Implementation of a Pilot Clinic for Pediatric to Adult Cancer Survivorship Transitions

J Adolesc Young Adult Oncol. 2023 Dec;12(6):918-922. doi: 10.1089/jayao.2023.0041. Epub 2023 Aug 23.

Abstract

Childhood cancer survivors are recommended to have lifelong survivorship care, yet many become disengaged during pediatric to adult care transitions. We implemented a pilot clinic for adult survivors of pediatric or adolescent and young adult (AYA) leukemia transitioning to adult-focused survivorship care. The clinic featured AYA-specific care, bidirectional communication with primary care, and a quality improvement (QI) cycle. During the 1-year QI period, 27 patients were seen and 21 completed postvisit interviews. The clinic was positively received by patients and primary care providers, showed promise for improving self-management and care coordination, and highlighted the need for novel approaches to connect survivors with primary care.

Keywords: adolescent and young adult; cancer survivorship; clinical pilot; quality improvement; transitions.

MeSH terms

  • Adolescent
  • Cancer Survivors*
  • Child
  • Humans
  • Neoplasms* / therapy
  • Survivors
  • Survivorship
  • Transition to Adult Care*
  • Young Adult