TY - JOUR
T1 - Physical and Psychosocial Symptoms of Young Adult Patients Referred to the Supportive Care Mobile Team
AU - Ann-Yi, Sujin
AU - Wong, Angelique
AU - Wu, Jimin
AU - Charone, Maira
AU - Baumgartner, Karen
AU - Carmack, Cindy L.
AU - Castro, Debra
AU - Guzman, Diana
AU - Joy, Manju
AU - Kuriakose, Leela
AU - Madden, Kevin
AU - Najera, John
AU - Pangemanan, Imelda
AU - Rajani, Sabeena
AU - Raznahan, Monica
AU - Stewart, Holly
AU - Tallie, Kimmie
AU - Tanco, Kimberson
AU - Zhukovsky, Donna
AU - Bruera, Eduardo
N1 - Publisher Copyright:
© Copyright 2023, Mary Ann Liebert, Inc., publishers 2023.
PY - 2023/6/1
Y1 - 2023/6/1
N2 - Young adult (YA) aged cancer patients have unique psychosocial needs with studies indicating more symptoms and emotional distress compared to older patients. Our study aimed to compare clinical characteristics and symptom distress between YAs and older adults. We retrospectively studied 896 randomly selected patients across 3 age groups: 18-39 YAs (n = 297), 40-64 (n = 300), and 65 and older (n = 299). We compared medical, psychosocial history, Morphine Equivalent Daily Dose (MEDD), Edmonton Symptom Assessment Scale (ESAS) scores, and Eastern Cooperative Oncology Group (ECOG) scores at the time of initial inpatient consultation with supportive care. YAs were more frequently female and white, with higher ECOG scores, had more self-reported psychiatric history and worse ESAS sleep scores compared to the other age cohort groups. YAs had higher pain expression than those of 65 years and older. YAs were more likely to have children younger than 18 years old, which was associated with worse pain, sleep, and financial distress. In general, YAs did not report higher symptoms distress, with the exception of insomnia and self-reported psychiatric history. Importantly, YAs with children was associated with higher ratings of pain, sleep difficulties, and financial distress. Overall, results suggest YAs may benefit from specialized services to address their unique psychosocial needs.
AB - Young adult (YA) aged cancer patients have unique psychosocial needs with studies indicating more symptoms and emotional distress compared to older patients. Our study aimed to compare clinical characteristics and symptom distress between YAs and older adults. We retrospectively studied 896 randomly selected patients across 3 age groups: 18-39 YAs (n = 297), 40-64 (n = 300), and 65 and older (n = 299). We compared medical, psychosocial history, Morphine Equivalent Daily Dose (MEDD), Edmonton Symptom Assessment Scale (ESAS) scores, and Eastern Cooperative Oncology Group (ECOG) scores at the time of initial inpatient consultation with supportive care. YAs were more frequently female and white, with higher ECOG scores, had more self-reported psychiatric history and worse ESAS sleep scores compared to the other age cohort groups. YAs had higher pain expression than those of 65 years and older. YAs were more likely to have children younger than 18 years old, which was associated with worse pain, sleep, and financial distress. In general, YAs did not report higher symptoms distress, with the exception of insomnia and self-reported psychiatric history. Importantly, YAs with children was associated with higher ratings of pain, sleep difficulties, and financial distress. Overall, results suggest YAs may benefit from specialized services to address their unique psychosocial needs.
KW - palliative care
KW - psychosocial distress
KW - supportive care
KW - young adult cancer
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U2 - 10.1089/jayao.2022.0032
DO - 10.1089/jayao.2022.0032
M3 - Article
C2 - 35881858
AN - SCOPUS:85163913914
SN - 2156-5333
VL - 12
SP - 440
EP - 444
JO - Journal of adolescent and young adult oncology
JF - Journal of adolescent and young adult oncology
IS - 3
ER -