Document Detail

The Quid Pro Quo of pediatric versus adult services for older adolescent cancer patients.
MedLine Citation:
PMID:  19813248     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Data from the State of Georgia suggest that pediatric cancers have better survival outcomes when treated at pediatric cancer centers that are members of the nation's Children's Oncology Group (COG). PATIENTS AND METHODS: To determine if the more adult types of cancer that occur in adolescents are better treated at centers with adult oncology expertise, the reported data were re-analyzed according to a scale that assessed whether the type of cancer was more likely to have been treated by oncologists with pediatric versus adult cancer experience. RESULTS: The results showed that survival hazard index was linearly correlated in 15- to 19-year-olds with the pediatric versus adult cancer type index (P < 0.0001). All of the five most pediatric type of cancers had a better survival at COG institutions and all of the three tumors with a better survival at non-COG institutions had the highest adult type scores. CONCLUSION: These results demonstrate that adolescent patients with pediatric types of cancer fare better when their care is conducted or supervised by oncologists who specialize in the care of their type of cancer. The Georgia data are among the first to indicate that the more adult type of cancers are better treated on an adult treatment regimen and/or under the supervision or in conjunction with adult-treating oncologists.
Archie Bleyer
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric blood & cancer     Volume:  54     ISSN:  1545-5017     ISO Abbreviation:  Pediatr Blood Cancer     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2009-12-17     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101186624     Medline TA:  Pediatr Blood Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238-41     Citation Subset:  IM    
Copyright Information:
(c) 2009 Wiley-Liss, Inc.
Cancer Treatment Center, St. Charles Medical Center, Bend, Oregon, USA.
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MeSH Terms
Adolescent Health Services*
Age Distribution
Cancer Care Facilities*
Decision Making*
Hospitals, Pediatric
Neoplasms / epidemiology,  therapy*
Outcome Assessment (Health Care)*
Proportional Hazards Models
Survival Analysis
United States / epidemiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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