School behavior and attendance during the first year of treatment for childhood cancer

The school behavior of children with cancer and hemophilia is a relatively new area of interest and investigation. Children with cancer have been described as having increased school absenteeism and a self-protecting posture. The school behavior and achievement of children with cancer and hemophilia were rated by their teachers before and after first being seen in a large pediatric center. No pre-vs-post diagnosis differences were noted on academic and behavior ratings with either the cancer or hemophilia children. School absenteeism for the children with cancer was four times greater than that of healthy children, and absenteeism of children with hemophilia was twice normal. A substantial percentage of children with cancer was rated as having academic performance affected to at least a moderate degree. The school performance and behavior of children with cancer and hemophilia need to be monitored and appropriate educational adjustment made to accommodate the limitations imposed by these medical conditions.