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Conclusion Sleep across all groups was consistent and below national guidelines. Although the survivor group did not have poorer sleep compared to their siblings or matched controls, within the survivor group, those who were diagnosed at an earlier age and those who were further off treatment had more disrupted sleep. Parent reports suggested that survivor siblings may be at risk for sleep problems.Erythropoietin (Epo) provides the major survival signal to maturing erythroid precursors (EPs) and is essential for terminal erythropoiesis.