UNASSIGNED: 6058 Background: In France pathways of care for adolescent @entity5 @entity1 are different between pediatric and adult medical background. Health care professionals need to have a population-based view of their treatment modalities in order to implement facilities required in any center dedicated to their care, and to promote change in the usual models of care, with a special attention on their medical and psychosocial management. METHODS: Using a population-based registration, we report care pathways of @entity1 aged from 15 to 19 years, diagnosed with @entity5 from 2006 to 2007, living in 6 French Regions, representing 41% of the French population. RESULTS: The median times (inter-quartile range) of the 595 included adolescents for diagnosis and treatment for all @entity5 were respectively 8 weeks (3-17), and 3 days (0-16). First physicians met by the @entity1 were mostly general practitioners (59%). 19% of @entity1 were firstly seen on emergency wards. Most of the @entity1 (70%) were treated in an adult environment. For @entity1778 @entity1 and for @entity1 aged from 15 to 17 years, proportion treated in pediatric oncology reached respectively 56% and 47%. Management decisions were taken within the context of a multi-disciplinary team in 54% of cases, but few of were had input of both pediatric and adult clinicians. 27% of @entity1 were included in randomized clinical trials or non randomized studies : percentage depended on the @entity5 type ( @entity1778 55%, @entity3478 52%, soft-tissue sarcoma 36%, lymphoma 33%) and on the number of trials opened at the study period. 15% of @entity1 were included in pediatric studies, 7% in adult studies, and 5% in studies including both adults and @entity1 . CONCLUSIONS: Our study is the first large French population-based for 15-19 years @entity5 @entity1 . According to the 2nd French Cancer Strategic Action Plan, our objective is to identify health institutions and practices ensuring an appropriate and optimal care for these @entity1 , to improve education of health professionals in the adolescent and young adult oncology field, and to promote effective collaboration between pediatric and adult health providers, specific research programs, as well as transition of care between pediatric and adult teams, and the organization of long term follow-up.

Pathways of care for adolescents with XXXX in France.

@entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'cancers', 'cancer'] @entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity1778 :: ('MESH:D007938', 'Disease') :: ['leukemia'] @entity3478 :: ('MESH:D001859', 'Disease') :: ['bone tumors']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
