{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:20:13Z","timestamp":1792167613195,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T00:00:00Z","timestamp":1441152000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"crossref","award":["U01CA093344"],"award-info":[{"award-number":["U01CA093344"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Dana-Farber Cancer Institute\/Cancer Research Network","award":["U01CA093332"],"award-info":[{"award-number":["U01CA093332"]}]},{"name":"Harvard Medical School\/Northern California Cancer Center","award":["U01CA093324"],"award-info":[{"award-number":["U01CA093324"]}]},{"name":"RAND\/UCLA","award":["U01CA093348"],"award-info":[{"award-number":["U01CA093348"]}]},{"DOI":"10.13039\/100008333","name":"University of Alabama at Birmingham","doi-asserted-by":"crossref","award":["U01CA093329"],"award-info":[{"award-number":["U01CA093329"]}],"id":[{"id":"10.13039\/100008333","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100008893","name":"University of Iowa","doi-asserted-by":"crossref","award":["U01CA093339"],"award-info":[{"award-number":["U01CA093339"]}],"id":[{"id":"10.13039\/100008893","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100006808","name":"University of North Carolina","doi-asserted-by":"crossref","award":["U01CA093326"],"award-info":[{"award-number":["U01CA093326"]}],"id":[{"id":"10.13039\/100006808","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000738","name":"Department of Veterans' Affairs","doi-asserted-by":"crossref","award":["CRS02-164"],"award-info":[{"award-number":["CRS02-164"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100007886","name":"Dana-Farber Cancer Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007886","id-type":"DOI","asserted-by":"crossref"}]},{"name":"NCI","award":["K24CA181510"],"award-info":[{"award-number":["K24CA181510"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Our aim is to understand experiences with treatment decision\u2010making among young adults with cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied patients with lung cancer or colorectal cancer in the Cancer Care Outcomes Research and Surveillance Consortium, a prospective cohort study. We identified 148 young adult patients aged 21\u201340\u00a0years who completed baseline interview questions about cancer treatment decision\u2010making; each was propensity score matched to three middle adult patients aged 41\u201360\u00a0years, for a cohort of 592 patients. Patients were asked about decision\u2010making preferences, family involvement in decision\u2010making, and worries about treatment. An ordinal logistic regression model evaluated factors associated with more treatment worries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Young and middle\u2010aged adults reported similar decision\u2010making preferences (<jats:italic>p<\/jats:italic>\u2009=\u20090.80) and roles relative to physicians (<jats:italic>p<\/jats:italic>\u2009=\u20090.36). Although family involvement was similar in the age groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.21), young adults were more likely to have dependent children in the home (60% younger versus 28% middle\u2010aged adults, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Young adults reported more worries about time away from family (<jats:italic>p<\/jats:italic>\u2009=\u20090.002), and, in unadjusted analyses, more cancer treatment\u2010related worries (mean number of responses of \u2018somewhat\u2019 or \u2018very\u2019 worried 2.5 for younger versus 2.2 for middle\u2010aged adults, <jats:italic>p<\/jats:italic>\u2009=\u20090.02.) However, in adjusted analyses, worries were associated with the presence of dependent children in the home (odds ratio [OR] 1.55, 95% CI\u2009=\u20091.07\u20132.24, <jats:italic>p<\/jats:italic>\u2009=\u20090.02), rather than age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Young adults involve doctors and family members in decisions at rates similar to middle\u2010aged adults but experience more worries about time away from family. Patients with dependent children are especially likely to experience worries. Treatment decision\u2010making strategies should be based on individual preferences and needs rather than age alone. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.3949","type":"journal-article","created":{"date-parts":[[2015,9,3]],"date-time":"2015-09-03T02:43:38Z","timestamp":1441248218000},"page":"1085-1091","source":"Crossref","is-referenced-by-count":28,"title":["Cancer treatment decision\u2010making among young adults with lung and colorectal cancer: a comparison with adults in middle age"],"prefix":"10.1002","volume":"25","author":[{"given":"Jennifer W.","family":"Mack","sequence":"first","affiliation":[{"name":"Department of Pediatric Oncology Dana\u2010Farber Cancer Institute  Boston MA USA"},{"name":"Division of Population Sciences Dana\u2010Farber Cancer Institute  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angel","family":"Cronin","sequence":"additional","affiliation":[{"name":"Division of Population Sciences Dana\u2010Farber Cancer Institute  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Fasciano","sequence":"additional","affiliation":[{"name":"Department of Psychosocial Oncology and Palliative Care Dana\u2010Farber Cancer Institute  Boston MA USA"},{"name":"Department of Psychiatry Brigham and Women's Hospital  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan D.","family":"Block","sequence":"additional","affiliation":[{"name":"Department of Psychosocial Oncology and Palliative Care Dana\u2010Farber Cancer Institute  Boston MA USA"},{"name":"Department of Psychiatry Brigham and Women's Hospital  Boston MA USA"},{"name":"Department of Medicine Brigham and Women's Hospital  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy L.","family":"Keating","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy Harvard Medical School  Boston MA USA"},{"name":"Division of General Internal Medicine and 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