{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:17:00Z","timestamp":1785421020234,"version":"3.56.0"},"reference-count":43,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Merck, AstraZeneca, GSK, and Innovative Medicines Canada"},{"id":[{"id":"https:\/\/ror.org\/0129t8w49","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>The fifth annual pan-tumour Early Age Onset Cancer (EAOC) Symposium, held in November 2025 and organized by the Colorectal Cancer Resource &amp; Action Network (CCRAN), convened clinicians, researchers, policymakers, patients, and caregivers to address the rising incidence of cancers in individuals under 50 years. In addition to discussions around diagnostic and therapeutic advances for patients with late-stage disease, content centered on addressing critical gaps along the EAOC care continuum, including (i) diagnostic delays related to limited awareness and suboptimal primary care pathways, (ii) screening eligibility criteria for colorectal cancer (CRC) that no longer reflect current disease epidemiology, and (iii) insufficient age-appropriate infrastructure to meet the EAOC population\u2019s unique unmet needs with respect to psychosocial support, fertility counseling, financial navigation, and survivorship planning. The symposium generated consensus recommendations such as the embedding of EAOC education into medical training curricula to increase the index of suspicion of EAOC in primary care, lowering the CRC screening age to 45 years to match this population\u2019s rising disease incidence, and expanding multidisciplinary adolescent and young adult (AYA) and EAOC programs\u2014including through the use of virtual models\u2014to ensure that patients receive coordinated, comprehensive, equitable and age-appropriate care across the country.<\/jats:p>","DOI":"10.3390\/curroncol33070377","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T18:35:05Z","timestamp":1782239705000},"page":"377","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing Care Pathways from Screening\/Detection to Survivorship for Early Age Onset Cancer Patients in Canada"],"prefix":"10.3390","volume":"33","author":[{"given":"Michael J.","family":"Raphael","sequence":"first","affiliation":[{"name":"Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren R.","family":"Brenner","sequence":"additional","affiliation":[{"name":"Departments of Oncology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1373-4073","authenticated-orcid":false,"given":"Tanya","family":"Chawla","sequence":"additional","affiliation":[{"name":"Joint Department of Medical Imaging, University of Toronto, Mount Sinai Hospital, Toronto, ON M5G 1X5, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trudy","family":"Matwiy","sequence":"additional","affiliation":[{"name":"Crossfield Clinic, Crossfield, AB T0M 0S0, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8243-8721","authenticated-orcid":false,"given":"Stuart","family":"Peacock","sequence":"additional","affiliation":[{"name":"BC Cancer Research Institute, Vancouver, BC V5Z 1L3, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robby","family":"Spring","sequence":"additional","affiliation":[{"name":"Independent Patient Advocate and Healthcare Strategist, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6013-7402","authenticated-orcid":false,"given":"Perri R.","family":"Tutelman","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Calgary, Calgary, AB T2N 1N4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5576-0339","authenticated-orcid":false,"given":"Eva","family":"Villalba","sequence":"additional","affiliation":[{"name":"Quebec Cancer Coalition, Saint-Lambert, QC J4P 1X2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra","family":"Macaulay","sequence":"additional","affiliation":[{"name":"Colorectal Cancer Resource & Action Network (CCRAN), Toronto, ON M4W 3E2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1079-2295","authenticated-orcid":false,"given":"Filomena","family":"Servidio-Italiano","sequence":"additional","affiliation":[{"name":"Colorectal Cancer Resource & Action Network (CCRAN), Toronto, ON M4W 3E2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"4553","DOI":"10.1002\/cncr.33050","article-title":"Emerging cancer incidence trends in Canada: The growing burden of young adult cancers","volume":"126","author":"Heer","year":"2020","journal-title":"Cancer"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e198090","DOI":"10.1001\/jamanetworkopen.2019.8090","article-title":"National trends in colorectal cancer incidence among older and younger adults in Canada","volume":"2","author":"Brenner","year":"2019","journal-title":"JAMA Netw. 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