{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:43:56Z","timestamp":1792676636250,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012524","name":"American Lebanese Syrian Associated Charities","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012524","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Rehabilitation can improve function and quality of life for children with cancer, yet access remains limited and variable across settings. Understanding how rehabilitation is integrated within pediatric oncology care is important to identify opportunities to strengthen access and quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross\u2010sectional survey of medical and rehabilitation professionals caring for children with cancer. The survey assessed rehabilitation service availability, referral practices, care coordination, financing, workforce knowledge and training, and monitoring of quality indicators. Findings were organized using the Health Systems Plus framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Responses from 59 professionals representing 32 countries were analyzed, including 44 (74.6%) from low\u2010 and middle\u2010income countries. Rehabilitation availability varied across disciplines, settings, and phases of care. Medical providers reported rarely or never referring patients to rehabilitation during inpatient (28%,\n                      <jats:italic>n<\/jats:italic>\n                      = 7\/25), outpatient (36%,\n                      <jats:italic>n<\/jats:italic>\n                      = 9\/25), and survivorship care (40%,\n                      <jats:italic>n<\/jats:italic>\n                      = 10\/25). Referrals typically relied on provider identification of need (85%,\n                      <jats:italic>n<\/jats:italic>\n                      = 50\/59) rather than standardized pathways. Assistive product availability varied, with lower availability of hearing (\n                      <jats:italic>n<\/jats:italic>\n                      = 19\/59, 32%) and vision (\n                      <jats:italic>n<\/jats:italic>\n                      = 15\/59, 25%) products. Family payment for rehabilitation services and assistive products was frequently reported. Workforce challenges included limited rehabilitation knowledge among medical providers and limited training opportunities for rehabilitation providers. Among rehabilitation respondents, 44% (15\/34) reported monitoring functional outcomes. Qualitative findings highlighted barriers related to workforce, awareness, financial, infrastructure, geographic, and referral\u2010system challenges.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This survey highlights opportunities to improve access to rehabilitation and assistive products through strengthening referral pathways, workforce capacity, financing, care coordination, and monitoring. These components are interdependent and require coordinated system\u2010level action.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70778","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:25:23Z","timestamp":1792675523000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rehabilitation for Children With Cancer: Global Opportunities and Need for Systems\u2010Aligned Interventions"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6983-8966","authenticated-orcid":false,"given":"Jessica","family":"Sparrow","sequence":"first","affiliation":[{"name":"Rehabilitation Services St. Jude Children's Research Hospital  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9626-2867","authenticated-orcid":false,"given":"Fair","family":"Berg","sequence":"additional","affiliation":[{"name":"Department of Global Pediatric Medicine St. Jude Children's Research Hospital  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Gipson","sequence":"additional","affiliation":[{"name":"Department of Global Pediatric Medicine St. Jude Children's Research Hospital  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2360-8946","authenticated-orcid":false,"given":"Carlos","family":"Rodriguez\u2010Galindo","sequence":"additional","affiliation":[{"name":"Department of Global Pediatric Medicine St. Jude Children's Research Hospital  Memphis Tennessee USA"},{"name":"Department of Oncology St. Jude Children's Research Hospital  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4082-156X","authenticated-orcid":false,"given":"Daniel C.","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Global Pediatric Medicine St. Jude Children's Research Hospital  Memphis Tennessee USA"},{"name":"Department of Oncology St. Jude Children's Research Hospital  Memphis Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"issue":"8","key":"e_1_2_9_2_1","first-page":"E347","article-title":"The Global Burden of Childhood and Adolescent Cancer in 2017: An Analysis of the Global Burden of Disease Study 2017 (vol 20, pg 1211, 2019)","volume":"22","author":"Force L. M.","year":"2021","journal-title":"Lancet Oncology"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41571\u2010023\u201000802\u2010w"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2008.21.1482"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.reo.0000000000000351"},{"key":"e_1_2_9_6_1","unstructured":"\u201cWorld Health Organization: Health Topics Rehabilitation \u201dWorld Health Organization; accessed May 1 2024 https:\/\/www.who.int\/health\u2010topics\/rehabilitation."},{"key":"e_1_2_9_7_1","unstructured":"United Nations General Assembly \u201cPolitical Declaration of the Fourth High\u2010Level Meeting of the General Assembly on the Prevention and Control of Non\u2010Communicable Diseases and the Promotion of Mental Health and Well\u2010Being. 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Licence: CC BY\u2010NC\u2010SA 3.0 IGO \u201dWorld Health Organization;2021."},{"key":"e_1_2_9_22_1","unstructured":"\u201cRehabilitation in Health Systems \u201dWorld Health Organization;2017."},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.71598"},{"key":"e_1_2_9_24_1","unstructured":"\u201cTemplate for Rehabilitation Information Collection (TRIC): A Tool Accompanying the Systematic Assessment of Rehabilitation Situation (STARS) \u201dWorld Health Organization;2019."},{"key":"e_1_2_9_25_1","unstructured":"\u201cSt. Jude Pediatric Oncology Facility Integrated Local Evaluation Rehabilitation Tool (PrOFILE\u2010Rehab) User Manual Version 1.0 \u201dSt. Jude Children's Research Hospital Memphis TN USA;2024."},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.26633\/RPSP.2023.41"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xcrm.2025.102366"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043454217698093"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.27463"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102024\u2010094502"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/noajnl\/vdaf153"},{"key":"e_1_2_9_32_1","unstructured":"\u201cWHO Priority Assistive Products List The GATE Initiative \u201dWorld Health Organization 2016."},{"key":"e_1_2_9_33_1","unstructured":"\u201cGlobal Report on Assistive Technology \u201dWorld Health Organization and United Nations Children's Fund 2022."},{"key":"e_1_2_9_34_1","unstructured":"\u201cRehabilitation in Health Systems: Guide for Action \u201dWorld Health Organization 2019."}],"container-title":["Pediatric Blood &amp; Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/1545-5017.70778","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/1545-5017.70778","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/1545-5017.70778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:25:26Z","timestamp":1792675526000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/1545-5017.70778"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,22]]},"references-count":33,"alternative-id":["10.1002\/1545-5017.70778"],"URL":"https:\/\/doi.org\/10.1002\/1545-5017.70778","archive":["Portico"],"relation":{},"ISSN":["1545-5009","1545-5017"],"issn-type":[{"value":"1545-5009","type":"print"},{"value":"1545-5017","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,22]]},"assertion":[{"value":"2026-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70778"}}