The Transformation of Adolescent and Young Adult Oncological and Supportive Care in Canada: A Mixed Methods Study

Round 1

Reviewer 1 Report

The Authors present a paper: " The transformation of adolescent and young adult oncological and supportive care in Canada: a mixed methods study" original for some procedural aspect but with significant limits:

1. the number of the enclosed participants is low compared to the total number of adolescents and AYA diagnosed with cancer in Canada annually and they are not representative of the entire Canadian territory

2. what is the percentage of late effects in the survivors population that could justify to openly mention the risk of developing them ?

3. I wonder if mention these very rare events is ethically correct opening a feeling of fear and anxious expectations

4. the Authors don't conclude giving suggestions on how to approach the received point out observations

5.follow up for adolescents and AYA should be personalized and tailored according to  personal story of their path of care

Author Response

See attached

Author Response File: Author Response.docx

Reviewer 2 Report

This paper purposed to understand the gaps and barriers to accessing oncological and supportive cancer care and preferences on future types of solutions at a national level. I do have some comments as listed below in the order noted.

 

Comment 1:

The quality of the data set is very important, especially in a collaborative partnership between the Canadian Cancer Society and the adolescent and young adults Program at the Princess Margaret Cancer Centre (Toronto, Canada). For this reason, please clarify the inclusion criteria and exclusion criteria of sample collection in the Methods section and please provide a flowchart immediately at the subsection of Study Participants and Setting.

Author Response

See attached

Author Response File: Author Response.docx