keywords: patient-centered care; adolescents and young adults; oncology; uncertain or poor prognosis patient-centered care; adolescents and young adults; oncology; uncertain or poor prognosis

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MDPI and ACS Style

Reuvers, M.J.P.; Burgers, V.W.G.; Manten-Horst, E.; Messelink, K.; van der Laan, E.J.H.M.; van der Graaf, W.T.A.; Husson, O. Patient-Centered Care for Adolescents and Young Adults with an Uncertain or Poor Cancer Prognosis: A Secondary Analysis of What Is Needed According to Patients, Caregivers, and Healthcare Providers. Curr. Oncol. 2025, 32, 58. https://doi.org/10.3390/curroncol32020058

AMA Style

Reuvers MJP, Burgers VWG, Manten-Horst E, Messelink K, van der Laan EJHM, van der Graaf WTA, Husson O. Patient-Centered Care for Adolescents and Young Adults with an Uncertain or Poor Cancer Prognosis: A Secondary Analysis of What Is Needed According to Patients, Caregivers, and Healthcare Providers. Current Oncology. 2025; 32(2):58. https://doi.org/10.3390/curroncol32020058

Chicago/Turabian Style

Reuvers, Milou J. P., Vivian W. G. Burgers, Eveliene Manten-Horst, Kim Messelink, Elsbeth J. H. M. van der Laan, Winette T. A. van der Graaf, and Olga Husson. 2025. "Patient-Centered Care for Adolescents and Young Adults with an Uncertain or Poor Cancer Prognosis: A Secondary Analysis of What Is Needed According to Patients, Caregivers, and Healthcare Providers" Current Oncology 32, no. 2: 58. https://doi.org/10.3390/curroncol32020058

APA Style

Reuvers, M. J. P., Burgers, V. W. G., Manten-Horst, E., Messelink, K., van der Laan, E. J. H. M., van der Graaf, W. T. A., & Husson, O. (2025). Patient-Centered Care for Adolescents and Young Adults with an Uncertain or Poor Cancer Prognosis: A Secondary Analysis of What Is Needed According to Patients, Caregivers, and Healthcare Providers. Current Oncology, 32(2), 58. https://doi.org/10.3390/curroncol32020058

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