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This observational study evaluates whether adolescents and young adults (AYAs) with a cancer predisposition syndrome (CPS) establish and maintain adult health care and continue CPS-specific cancer surveillance after graduating from pediatric care at St. Jude Children's Research Hospital (SJCRH). Participants will complete a Readiness Assessment and periodic surveys over 8 years post-graduation.
Primary Objectives
Exploratory Objectives:
The OnTRAC study investigates the outcomes of AYAs with CPS following their transition from pediatric to adult health care. The study aims to assess whether participants establish care with adult providers and adhere to recommended cancer surveillance protocols. Participants will complete a Readiness Assessment one month post-graduation and electronic Transition Outcomes Surveys at 1, 3, 5, and 8 years. These surveys will evaluate health care engagement, cancer screening adherence, barriers and facilitators to care, and psychosocial experiences. The study will also explore clinical and demographic correlates of successful transition and surveillance adherence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transition Cohort | AYAs with CPS who have graduated from SJCRH and are followed longitudinally through surveys and assessments to evaluate health care transition outcomes. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Readiness Assessment | Behavioral | Electronic assessment administered 1 month post-graduation to evaluate transition preparedness. |
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| Measure | Description | Time Frame |
|---|---|---|
| Establishment of Adult Health Care | Proportion of Young Adults with Cancer Predisposition Syndromes Who Have an Identified Adult Medical Provider Managing Cancer Surveillance One Year Post-Pediatric Care Transition | Evaluated 1 year after consent from the study. |
| Maintenance of Adult Health Care | Proportion of Young Adults with Cancer Predisposition Syndromes Who Maintain an Identified Adult Medical Provider for Cancer Surveillance Three Years Post-Pediatric Care Transition | Evaluated 3 years after consent from the study. |
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Inclusion Criteria:
Exclusion Criteria:
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All participants who meet eligibility criteria and consent to enrollment on the study
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Melissa R Perrino, MD | Contact | 888-226-4343 | referralinfo@stjude.org |
| Name | Affiliation | Role |
|---|---|---|
| Melissa R Perrino, MD | St. Jude Children's Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Jude Children's Research Hospital | Recruiting | Memphis | Tennessee | 38105 | United States |
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| Label | URL |
|---|---|
| St. Jude Children's Research Hospital | View source |
| Clinical Trials Open at St. Jude | View source |
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| ID | Term |
|---|---|
| D020022 | Genetic Predisposition to Disease |
| ID | Term |
|---|---|
| D004198 | Disease Susceptibility |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Transition Outcomes Survey A | Behavioral | Administered at 1 and 3 years post-graduation to assess health care engagement and psychosocial outcomes. |
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| Transition Outcomes Survey B | Behavioral | Administered at 5 and 8 years post-graduation to assess long-term outcomes and cancer surveillance adherence. |
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