Relapse status and time since diagnosis impacted unmet needs amongst AYA offspring. This is consistent with the impact of distress on the children of cancer patients following relapse found here, as AYA offspring often take on carer responsibilities. Additionally, it has been found that patients have more problems adjusting to a relapse than the original diagnosis and that carers (particularly female ones) have greater fear of recurrence than patients . Having relapsed was also associated with higher scores on unmet needs domains associated with practical assistance (e.g. assistance with jobs or chores around the house), ‘time out’ and recreation (e.g. to be able to have fun) and support from other young people (e.g. to feel supported by peers who have a similar experience with cancer). This reflects the additional burden on the household following relapse and the need for the young person to have time away from it and support from those who have had similar experiences. As the time since diagnosis increases, young people have less need for support in those areas as well as less need for help coping with their feelings and from their friends.