{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T09:38:42Z","timestamp":1793871522390,"version":"4.6.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100001422","name":"American Society of Hematology","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100001422","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescent and Young Adult Oncology"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Adolescent and young adult (AYA) cancer patients have unique nononcologic challenges compared to adult and pediatric counterparts. National guidelines highlight unmet care needs in mental, physical, and sexual\/reproductive health domains. We present a single institution retrospective matched cohort study exploring the feasibility of using electronic medical record (EMR) to identify nononcologic domains correlating to unmet care needs in AYA patients with lymphoma compared with matched controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>AYA patients with lymphoma from 2014 to 2020 were compared to age\/sex matched controls without cancer. The groups were queried using a novel EMR assessment prior to diagnosis and during the 1-year period after diagnosis. Prevalence and incidence of nononcologic care domains were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patients with lymphoma had higher rates of chronic pain and analgesic use (15% vs. 1%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001, and 60.84% vs. 29.33%\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001) prior to diagnosis and more fertility preservation appointments compared to controls. One year after diagnosis, there were higher rates of anxiety (29% vs. 21%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.017), antidepressant use (26% vs. 14%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0003), opioid abuse (4% vs. 0.69%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.007), chronic pain (15% vs. 1%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), analgesic use (80% vs. 13%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), influenza vaccination (16% vs. 0.69%\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001), and reproductive endocrinology and infertility appointments (21.7% vs. 1%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.0001) in the lymphoma group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>EMR can feasibly track institutional-level nononcologic care domains in AYA patients to frame development of institution-specific interventional studies to address care gaps and design prospective patient surveys to correlate to patient-identified concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21565333251370939","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T20:30:16Z","timestamp":1759523416000},"page":"171-178","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Real World Data Identifies Care Needs in Adolescent and Young Adult Patients with Lymphoma: A Matched Cohort Study"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9908-5128","authenticated-orcid":false,"given":"John","family":"Mariano","sequence":"first","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myla","family":"Strawderman","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Snyder","sequence":"additional","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Faugh","sequence":"additional","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle S.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clive S.","family":"Zent","sequence":"additional","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Barr","sequence":"additional","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick M.","family":"Reagan","sequence":"additional","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan W.","family":"Friedberg","sequence":"additional","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Casulo","sequence":"additional","affiliation":[{"name":"Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Ten Leading Causes of Death by Age Group, United States, 2017, National Vital Statistics System","author":"Centers for Disease Control and Prevention","year":"2017","unstructured":"Centers for Disease Control and Prevention. Ten Leading Causes of Death by Age Group, United States, 2017, National Vital Statistics System. Centers for Disease Control and Prevention; 2017."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29867"},{"issue":"4","key":"e_1_3_2_4_2","first-page":"1","article-title":"Disparities of adolescent and young adult patients in the treatment of malignant hematologic diseases","volume":"14","author":"Isenlumhe L","year":"2017","unstructured":"Isenlumhe L. Disparities of adolescent and young adult patients in the treatment of malignant hematologic diseases. The Hematologist, 2017; 14(4):1\u20132,12.","journal-title":"The Hematologist"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21637"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27073"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27486"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/COC.0000000000000327"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2010.30.5417"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2018.0001"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2013.00075"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14030710"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29328"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2014.0138"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1182\/asheducation-2018.1.154"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27512"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27660"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.3945\/an.115.008946"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41571-019-0167-7"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pdig.0000036"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.2196\/51274"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.39.5467"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29866"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmad002"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(87)90181-3"}],"container-title":["Journal of Adolescent and Young Adult Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21565333251370939","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21565333251370939","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21565333251370939","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T12:56:46Z","timestamp":1791377806000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21565333251370939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,3]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6,1]]}},"alternative-id":["10.1177\/21565333251370939"],"URL":"https:\/\/doi.org\/10.1177\/21565333251370939","relation":{},"ISSN":["2156-5333","2156-535X"],"issn-type":[{"value":"2156-5333","type":"print"},{"value":"2156-535X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,3]]}}}