{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:51:05Z","timestamp":1791273065804,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric preassessment services across the United Kingdom remain variably developed and inconsistently funded when compared to adult care. There has been little systematic evaluation of pediatric preassessment models across regions or networks. The aim is to evaluate the quality of pediatric preassessment within the South Thames Pediatric Network (STPN). By engaging families across a large, multi\u2010organizational network, this questionnaire collated evidence to inform local and national service improvement, promote equitable access and enhance patient experience for children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional, questionnaire\u2010based service evaluation was conducted across hospitals within the STPN over a four\u2010month period. Eligible participants were guardians of pediatric patients scheduled for elective procedures under general anesthesia. Questions were informed by national guidance (APAGBI and RCoA) to ensure adherence to current standards of pediatric perioperative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>403 responses were collected from 18 hospitals. Telephone consultation was the most common and preferred preassessment modality. 79% of respondents were satisfied with the explanation of anesthetic risks, despite just 46% receiving the RCoA infographic. Health promotion advice was offered to 35%. 70% were asked about anxiety and only 9% were not reassured about these anxieties. For children with additional needs, 95% felt the healthcare professional listened to their individual needs. Overall satisfaction was high; 85% felt the preassessment suitably prepared them for surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This evaluation supports the effectiveness and acceptability of pediatric preoperative assessment, with high overall satisfaction within STPN. Pediatric preassessment provides a crucial opportunity to make an individualized plan, particularly for children with additional needs, who are overrepresented compared with the general population. Addressing anxiety, standardizing information provision, modality choice, and communication gaps helps bridge the divide with adult practice and further optimize perioperative care for children and families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pan.70321","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:55:22Z","timestamp":1791269722000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Preassessment Service Evaluation Across the South Thames Pediatric Network"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2842-2056","authenticated-orcid":false,"given":"William","family":"Fry","sequence":"first","affiliation":[{"name":"Anaesthetic Department Medway Maritime Hospital  Gillingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3654-7510","authenticated-orcid":false,"given":"Natasha","family":"Woodman","sequence":"additional","affiliation":[{"name":"King's College Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0332-2413","authenticated-orcid":false,"given":"Laura","family":"Snow","sequence":"additional","affiliation":[{"name":"South Thames Paediatric Network, St Thomas' Hospital  London UK"},{"name":"Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5183-3146","authenticated-orcid":false,"given":"Samantha","family":"Black","sequence":"additional","affiliation":[{"name":"Anaesthetic Department Medway Maritime Hospital  Gillingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460\u20109592.2012.03828.x"},{"key":"e_1_2_10_3_1","volume-title":"Congenital Heart Disease in Pediatric and Adult Patients","author":"Hernandez Conte A.","year":"2023"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1046\/j.1460-9592.1998.00703.x","article-title":"The Usefulness of Routine Preoperative Laboratory Tests for One\u2010Day Surgery in Healthy Children","volume":"8","author":"Meneghini L.","year":"1998","journal-title":"Paediatric Anaesthesia"},{"issue":"3","key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"23","DOI":"10.7748\/paed.18.3.23.s21","article-title":"Nurse\u2010Led Paediatric Pre Operativeassessment: An Equivalence Study","volume":"18","author":"Rushforth H.","year":"2006","journal-title":"Paediatric Nursing"},{"key":"e_1_2_10_6_1","volume-title":"Best Practice Guidance: Preassessment Services for Children Undergoing Surgery or Procedures","author":"Courtman S.","year":"2022"},{"key":"e_1_2_10_7_1","volume-title":"Chapter\u00a010: Guidelines for the Provision of Paediatric Anaesthesia Services 2025","author":"Royal College of Anaesthetists (RCOA)","year":"2023"},{"key":"e_1_2_10_8_1","first-page":"19","volume-title":"AAGBI Safety Guideline. Pre\u2010operative Assessment and Patient Preparation: The Role of the Anaesthetist","author":"Anaesthetists of Great Britain and Ireland (AAGBI)","year":"2010"},{"key":"e_1_2_10_9_1","volume-title":"Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI), Royal College of Anaesthetists (RCoA). Paediatric Pre\u2010Assessment Clinics: Hot Topic","author":"Clancy O.","year":"2018"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq\u20102021\u2010001338"},{"key":"e_1_2_10_11_1","volume-title":"Report and Findings of the 7th National Audit Project of the Royal College of Anaesthetists Examining. 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