{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T10:01:40Z","timestamp":1792749700136,"version":"4.5.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T00:00:00Z","timestamp":1629072000000},"content-version":"vor","delay-in-days":3880,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Med Paediatr Oncol."],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background: We assessed referral patterns of children with hematological malignancies (HM) in North India. Materials and Methods: The parents\/guardians were interviewed at presentation, in the period between October 2001 and November 2002. Patient delay (symptom-contact), health system delay (contact-diagnosis), total delay (symptom-diagnosis), and number of contacts were compared between high- and standard-risk disease group. Results: Of the 79 children (55 boys; 69.6%) with HM, 47 (59.5%) had Acute Lymphoblastic Leukemia (ALL). Forty-four children had high-risk disease. The patient, system and total delay were a median of 2 days (with Interquartile range IQR of 1\u22126), 37 days (IQR 13\u221255), and 38 days (IQR 15\u221260) respectively. Majority of patients (64\/79; 81%) went to private sector (non governmental health care providers) for health care. Number of contacts, which was the most significant, correlate with system delay. Conclusions: Sensitizing the private sector practitioners about cancer in symptomatic children (pallor, bleeding, fever) may be effective.<\/jats:p>","DOI":"10.4103\/0971-5851.81887","type":"journal-article","created":{"date-parts":[[2011,6,6]],"date-time":"2011-06-06T06:34:58Z","timestamp":1307342098000},"page":"30-33","source":"Crossref","is-referenced-by-count":4,"title":["Childhood cancer in developing society: A roadmap of health care"],"prefix":"10.1055","volume":"32","author":[{"given":"P M","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Govt. TD Medical College, Alappuzha, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R K","family":"Marwaha","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hematology Oncology Division, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T S","family":"Anish","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, GMC, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,8,16]]},"container-title":["Indian Journal of Medical and Paediatric Oncology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0971-5851.81887.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T22:30:36Z","timestamp":1629153036000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/0971-5851.81887"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,8,16]]},"published-print":{"date-parts":[[2011,1]]}},"URL":"https:\/\/doi.org\/10.4103\/0971-5851.81887","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0971-5851","0975-2129"],"issn-type":[{"value":"0971-5851","type":"print"},{"value":"0975-2129","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}