Abstract ID: 3800

Primary Topic: Integrative medicine delivery models
Secondary Topic: Best case series

CUSTOMIZING INTEGRATIVE ONCOLOGY FOR ADOLESCENT AND YOUNG ADULTS WITH CANCER
Lynda Beaupin, MD ; Douglas McDaniel, MTOM, Dipl. Ac. (NCCAOM), L.Ac., Roswell Park Cancer Institute, Buffalo, NY, United States; Leigh Leibel, Director, , New York, NY, United States

Late Breaker: No

Overview

This interactive workshop will focus on personalizing integrative therapies for unique adolescent and young adult cancer scenarios. Integrative techniques for neuropathy, psychologic distress, and sexual health challenges will be highlighted. We will discuss implementing these practices in different clinical structures, and how adaptive these therapies are across the cancer care continuum, from diagnosis and through survivorship.

Rationale

Adolescent and young adults (AYAs) are a unique subset of oncology patients whom the National Cancer Institute identifies as those between 15 and 39 years of age. Cancer types across this age spectrum vary widely and include Hodgkin Lymphoma, thyroid cancers, sarcomas and breast cancer. AYAs may experience treatment side effects that differ from the pediatric and older adult populations, and are at higher risk of infertility from their cancer treatment. AYAs also face a myriad of psychosocial challenges ranging from emotional to financial that occur during a critical period in human development, when young people are becoming more independent, establishing relationships and careers, exploring their sexuality, and forming their own worldview. Though we have learned more about the AYA population over the past decade, very little progress has been made to effectively address their issues.

Integrative medicine has a role in cancer care for all patients. For AYAs, integrative modalities may be particularly attractive due to their accessibility and affordability. Meditation, yoga, and acupuncture are common practices that have been shown to alleviate treatment side effects, reduce symptoms of stress, anxiety and depression, and improve quality of life scores. These interventions are adaptable across a range of age groups, treatment stages, demographics, and diagnoses seen among AYAs. Through a panel discussion, we will highlight where the research in this area is headed, what opportunities exist for clinician education, and how this relates to clinical practice.  Integrative medicine practice in AYA oncology is a true collaboration in action!

Objectives

After attending this session, it is expected that the attendee will be able to:

  • Provide an overview of the challenges AYA cancer patients face during and after a cancer diagnosis
  • Describe the application of various integrative medicine techniques for side effects, psychosocial issues, infertility and sexual health concerns.
  • Understand how to integrate complementary therapies into AYA cancer care
  • Develop strategies to personalize integrative therapies for AYAs

Methods/Session Format

Introduction (5 minutes)

  • Lynda Kwon Beaupin
  • Background and scope of Adolescent and Young Adult (AYA) Oncology Issues

Series of case reviews to highlight AYA-specific issues:

  1. Sexual Health and Fertility (15 minutes)
  • Lynda Beaupin: Describe the sexual health and fertility issues in AYA patients
  • Doug McDaniel and Leigh Leibel : Demonstrate the utility of acupuncture, yoga and meditation/mindfulness
  1. Neuropathy (15 minutes)
  • Lynda Beaupin: Review the significance of neuropathy in the AYA population
  • Doug McDaniel and Leigh Leibel Demonstrate the utility of acupuncture and yoga
  1. Psychosocial Distress (15 minutes)
  • Lynda Beaupin: Highlight key psychosocial distress factors reported among AYA patients and survivors
  • Doug McDaniel and Leigh Leibel Demonstrate the utility of acupuncture, yoga and meditation/mindfulness

Facilitated discussion and questions (20 minutes)

Outline

Format of workshop

The workshop will consist:

- Brief background lecture

- Interactive case discussions and demonstration

- Panel discussion where participants will be welcomed to share challenging scenarios in their practice