{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T11:59:51Z","timestamp":1787918391521,"version":"build-2784847793"},"reference-count":80,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Over 89,000 adolescents and young adults (AYAs) are diagnosed with cancer every year in the United States, and despite high survival rates, AYAs continue to experience the late effects of cancer and its treatments into survivorship. Pain, cited as the most distressing, impairing, and undertreated symptom during and after active treatment, is a common concern for AYAs with cancer and a challenge for oncology providers to manage. First\u2010line pain treatments often include prescription opioids, but there is limited evidence to support the efficacy of long\u2010term opioid use to manage pain among AYAs, along with increased risk of opioid\u2010related negative consequences. Given the relative lack of research in this area, there is an opportunity to better understand how oncology providers think about and navigate chronic pain management and mitigate risk for opioid\u2010related negative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Therefore, we conducted a semi\u2010structured qualitative study with 14 pediatric oncology providers, assessing current pain management practices, decision\u2010making, attitudes and perspectives, and challenges to providing safe and effective pain management for AYA oncology patients. Interviews were summarized using a Rapid Qualitative Analysis framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Results provided support for three themes: perceptions about pain and pain management needs for AYAs with cancer; pharmacological and nonpharmacological treatments for cancer\u2010related pain; and education, standardization, and challenges of opioid pain management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There are a number of existing barriers to AYA cancer\u2010related pain management in the oncology setting. Oncology providers are providing primary pain management for their patients, but should consider referral to pain specialists when available. Better characterization of cancer\u2010related pain can ideally be leveraged to identify those patients at highest risk for chronic pain and its consequences in survivorship, opening the possibility of developing tailored prevention and intervention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70131","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T08:49:47Z","timestamp":1768553387000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pediatric Oncology Providers\u2019 Perceptions on Pain Management and Opioid Use for Adolescents and Young Adults With Cancer: A Qualitative Study"],"prefix":"10.1002","volume":"73","author":[{"given":"Andrew H.","family":"Rogers","sequence":"first","affiliation":[{"name":"Division of Behavioral Medicine Department of Medicine Jacobs School of Medicine and Biomedical Sciences University at Buffalo State University of New York  Buffalo New York USA"},{"name":"Department of Pediatric Oncology Roswell Park Comprehensive Cancer Center  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany D.","family":"Pester","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara J.","family":"Fligelman","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Pielech","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Behavioral and Social Sciences Center for Alcohol and Addiction Studies Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelius B.","family":"Groenewald","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Perioperative, and Pain Medicine Stanford University School of Medicine  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler G.","family":"Ketterl","sequence":"additional","affiliation":[{"name":"Ben Town Center for Childhood Cancer Research Seattle Children's Hospital  Seattle Washington USA"},{"name":"Division of Pediatric Hematology Oncology, and Bone Marrow Transplant Department of Pediatrics University of Washington  Seattle Washington USA"},{"name":"Division of General Internal Medicine Department of Internal Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie M.","family":"Vest","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Jacobs School of Medicine and Biomedical Sciences University at Buffalo State University of New York  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonya M.","family":"Palermo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine University of Washington  Seattle Washington USA"},{"name":"Center for Child Health Behavior, and Development Seattle Children's Research Institute  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"National Cancer Institute \u201cAdolescents and Young Adults With Cancer \u201dNational Cancer Institute 2024 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