{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:17:46Z","timestamp":1783480666770,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"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":["Asia-Pac J Clncl Oncology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rates of early\u2010onset pancreatic cancer (EOPC) and early\u2010onset colorectal cancer (EOCRC) are rising globally. Although research and clinical guidelines have sought to address the psychosocial and supportive care needs of people with colorectal and pancreatic cancers, these efforts have focused largely on older adults, meaning the experiences of individuals with EOPC and EOCRC may be poorly understood. Social media offers a source of real\u2010time, first\u2010hand narratives that may help address this gap. This study analyzed posts on X (formerly Twitter) to explore the lived experiences and needs of people with EOPC and EOCRC to inform more age\u2010appropriate, person\u2010centered care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Posts containing keywords relating to EOPC and EOCRC, shared between 2023 and 2025, were extracted. Of 7441 posts retrieved, approximately 40% were categorized automatically using predefined keywords, with the remainder manually coded. Automated coding demonstrated substantial agreement with manual coding (Cohen's\n                      <jats:italic>\u03ba<\/jats:italic>\n                      \u00a0=\u00a00.717).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most posts related to \u201cacademic and clinical\u201d content (66.1%) or \u201cmedical advice and discussion\u201d (13.5%). Only 11 posts (0.2%) described patient experiences, all relating to EOCRC, with none reflecting lived experiences of EOPC. These posts highlighted rising EOCRC incidence, late\u2010stage diagnoses, advocacy for screening, survivorship themes, and peer support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>X posts by people with early\u2010onset cancers were scarce, whereas clinician\u2010 and researcher\u2010 posts dominated. This imbalance on X suggests a one\u2010directional, paternalistic model of healthcare communication on this platform that contrasts with person\u2010centered principles. Future research should explore alternative platforms and digital strategies to better engage younger cancer populations and support more collaborative communication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajco.70094","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T05:21:31Z","timestamp":1773120091000},"page":"557-563","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Are Social Media Platforms an Effective Forum for Engaging Early\u2010Onset Cancer Survivors? Insights From X (Formerly Twitter)"],"prefix":"10.1111","volume":"22","author":[{"given":"Abby","family":"Dawson","sequence":"first","affiliation":[{"name":"College of Medicine and Public Health, Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savio George","family":"Barreto","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health, Flinders University  Adelaide South Australia Australia"},{"name":"Division of Surgery and Perioperative Medicine Flinders Medical Centre  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14164021"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2023.12.005"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14143502"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(24)00600-4"},{"key":"e_1_2_9_6_1","unstructured":"Report on the National Pancreatic Cancer Roadmap(Cancer Australia 2021)."},{"key":"e_1_2_9_7_1","volume-title":"Clinical Practice Guidelines for the Prevention, Early Detection and Management of Colorectal Cancer","author":"Cancer Council Australia","year":"2024"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-024-03857-z"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-025-03976-y"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1691-0"},{"key":"e_1_2_9_11_1","unstructured":"X (Formerly Twitter) User Stats: 2026 Data & Trends(Exploding Topics 2026)."},{"key":"e_1_2_9_12_1","unstructured":"\u201cX (Formerly Twitter) \u201dX Corp accessed February 8 2026 https:\/\/x.com."},{"key":"e_1_2_9_13_1","unstructured":"\u201cHistorical Twitter Data and Twitter Archive Search \u201dTrackMyHashtag accessed February 8 2026 https:\/\/www.trackmyhashtag.com\/historical\u2010twitter\u2010data#request\u2010data\u2010form."},{"key":"e_1_2_9_14_1","unstructured":"Python (Version 3.x) (Python Software Foundation 2024)."},{"key":"e_1_2_9_15_1","unstructured":"Anaconda (Version 2024.x) (Anaconda Inc. 2024)."},{"issue":"3","key":"e_1_2_9_16_1","first-page":"276","article-title":"Interrater Reliability: The kappa Statistic","volume":"22","author":"McHugh M. L.","year":"2012","journal-title":"Biochemamedica"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316446002000104"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2022.101309"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.1026973"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.2196\/28234"},{"key":"e_1_2_9_21_1","unstructured":"\u201cFacebook \u201dMeta Platforms Inc. accessed February 8 2026 https:\/\/www.facebook.com."},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.2196\/40198"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.6344"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-023-01967-0"},{"key":"e_1_2_9_25_1","unstructured":"\u201cTikTok \u201dTikTok Inc. accessed February 8 2026 https:\/\/www.tiktok.com."},{"key":"e_1_2_9_26_1","unstructured":"\u201cInstagram \u201dMeta Platforms Inc. accessed February 8 2026 https:\/\/www.instagram.com."},{"key":"e_1_2_9_27_1","unstructured":"\u201cYouTube \u201dGoogle LLC accessed February 8 2026 https:\/\/www.youtube.com."}],"container-title":["Asia-Pacific Journal of Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajco.70094","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajco.70094","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajco.70094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:55:08Z","timestamp":1783479308000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajco.70094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,9]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/ajco.70094"],"URL":"https:\/\/doi.org\/10.1111\/ajco.70094","archive":["Portico"],"relation":{},"ISSN":["1743-7555","1743-7563"],"issn-type":[{"value":"1743-7555","type":"print"},{"value":"1743-7563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,9]]},"assertion":[{"value":"2025-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}