{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T14:23:00Z","timestamp":1788531780167,"version":"build-2803163510"},"reference-count":58,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"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"],"abstract":"<jats:title\/>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>While challenges faced by young adults (YAs) aged 18\u201339 years with breast cancer are well-documented, health care providers\u2019 experiences caring for YAs are underinvestigated. Given high burnout rates among oncologists, this study explores providers\u2019 perspectives about how complex care of YAs may impact emotional well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants and Methods:<\/jats:title>\n                    <jats:p>A multidisciplinary cohort of breast oncology practitioners from a single Comprehensive Cancer Center were recruited to complete (1) semistructured interviews, and (2) the Maslach Burnout Inventory\u2013Human Services Survey (MBI\u2013HSS) between August and November 2025. Interview questions prompted participants\u2019 narratives about how complexities in clinical care for YAs might affect their emotional well-being. Transcribed interview audio-recordings were analyzed for recurring themes. Three MBI\u2013HSS subscales were scored as follows: emotional exhaustion (low \u2264 16, moderate\/high \u2265 17), depersonalization (low \u2264 5, moderate\/high \u2265 6), and reduced personal accomplishment (low \u2265 40, moderate\/high \u2264 39).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants included a multidisciplinary cohort of breast oncology providers comprised of 14 (70%) physicians and 6 (30%) advanced practice providers. Thirteen completed the MBI\u2013HSS; 5 (38%) scored as moderate\/high risk for emotional exhaustion and depersonalization, and 8 (62%) scored as moderate\/high risk for reduced sense of professional achievement. Participant narratives highlighted four themes: (1) age-related considerations complicate care and contribute to workplace stress; (2) systematic barriers to patient care impact burnout; (3) multidisciplinary collaborations promote optimal care and provider well-being; and (4) system-level initiatives could facilitate delivery of high-value care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this mixed-methods study of breast oncology providers caring for YA patients, risks for emotional exhaustion, depersonalization, and reduced sense of accomplishment were common. Qualitative findings underscore the emotional complexity of caring for this population and suggest that multidisciplinary support may play a crucial role in mitigating risk for burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Context Summary:<\/jats:title>\n                    <jats:p>Health care providers\u2019 experiences caring for young adults (YAs) aged 18\u201339 years with breast cancer are underinvestigated. Given high burnout rates among oncologists, this mixed-methods study explores providers\u2019 perspectives about how complex care of YAs may impact emotional well-being through (1) semistructured interviews, and (2) the Maslach Burnout Inventory\u2013Human Services Survey (MBI\u2013HSS). Of the 20 multidisciplinary breast oncology specialists who participated, 13 completed the MBI\u2013HSS; 5 (38%) scored as moderate\/high risk for emotional exhaustion and depersonalization, and 8 (62%) scored as moderate\/high risk for reduced sense of professional achievement. Participant narratives highlighted four themes: (1) age-related considerations complicate care and contribute to workplace stress; (2) systematic barriers to patient care impact burnout; (3) multidisciplinary collaborations promote optimal care and provider well-being; and (4) system-level initiatives could facilitate delivery of high-value care. Findings underscore the complexity of caring for YAs and suggest that multidisciplinary support plays a crucial role in mitigating burnout.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21565333261481965","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T09:21:09Z","timestamp":1788340869000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Caring for Young Adults with Breast Cancer: Providers\u2019 Perspectives on Burnout in a Complex Care Landscape"],"prefix":"10.1177","author":[{"given":"Caroline","family":"Lommer","sequence":"first","affiliation":[{"name":"The Ohio State University College of Medicine, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lila","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, Ohio, USA."},{"name":"CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Amato","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, Ohio, USA."},{"name":"CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Kenny","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Medicine, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"Sova","sequence":"additional","affiliation":[{"name":"CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Scheck McAlearney","sequence":"additional","affiliation":[{"name":"CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, USA."},{"name":"Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tari A.","family":"King","sequence":"additional","affiliation":[{"name":"Division of Breast Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA."},{"name":"Winship\u2019s Glenn Family Breast Center, Winship Cancer Institute of Emory University, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley P.","family":"Davenport","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology, Department of Internal Medicine, College of Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4318-3938","authenticated-orcid":false,"given":"Sara P.","family":"Myers","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital, Columbus, Ohio, USA."},{"name":"CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research, College of Medicine, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1995.244"},{"key":"e_1_3_2_3_1","unstructured":"2.Oakman T Smith-Ramakrishnan V. Physician burnout will burn all of us. The Century Foundation; 2023. Available from: https:\/\/tcf.org\/content\/report\/physician-burnout-will-burn-all-of-us\/ [Last accessed: 30January 2026]."},{"key":"e_1_3_2_4_1","unstructured":"3.Taylor BC. Physician burnout demands bold action. American Hospital Association; 2025. Available from: https:\/\/trustees.aha.org\/physician-burnout-demands-bold-action [Last accessed: 30January 2026]."},{"key":"e_1_3_2_5_1","unstructured":"4.National Academies of Sciences Engineering and Medicine; National Academy of Medicine; Committee on Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being. Taking action against clinician burnout: A systems approach to professional well-being. National Academies Press (US): Washington DC; 2019. Available from: http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK552618\/ [Last accessed: 30January 2026]."},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/EDBK_320873"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.1998.1.337"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-05009-3"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.51.8480"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1200\/OA.24.00010"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2023.04.010"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-019-07532-3"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1803771"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-022-07896-5"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2470"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31279-X"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2025.107957"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34934"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14899"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.7326\/ANNALS-24-02718"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-016-3983-9"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21637"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.6326"},{"key":"e_1_3_2_24_1","first-page":"22","volume-title":"Successful Qualitative Research: A Practical Guide for Beginners","author":"Braun V","year":"2013","unstructured":"23.Braun V, , Clarke V. Successful Qualitative Research: A Practical Guide for Beginners. SAGE Publications: London; 2013; p. 22."},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/job.4030020205"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2022.e08868"},{"issue":"4","key":"e_1_3_2_27_1","first-page":"472","article-title":"Six areas of worklife: A model of the organizational context of burnout","volume":"21","author":"Leiter MP","year":"1999","unstructured":"26.Leiter MP, , Maslach C. Six areas of worklife: A model of the organizational context of burnout. J Health Hum Serv Adm 1999;21(4):472\u2013489.","journal-title":"J Health Hum Serv Adm"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4815-x"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2016.03.004"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2334"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2018.0028"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2019.01.180104"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-025-01881-7"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-022-06590-5"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27660"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP-24-00528"},{"key":"e_1_3_2_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5289"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP-24-00868"},{"key":"e_1_3_2_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2849"},{"key":"e_1_3_2_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077558712447688"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/0897190017707118"},{"key":"e_1_3_2_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.13234"},{"key":"e_1_3_2_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2021.11.013"},{"key":"e_1_3_2_44_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncimonographs\/lgq010"},{"key":"e_1_3_2_45_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2014.003350"},{"key":"e_1_3_2_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.31394"},{"key":"e_1_3_2_47_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djz239"},{"key":"e_1_3_2_48_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.22.00287"},{"key":"e_1_3_2_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2025.152061"},{"key":"e_1_3_2_50_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-064144"},{"key":"e_1_3_2_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/joim.12752"},{"key":"e_1_3_2_52_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200606-806OC"},{"key":"e_1_3_2_53_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201101-0068OC"},{"key":"e_1_3_2_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13094"},{"key":"e_1_3_2_55_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-2784-z"},{"key":"e_1_3_2_56_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2020.0040"},{"key":"e_1_3_2_57_1","doi-asserted-by":"publisher","DOI":"10.1080\/07357907.2020.1846191"},{"key":"e_1_3_2_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27397"},{"key":"e_1_3_2_59_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1999.01117.x"}],"container-title":["Journal of Adolescent and Young Adult Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21565333261481965","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21565333261481965","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21565333261481965","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T13:47:37Z","timestamp":1788529657000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21565333261481965"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,2]]},"references-count":58,"alternative-id":["10.1177\/21565333261481965"],"URL":"https:\/\/doi.org\/10.1177\/21565333261481965","relation":{},"ISSN":["2156-5333","2156-535X"],"issn-type":[{"value":"2156-5333","type":"print"},{"value":"2156-535X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,2]]},"article-number":"21565333261481965"}}