{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:33:51Z","timestamp":1791974031061,"version":"4.4.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2014,12,9]],"date-time":"2014-12-09T00:00:00Z","timestamp":1418083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The National Institutes of Health and American Medical Association recommend a sixth grade reading level for patient-directed content. This study aims to quantitatively evaluate the readability of the most commonly used resources for surgical treatment of carpal tunnel syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A web search for \u201ccarpal tunnel surgery\u201d was performed using an Internet search engine, and the 13 most popular sites were identified. Relevant, patient-directed articles immediately accessible from the main site were downloaded and formatted into plain text. A total of 102 articles were assessed for readability using ten established analyses: first overall, then by website for comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patient information about carpal tunnel surgery had an overall average reading level of 13.1. Secondary analysis by website revealed a range of mean readability from 10.8 (high school sophomore level) to 15.3 (university junior level). All sites exceeded the recommended sixth grade reading level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Online patient resources for carpal tunnel surgery uniformly exceed the recommended reading level. These are too difficult to be understood by a large portion of American adults. A better understanding of readability may be useful in tailoring more appropriate resources for average patient literacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11552-014-9718-7","type":"journal-article","created":{"date-parts":[[2014,12,8]],"date-time":"2014-12-08T15:56:03Z","timestamp":1418054163000},"page":"374-380","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Patient Education for Carpal Tunnel Syndrome: Analysis of Readability"],"prefix":"10.1177","volume":"10","author":[{"given":"Kyle R.","family":"Eberlin","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina R.","family":"Vargas","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle J.","family":"Chuang","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard T.","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,12,9]]},"reference":[{"key":"bibr1-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.6.552"},{"key":"bibr2-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2012.10.047"},{"key":"bibr3-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181d0ab9e"},{"key":"bibr4-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-007-9052-4"},{"key":"bibr5-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2013.04.057"},{"key":"bibr6-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.2.153"},{"key":"bibr7-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.12.063"},{"key":"bibr8-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21265"},{"key":"bibr9-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2002.10603.x"},{"key":"bibr10-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.05.021"},{"key":"bibr11-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812456152"},{"key":"bibr12-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1080\/14639230600628427"},{"key":"bibr13-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100033023"},{"key":"bibr14-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24261"},{"key":"bibr15-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(90)90124-A"},{"key":"bibr16-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182864fd6"},{"key":"bibr17-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1002\/art.23176"},{"key":"bibr18-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-009-0869-7"},{"key":"bibr19-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.3109\/17538157.2010.542529"},{"key":"bibr20-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23574"},{"key":"bibr21-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-004-0852-x"},{"key":"bibr22-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(09)91050-4"},{"key":"bibr23-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2004.08.003"},{"issue":"2","key":"bibr24-s11552-014-9718-7","first-page":"174","volume":"12","author":"Pourmand A","year":"2011","journal-title":"West J Emerg Med."},{"key":"bibr25-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1080\/07370010701316254"},{"key":"bibr26-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23424"},{"key":"bibr27-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-008-9181-0"},{"key":"bibr28-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4598(199910)22:10<1448::AID-MUS17>3.0.CO;2-Y"},{"key":"bibr29-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.03.004"},{"key":"bibr30-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.03.045"},{"issue":"10","key":"bibr31-s11552-014-9718-7","first-page":"1310","volume":"53","author":"Walsh TM","year":"2008","journal-title":"Respir Care."},{"key":"bibr32-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.04.008"},{"key":"bibr33-s11552-014-9718-7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8027.2007.00127.x"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1007\/s11552-014-9718-7","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1007\/s11552-014-9718-7","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1007\/s11552-014-9718-7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:27:30Z","timestamp":1777447650000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1007\/s11552-014-9718-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,9]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1007\/s11552-014-9718-7"],"URL":"https:\/\/doi.org\/10.1007\/s11552-014-9718-7","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,9]]}}}