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August 2018

The Affordable Care Act and Adolescents and Young Adults With Cancer: Much Progress, but Challenges Remain

Author Affiliations
  • 1Pediatric Hematology/Oncology, Monroe Carell Jr Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, Tennessee
  • 2Department of Health Policy, Vanderbilt University School of Medicine, Nashville, Tennessee
JAMA Oncol. 2018;4(8):1043-1044. doi:10.1001/jamaoncol.2018.1083

Adolescents and young adults (AYAs) between the ages of 15 and 39 years with cancer have been identified by the National Cancer Institute as a vulnerable population. While overall cancer survival rates have improved, there has been less improvement for AYAs with cancer. Factors contributing to widening outcome disparities in the AYA population include a higher uninsured rate than the general population, delayed diagnosis, loss of follow-up, lower participation in clinical trials, challenging psychosocial situations, and inconsistent treatment guidelines between adult and pediatric oncology.1

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