Ferrari Andrea, Barr Ronald D
Pediatric Oncology Unit, Fondazione IRCCS Istituto Nationale dei Tumori, Milan, Italy.
Departments of Pediatrics, Pathology and Medicine, McMaster University, Hamilton, Ontario, Canada.
Pediatr Blood Cancer. 2017 Sep;64(9). doi: 10.1002/pbc.26528. Epub 2017 Mar 30.
Adolescents and Young Adults (AYAs) contribute approximately 1 million incident cases globally, but the great majority are underserved. In high-income countries, overall survival exceeds 80%, but the needs of this population during and after their treatment experience are poorly met, though specialized clinical programs are evolving. Engagement of national governments is advantageous and deployment of multidisciplinary teams essential. Collaboration between pediatric and adult healthcare providers is mandatory and AYAs must be given a strong voice in program development. Building and sharing international experience will hasten advances in clinical care, education, and research, while a focus on developing countries is a worthy challenge.
青少年及青年（AYA）群体在全球约有100万新发病例，但绝大多数患者未得到充分治疗。在高收入国家，总体生存率超过80%，然而尽管专门的临床项目在不断发展，但该群体在治疗期间及之后的需求仍未得到充分满足。各国政府的参与具有重要意义，多学科团队的部署必不可少。儿科和成人医疗服务提供者之间的合作是必须的，并且在项目开发中必须赋予AYA群体强有力的话语权。积累和分享国际经验将加速临床护理、教育和研究的进展，而关注发展中国家则是一项值得应对的挑战。
