{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:40Z","timestamp":1787071360097,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>As survival rates improve for children with surgical conditions, there is a growing need for structured transition of care (TOC) for adolescence and adulthood. This study aimed to assess the attitudes and practices of Indian pediatric surgeons regarding TOC in pediatric surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted from January to September 2025, using a pre-tested, validated, structured online questionnaire comprising both quantitative and open-ended qualitative questions that covered practice patterns, awareness, and implementation of TOC, delivered via a secure web platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 120 pediatric surgeons participated, including 78\/120 (65%) from the government\/autonomous\/private teaching sectors (TS) and 42\/120 (35%) from the private nonteaching sector (PS); 50\/120 (41.7%) had &gt;15-year experience. Most centers treated patients aged 18 years or less (67\/120, 55.8%), with no sectoral difference (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      \u00b2 = 6.98,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.072). Awareness of TOC clinics was reported by 50\/120 (41.7%). Equivalent TOC models were more common in TS than PS (17.9% vs. 4.8%;\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      \u00b2 = 4.21,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.040). TS surgeons more often required adult surgeon assistance (\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      \u00b2 = 22.61,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and expressed greater need for formal TOC policy (94.9% vs. 76.2%;\n                      <jats:italic toggle=\"yes\">\u03c7<\/jats:italic>\n                      \u00b2 = 11.02,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001). Qualitative analysis suggested a lack of social workers, training gaps, and systemic issues, including infrastructure and coordination challenges, which hinder the implementation of structured TOC programs (82.5%, 66.6%, and additional systemic factors).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Resource constraints, workforce shortages, and inadequate training are structural barriers rather than attitudinal resistance in TOC. Most pediatric surgeons support collaboration, underscoring the need for interdisciplinary efforts that can encourage policymakers to prioritize joint care initiatives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_372_25","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T13:01:09Z","timestamp":1775566869000},"page":"541-550","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Transition of Care to Late Adolescent\/Adults in Paediatric Surgery: Perspectives From Indian Paediatric Surgeons"],"prefix":"10.4103","volume":"31","author":[{"given":"Sunita","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh Kumar","family":"Sarin","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Lady Harding Medical College and Institute, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subhashis","family":"Saha","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Manipal Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukesh","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"R1-20260706","doi-asserted-by":"crossref","first-page":"1","DOI":"10.13029\/aps.2025.31.1.1","article-title":"Variation in long-term care of paediatric surgery patients: A survey of paediatric surgeons in Korea","volume":"31","author":"Kim","year":"2025","journal-title":"Adv Paediatr Surg"},{"key":"R2-20260706","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1093\/pch\/pxac047","article-title":"A call for action: Recommendations to improve transition to adult care for youth with complex health care needs","volume":"27","author":"Toulany","year":"2022","journal-title":"Paediatr Child Health"},{"key":"R4-20260706","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1093\/pch\/8.9.577","article-title":"Age limits and adolescents","volume":"8","author":"Sacks","year":"2003","journal-title":"Paediatr Child Health"},{"key":"R5-20260706","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1542\/peds.110.S3.1304","article-title":"American Academy of Pediatrics, American Academy of Family Physicians, American College of Physicians-American Society of Internal Medicine. 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