{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:35:16Z","timestamp":1787582116864,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Adolescent and Young Adult Oncology"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:p>Adolescents and young adults (AYA; ages 15\u201339) with acute leukemia have significant unmet supportive care needs. This pilot study integrated same-day palliative care (PC) into an AYA leukemia clinic, measuring symptom burden (SB) with validated symptom assessment tools at baseline, 3, and 6 months. Among 31 patients, moderate-severe symptoms included tiredness, anxiety, and poor appetite. AYAs experienced high SB and psychological distress, regardless of care phase or sociodemographics. With PC integration, tiredness and depression improved significantly; no symptoms worsened. Half of the PC visits led to management changes. Early integration of symptom-focused PC was feasible, value-adding, and well-received by patients.<\/jats:p>","DOI":"10.1177\/21565333251389438","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T09:28:41Z","timestamp":1761125321000},"page":"378-383","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of Symptom Burden Assessments and Early Palliative Care Integration in an Adolescent and Young Adult Leukemia Clinic"],"prefix":"10.1177","volume":"15","author":[{"given":"Sarah E.","family":"Monick","sequence":"first","affiliation":[{"name":"Department of Medicine, Mayo Clinic Arizona, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collin","family":"Hanson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Northwestern Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3848-3895","authenticated-orcid":false,"given":"K. Sarah","family":"Hoehn","sequence":"additional","affiliation":[{"name":"LaRabida Children\u2019s Hospital, Chicago, Illinois, USA."},{"name":"Department of Pediatrics, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fay J.","family":"Hlubocky","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Stock","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Duvall","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Chicago, Chicago, Illinois, USA."},{"name":"Department of Pediatrics, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"McNeer","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Henderson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Daugherty","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy Y.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Northshore University Health System, Evanston, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1634\/THEONCOLOGIST.2014-0265"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2016.1267404"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1182\/BLOOD-2017-11-778555"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/PBC.27660"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/FONC.2013.00075"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/PON.4490"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMOA1000678"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.70.1474"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/PBC.25695"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.73.1356"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.JPAINSYMMAN.2016.10.370"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1176\/APPI.PSY.42.3.241"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/JAYAO.2014.0015"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/PON.3533"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.45.9222"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.5837"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/CNCR.29868"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/CNCR.28737"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1182\/ASHEDUCATION-2018.1.146"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1182\/BLOOD.2022018899"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/CNCR.30656"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/S00520-016-3533-3"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-017-3746-0"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5849"}],"container-title":["Journal of Adolescent and Young Adult Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21565333251389438","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21565333251389438","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21565333251389438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T13:52:50Z","timestamp":1787579570000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21565333251389438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,17]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1177\/21565333251389438"],"URL":"https:\/\/doi.org\/10.1177\/21565333251389438","relation":{},"ISSN":["2156-5333","2156-535X"],"issn-type":[{"value":"2156-5333","type":"print"},{"value":"2156-535X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,17]]}}}