{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:30:50Z","timestamp":1787671850527,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp;amp; Cancer"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With improving survival in childhood cancer, the focus is shifting toward early survivorship, a critical period for recovery and transition to long\u2010term care. Data from low\u2010 and middle\u2010income countries (LMICs) on outcomes during this phase remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective study of childhood cancer survivors (aged 5\u201318 years) enrolled in a dedicated survivorship clinic at a tertiary cancer center in India between 2013 and 2024. Early survivorship was defined as the period within 5 years of diagnosis following treatment completion. Primary outcomes included school rejoining and academic performance; secondary outcomes included nutritional status (underweight and overweight) and revaccination. Multivariable logistic regression was used to identify predictors of outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 596 survivors were included (mean age 14.3 years; 70% male). School rejoining was high (568\/587, 96.8%); however, 50 (8.8%) of those who rejoined subsequently dropped out. Good academic performance was associated with lower odds of school dropout (OR 0.42, 95% CI 0.20\u20130.88;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.02), while treatment period, socioeconomic status, diagnosis, and maternal education were not significantly associated. Overweight increased significantly across treatment periods (2014\u20132016: OR 2.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.047; 2017\u20132020: OR 2.63,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.004), with a concurrent decline in underweight. Higher socioeconomic status was associated with lower odds of underweight (OR 0.45,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001). Among the 547 survivors with available data, 325 (59.4%) had completed planned revaccination. No independent predictors of revaccination were identified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early survivorship in this LMIC cohort is characterized by high school re\u2010entry but incomplete educational retention, alongside a transition from undernutrition to increasing overweight. These findings highlight the need for structured, multidisciplinary follow\u2010up models during early survivorship to support sustained educational engagement, nutritional health, and preventive care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70568","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T07:34:31Z","timestamp":1786088071000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Survivorship Outcomes in Childhood Cancer Survivors: School Reintegration, Nutritional Status, and Revaccination"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0127-7987","authenticated-orcid":false,"given":"Maya","family":"Prasad","sequence":"first","affiliation":[{"name":"Paediatric Oncology Tata Memorial Centre and Homi Bhabha National Institute  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1940-2136","authenticated-orcid":false,"given":"Niranjan","family":"Hegde","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology KLE Jawaharlal Nehru Medical College, Belagavi and KLES Dr. Prabhakar Kore Hospital Belagavi  Belagavi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkata Ramamohan","family":"Gollamudi","sequence":"additional","affiliation":[{"name":"Paediatric Oncology Tata Memorial Centre and Homi Bhabha National Institute  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6522-4772","authenticated-orcid":false,"given":"Savita","family":"Goswami","sequence":"additional","affiliation":[{"name":"Department of Psycho Oncology Tata Memorial Centre and Homi Bhabha National Institute  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girish","family":"Chinnaswamy","sequence":"additional","affiliation":[{"name":"Paediatric Oncology Tata Memorial Centre and Homi Bhabha National Institute  Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0314592"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21445"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41571-023-00802-w"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-021-2210-x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/GO-24-00274"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.29248"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.28556"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/GO.22.00044"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(16)30573-3"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.48.2315"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.76.5552"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.161.8.798"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28670"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3332"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.28362"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.31736"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/01635581.2022.2152194"},{"key":"e_1_2_10_19_1","first-page":"122","article-title":"Revaccination of Children After Completion of Standard Chemotherapy for Acute Leukemia","volume":"58","author":"Patel S. 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