A review of Canadian health care and cancer care systems.

Abstract:

:Canada is a westernized, market-economy nation with a publicly funded health care and cancer control system and has health indices reflective of a high-resource economy. Provision of health services is in accord with the Canada Health Act and is implemented through federal, provincial, and territorial relations wherein federal funding partly provides support for the provincial/territorial delivery of health services. Cancer services are provided within the acute health care system with dedicated entities existing in parallel in most provinces to provide services specific to the diagnosis, treatment, and support of cancer patients. Interprovincial and territorial collaboration to enhance and facilitate optimal cancer system performance is enabled through the Canadian Partnership Against Cancer (the Canadian national cancer control initiative). Adolescent and young adult (AYA) cancer patients use both the pediatric and adult cancer systems. There is recognition, however, that although AYA patients are numerically a small portion of all cancer patients, the negative personal, societal, and socioeconomic impacts of potential years of life lost are substantial and can be lessened through attention to awareness, education, redesign of care and care pathways, quality of life, developmental aspects related to adolescent-teen-adult transitions, continuity of care, and surveillance across pediatric and adult settings. Appropriate solutions need to be established within the framework of the Canadian Health Service by innovative rethinking and realignment of system capacity and performance to the special needs of AYA cancer patients.

journal_name

Cancer

journal_title

Cancer

authors

Sutcliffe SB

doi

10.1002/cncr.26053

subject

Has Abstract

pub_date

2011-05-15 00:00:00

pages

2241-4

issue

10 Suppl

eissn

0008-543X

issn

1097-0142

journal_volume

117

pub_type

杂志文章

相关文献

CANCER文献大全
  • A renal cell carcinoma neoplastic antigen detectable by immunohistochemistry is defined by a murine monoclonal antibody.

    abstract::BALB/c mice were hyperimmunized with ACHN (ATCC CRL 1611, American Type Culture Collection, Rockville, Maryland), a stable in vitro cell line derived from a malignant pleural effusion in a 22-year-old man with renal cell carcinoma. The hyperimmune spleen cells were fused with NS-1 murine myeloma cells using polyethyle...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870615)59:12<2031::aid-cncr282

    authors: Kochevar J

    更新日期:1987-06-15 00:00:00

  • A phase 2 study of estramustine, docetaxel, and bevacizumab in men with castrate-resistant prostate cancer: results from Cancer and Leukemia Group B Study 90006.

    abstract:BACKGROUND:The use of docetaxel prolongs survival for patients with castrate-resistant prostate cancer (CRPC). Inhibition of vascular endothelial growth factor (VEGF) with bevacizumab may further enhance the antitumor effect of docetaxel and estramustine in patients with CRPC. METHODS:This cooperative group trial enro...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.25421

    authors: Picus J,Halabi S,Kelly WK,Vogelzang NJ,Whang YE,Kaplan EB,Stadler WM,Small EJ,Cancer and Leukemia Group B.

    更新日期:2011-02-01 00:00:00

  • Monocytic leukemia in infancy. A review of eight children.

    abstract::The clinical and pathologic features of eight infants with monocytic leukemia are reviewed. The children were all aged 12 months or less at diagnosis and had a high incidence of extramedullary features, skin infiltration being particularly common. The diagnosis was established by conventional morphologic and cytochemi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19851001)56:7<1584::aid-cncr2820

    authors: Darbyshire PJ,Smith JH,Oakhill A,Mott MG

    更新日期:1985-10-01 00:00:00

  • Limb salvage for skeletal and soft tissue sarcomas. Multidisciplinary preoperative therapy.

    abstract::One hundred eighty-three patients with malignant skeletal (83) or soft tissue sarcoma (100) were entered into the multimodality preoperative limb salvage protocol. Local recurrences were observed in 5 of 183 (2.7%). Six patients required amputation because of complications, and 13 patients died within 1 year from meta...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840615)53:12<2579::aid-cncr282

    authors: Eilber FR,Morton DL,Eckardt J,Grant T,Weisenburger T

    更新日期:1984-06-15 00:00:00

  • Patient variables that predict atypical cytology by nipple duct lavage.

    abstract:BACKGROUND:Nipple duct lavage (NDL) may be useful for breast cancer risk stratification. Published guidelines recommend that women with a 5-year Gail risk >/=1.7% should consider undergoing lavage for any fluid-yielding ducts, but it is not known whether increased breast cancer risk or nipple fluid production predict l...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22538

    authors: Bushnaq ZI,Ashfaq R,Leitch AM,Euhus D

    更新日期:2007-04-01 00:00:00

  • An unusual presentation of a large tumor coexisting with an unusually high nonspecific immune responsiveness. A case report.

    abstract::The authors present the case of a 40-year-old white man with an obstructing laryngeal mass. Despite considerable tumor size, results of repeated biopsies revealed widespread carcinoma in situ with chronic inflammation within the subcutaneous tissues, and only after extensive endoscopic "debulking" of the mass was a sm...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850801)56:3<490::aid-cncr28205

    authors: Eskinazi DP,Mihail R,Dichtel WG

    更新日期:1985-08-01 00:00:00

  • Psychologic intervention improves survival for breast cancer patients: a randomized clinical trial.

    abstract:BACKGROUND:The question of whether stress poses a risk for cancer progression has been difficult to answer. A randomized clinical trial tested the hypothesis that cancer patients coping with their recent diagnosis but receiving a psychologic intervention would have improved survival compared with patients who were only...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.23969

    authors: Andersen BL,Yang HC,Farrar WB,Golden-Kreutz DM,Emery CF,Thornton LM,Young DC,Carson WE 3rd

    更新日期:2008-12-15 00:00:00

  • Sentinel lymph node versus axillary lymph node dissection for early-stage breast carcinoma: a comparison using a utility-adjusted number needed to treat analysis.

    abstract:BACKGROUND:The current study was performed to compare the value of sentinel lymph node dissection (SND) and axillary lymph node dissection (AND) in improving the utility-adjusted survival for early-stage breast carcinoma patients. METHODS:A number needed to treat (NNT) analysis was used to compare SND with AND. In the...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11081

    authors: Jani AB,Basu A,Heimann R,Hellman S

    更新日期:2003-01-15 00:00:00

  • Absence of premalignant histologic, molecular, or cell biologic alterations in prophylactic oophorectomy specimens from BRCA1 heterozygotes.

    abstract:BACKGROUND:The high mortality associated with ovarian carcinoma is largely a reflection of the inability to diagnose the disease at an early stage; the identification of a histologic lesion or molecular marker associated early stages of transformation would represent an important advance in understanding the natural hi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(20000715)89:2<383::aid-cncr25>3.

    authors: Barakat RR,Federici MG,Saigo PE,Robson ME,Offit K,Boyd J

    更新日期:2000-07-15 00:00:00

  • Are we missing an opportunity for cancer prevention? Human papillomavirus vaccination for survivors of pediatric and young adult cancers.

    abstract::Survivors of pediatric and young adult cancers remain at risk for subsequent diseases, including those related to human papillomavirus (HPV) infection. Prevention of HPV acquisition through vaccination has become possible over the last decade. HPV vaccines have been shown to be safe and effective, yet rates of vaccina...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.29515

    authors: Temkin SM,Seibel NL

    更新日期:2015-10-01 00:00:00

  • Adenoid cystic carcinoma of the salivary gland. Sustained complete response to chemotherapy.

    abstract::A patient developed widely metastatic adenoid cystic carcinoma of the parotid gland after several local recurrences. A complete regression of pleural, pulmonary parenchymal, cutaneous, and bone metastases was seen following therapy with 5-fluorouracil, Adriamycin, and mitomycin C. This is the second complete response ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19830215)51:4<589::aid-cncr28205

    authors: Budd GT,Groppe CW

    更新日期:1983-02-15 00:00:00

  • Quality of life in chronic anemia of cancer during treatment with recombinant human erythropoietin.

    abstract:BACKGROUND:Improvements in quality of life after treatment with recombinant human erythropoietin (rHuEPO) often have been reported in patients with end-stage renal disease. In patients with chronic anemia of cancer, comparatively few systemic investigations have been performed. METHODS:Various aspects of quality of li...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19940515)73:10<2535::aid-cncr282

    authors: Leitgeb C,Pecherstorfer M,Fritz E,Ludwig H

    更新日期:1994-05-15 00:00:00

  • Matrix metalloproteinase-2 immunoreactive protein: a marker of aggressiveness in breast carcinoma.

    abstract:BACKGROUND:Previous studies have shown that matrix metalloproteinase-2 (MMP-2) (a 72-kilodalton Type IV collagenase/gelatinase A) is associated with breast carcinoma, but to the authors' knowledge there are no reports showing that it is prognostic for overall survival. METHODS:Expression of the immunoreactive protein ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19980915)83:6<1153::aid-cn

    authors: Talvensaari-Mattila A,Pääkkö P,Höyhtyä M,Blanco-Sequeiros G,Turpeenniemi-Hujanen T

    更新日期:1998-09-15 00:00:00

  • Suicide risk among cancer survivors: Head and neck versus other cancers.

    abstract:BACKGROUND:Cancer survivors face psychosocial issues that increase their risk of suicide. This study examined the risk of suicide across cancer sites, with a focus on survivors of head and neck cancer (HNC). METHODS:The Surveillance, Epidemiology, and End Results 18-registry database (from 2000 to 2014) was queried fo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31675

    authors: Osazuwa-Peters N,Simpson MC,Zhao L,Boakye EA,Olomukoro SI,Deshields T,Loux TM,Varvares MA,Schootman M

    更新日期:2018-10-15 00:00:00

  • Ewing sarcoma of bone in infants and toddlers. A clinicopathologic report from the Intergroup Ewing's Study.

    abstract:BACKGROUND:Nineteen patients with Ewing sarcoma of bone, each younger than 3 years of age at the time of initial presentation, are reported. These children represent an unusually young age group for documented Ewing sarcoma and represent 2.6% of all patients registered in the Intergroup Ewing's Sarcoma Study (IESS). M...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19930315)71:6<2109::aid-cncr2820

    authors: Maygarden SJ,Askin FB,Siegal GP,Gilula LA,Schoppe J,Foulkes M,Kissane JM,Nesbit M

    更新日期:1993-03-15 00:00:00

  • Surgical palliation for recurrent rectal cancers ulcerating in the perineum.

    abstract::This report describes a unique palliative approach of radical surgical debridement for uncontrollable, recurrent pelvic tumors ulcerating through the perineum. All conservative treatment attempts with radiotherapy and chemotherapy had failed. Seven patients have been treated with resection of the tumor including a por...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900301)65:5<1111::aid-cncr2820

    authors: Temple WJ,Ketcham AS

    更新日期:1990-03-01 00:00:00

  • Indolent diffuse histiocytic lymphoma with sclerosis and chylous effusions.

    abstract::A case of diffuse histiocytic lymphoma with sclerosis and chylous pleural and peritoneal effusions spanning four years from onset to diagnosis is presented. Treatment with combination chemotherapy and consolidative radiotherapy resulted in clinical improvement and the patient remains free of disease 14 months after st...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19830601)51:11<2144::aid-cncr282

    authors: Hansen RM,Komaki R,Hanson GA,Schlueter DP,Anderson T

    更新日期:1983-06-01 00:00:00

  • Dietary vitamins A and C and lung cancer risk in Louisiana.

    abstract::The authors describe the results of a hospital-based incident case-control study of lung cancer conducted in a high-risk region of southern Louisiana from January 1979 through April 1982. Dietary intake of carotene, retinol, and vitamin C was estimated from food frequency questionnaires administered to 1253 cases and ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19881115)62:10<2267::aid-cncr282

    authors: Fontham ET,Pickle LW,Haenszel W,Correa P,Lin YP,Falk RT

    更新日期:1988-11-15 00:00:00

  • Association between nonadherence to cardiovascular risk factor medications after breast cancer diagnosis and incidence of cardiac events.

    abstract:BACKGROUND:Cardiovascular disease (CVD) is the leading cause of death among patients with early-stage breast cancer (BC), but adherence to cardiovascular disease risk factor (CVD-RF) medications is reported to be poor in BC survivors. The objective of the current study was to determine the association between nonadhere...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.32690

    authors: Hershman DL,Accordino MK,Shen S,Buono D,Crew KD,Kalinsky K,Trivedi MS,Hur C,Hu J,Unger JM,Wright JD

    更新日期:2020-04-01 00:00:00

  • The prognostic significance of p34cdc2 and cyclin D1 protein expression in prostate adenocarcinoma.

    abstract:BACKGROUND:Cyclin-dependent kinases (CDK) and cyclins constitute the subunits of the maturation-promoting factor that controls the process of cell division. High levels of these proteins have been reported in human malignancies of the stomach, colon, breast, and lung, and have been implicated in aberrant cell division ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19970815)80:4<753::aid-cnc

    authors: Kallakury BV,Sheehan CE,Ambros RA,Fisher HA,Kaufman RP Jr,Ross JS

    更新日期:1997-08-15 00:00:00

  • Detection of humoral immune response to human brain tumors: specificity and reliability of microcytotoxicity assay.

    abstract::A humoral microcytotoxicity assay has been used to study the immune response to human malignant astrocytic tumors. Two series are described. When the assay was performed under uniform, ideal conditions, the sera from 36 of 45 patients with these tumors (80%) produced significant cytotoxicity against allogeneic astrocy...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197901)43:1<86::aid-cncr28204301

    authors: Wood WC,Kornblith PL,Quindlen EA,Pollock LA

    更新日期:1979-01-01 00:00:00

  • Prognostic significance of treatment-induced pathologic necrosis in extremity and truncal soft tissue sarcoma after neoadjuvant chemoradiotherapy.

    abstract:BACKGROUND:Histologic response to chemotherapy has been shown to be an independent prognostic factor in patients with osteosarcoma and Ewing sarcoma. However, in patients with soft tissue sarcoma (STS), the prognostic impact of histologic response to chemotherapy is less clear. In the current study, the authors sought ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28945

    authors: Mullen JT,Hornicek FJ,Harmon DC,Raskin KA,Chen YL,Szymonifka J,Yeap BY,Choy E,DeLaney TF,Nielsen GP

    更新日期:2014-12-01 00:00:00

  • Results of a multicenter, randomized, double-blind, dose-evaluating phase 2/3 study of lenalidomide in the treatment of metastatic malignant melanoma.

    abstract:BACKGROUND:There are currently no systemic treatments for stage IV melanoma, which have been proven in randomized trials to benefit overall survival (OS). Lenalidomide has efficacy against melanoma in animal models and safety in phase 1 trials. The authors reported the results of a phase 2/3 study comparing the safety ...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/cncr.24576

    authors: Glaspy J,Atkins MB,Richards JM,Agarwala SS,O'Day S,Knight RD,Jungnelius JU,Bedikian AY

    更新日期:2009-11-15 00:00:00

  • Ethical communication in clinical trials. Issues faced by data managers in obtaining informed consent.

    abstract:BACKGROUND:Informed consent has been proposed as the optimal method for ensuring the ethical entry of patients into clinical trials. However, it is known that problems with informed consent exist from the perspective of both patients and physicians. This has led to the suggestion that a third party, such as a research ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10994

    authors: Loh WY,Butow PN,Brown RF,Boyle F

    更新日期:2002-12-01 00:00:00

  • Evaluation of radiation effect, tumor differentiation, and prostate specific antigen staining in sequential prostate biopsies after external beam radiotherapy for patients with prostate carcinoma.

    abstract:BACKGROUND:Sequential systematic biopsies after radiotherapy (RT) for prostate carcinoma were evaluated with respect to radiation effect, tumor differentiation, and prostate specific antigen (PSA) staining, and these histopathologic parameters were correlated with local outcome. METHODS:Since 1990, transrectal ultraso...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Crook JM,Bahadur YA,Robertson SJ,Perry GA,Esche BA

    更新日期:1997-01-01 00:00:00

  • The National Polyp Study. Design, methods, and characteristics of patients with newly diagnosed polyps. The National Polyp Study Workgroup.

    abstract::The National Polyp Study (NPS) is a multicenter prospective randomized trial designed to evaluate follow-up surveillance strategies in patients who have undergone polypectomy for the control of large bowel cancer. The study design was developed by a joint research committee from American Gastroenterological Associatio...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1002/1097-0142(19920901)70:3+<1236::aid-cncr282

    authors: Winawer SJ,Zauber AG,O'Brien MJ,Gottlieb LS,Sternberg SS,Stewart ET,Bond JH,Schapiro M,Panish JF,Waye JD

    更新日期:1992-09-01 00:00:00

  • Adenocarcinoma of the uterine cervix.

    abstract::In Finland, the incidence of cervical cancer has shown a decreasing tendency since the 1960s. The same trend, however, has not been noticed in the incidence of cervical adenocarcinoma. The reason for this is not known, although many studies have shown differences in the cause, epidemiology, and biology of the epidermo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900101)65:1<53::aid-cncr282065

    authors: Leminen A,Paavonen J,Forss M,Wahlström T,Vesterinen E

    更新日期:1990-01-01 00:00:00

  • Occupational physical activity and the incidence of cancer of the breast, corpus uteri, and ovary in Shanghai.

    abstract:BACKGROUND:A sedentary life style has been consistently associated with an increased risk of colon cancer, but the evidence for its association with breast and other gynecologic cancers is limited. METHODS:Occupational information for 3783 incident patients with cancer (breast, 2736; corpus uteri, 452; and ovary, 595)...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19930601)71:11<3620::aid-cncr282

    authors: Zheng W,Shu XO,McLaughlin JK,Chow WH,Gao YT,Blot WJ

    更新日期:1993-06-01 00:00:00

  • Age-related differences in the quality of life of breast carcinoma patients after treatment.

    abstract:BACKGROUND:The objective of this study was to compare the quality of life (QOL) of younger (< or =50 years) versus older (>50 years) women on recent completion of treatment of breast carcinoma. METHODS:Data reported herein were obtained from a baseline assessment of 304 breast carcinoma patients. These patients were e...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Wenzel LB,Fairclough DL,Brady MJ,Cella D,Garrett KM,Kluhsman BC,Crane LA,Marcus AC

    更新日期:1999-11-01 00:00:00

  • Disseminated intravascular coagulation and excessive fibrinolysis in a patient with metastatic prostate cancer. Response to epsilon-aminocaproic acid.

    abstract:BACKGROUND:Disseminated intravascular coagulation (DIC) and primary fibrinolysis have both been reported in association with prostate carcinoma. The correct diagnosis of the coagulopathy can be difficult and the appropriate management controversial. METHODS:A case is presented of a man in whom DIC and soft tissue hemo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920801)70:3<656::aid-cncr28207

    authors: Cooper DL,Sandler AB,Wilson LD,Duffy TP

    更新日期:1992-08-01 00:00:00