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Mounting evidence suggests that adolescents and young adults are not getting the best that cancer treatment can offer. Spurred by data showing that cancer mortality rates among adolescents have barely budged for decades, scientists and others have called for heightened efforts to improve their clinical outcomes. The most recent evidence comes from the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) program, which in April published a monograph claiming that a diagnosis of cancer among adolescents and young adults during the mid-1970s carried a better prognosis relative to other age groups than it does today. Yet since then, cancer mortality rates among this population have mysteriously fl attened, while those of children and older adults have steadily improved. Experts are now trying to determine why young adult cancers haven’t made the strides common in other age groups and what can be done about it. A collaboration of the Lance Armstrong Foundation (known as Livestrong) and NCI recently concluded that the single greatest current challenge facing young adults and older adolescents with cancer is the lack of progress in their outcomes, a defi cit that has spanned nearly a quarter of a century. That is the conclusion of a 108page report titled Closing the Gap: Research and Care Imperatives for Adolescents and Young Adults with Cancer , which was published by Livestrong and NCI in September. The report’s recommendations topped the agenda at a recent Livestrong conference, held Nov. 10 – 12 in Austin, Texas. At the conference, participants from hospitals and research groups throughout the United States developed a range of strategies to promote adolescent and young adult cancer research and awareness. Details were unavailable at press time. “ As a group, adolescents and young adults are understudied in cancer research, ” stresses Crystal Mackall , M.D., who heads the pediatric oncology branch of the NCI’s immunology section. “ Our feeling in the research community is that we’re glad folks are taking this on and putting together programs that target this particular segment of the population. ”

Lack of Progress in Teen and Young Adult Cancers Concerns Researchers, Prompts Study