{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:31:00Z","timestamp":1793493060597,"version":"4.5.0"},"reference-count":29,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100006458","name":"The Children&apos;s Hospital of Philadelphia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006458","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjanaesthesia.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Anaesthesia"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.bja.2025.07.086","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T01:30:07Z","timestamp":1759282207000},"page":"1249-1256","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Navigating care: a multicentre US survey of health literacy in paediatric perioperative care"],"prefix":"10.1016","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3783-3850","authenticated-orcid":false,"given":"Anushree","family":"Doshi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita Akbar","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinyere","family":"Egbuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3017-8040","authenticated-orcid":false,"given":"Tessa","family":"Mandler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1472-328X","authenticated-orcid":false,"given":"Kaitlyn","family":"Pellegrino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8414-3258","authenticated-orcid":false,"given":"Shanique","family":"Kilgallon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5698-7797","authenticated-orcid":false,"given":"Allison M.","family":"Fernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Lazo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"O'Brien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Katz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7343-9450","authenticated-orcid":false,"given":"Norah","family":"Janosy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4407-1293","authenticated-orcid":false,"given":"Shofolahan","family":"Da Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6882-3795","authenticated-orcid":false,"given":"Joana Tatiegi","family":"Fardad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sydney","family":"Lashley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5308-4362","authenticated-orcid":false,"given":"Hongyan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9163-9728","authenticated-orcid":false,"given":"Annery","family":"Garcia-Marcinkiewicz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Faulk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Safon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Stevenson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janine","family":"Catanach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bja.2025.07.086_bib1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/QMH.0000000000000162","article-title":"An assessment of organizational health literacy practices at an academic health center","volume":"27","author":"Prince","year":"2018","journal-title":"Qual Manag Health Care"},{"key":"10.1016\/j.bja.2025.07.086_bib2","series-title":"Advancing Health Literacy","author":"Zarcadoolas","year":"2006"},{"key":"10.1016\/j.bja.2025.07.086_bib3","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1097\/PHH.0000000000001601","article-title":"Using healthy people as a tool to identify health disparities and advance health equity","volume":"28","author":"Hoyer","year":"2022","journal-title":"J Public Health Manag Pract"},{"key":"10.1016\/j.bja.2025.07.086_bib4","series-title":"Tackling the health literacy challenge in an infodemic [press release]","author":"Urquhart","year":"2024"},{"key":"10.1016\/j.bja.2025.07.086_bib5","series-title":"National Action Plan to Improve Health Literacy","year":"2010"},{"key":"10.1016\/j.bja.2025.07.086_bib6","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.acap.2017.06.010","article-title":"Why parents seek care for acute illness in the clinic or the ED: the role of health literacy","volume":"18","author":"May","year":"2018","journal-title":"Acad Pediatr"},{"key":"10.1016\/j.bja.2025.07.086_bib7","first-page":"118","article-title":"Health literacy in primary care practice","volume":"92","author":"Hersh","year":"2015","journal-title":"Am Fam Physician"},{"key":"10.1016\/j.bja.2025.07.086_bib8","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1016\/j.amjsurg.2020.06.071","article-title":"Patient-reported health literacy scores are associated with readmissions following surgery","volume":"220","author":"Baker","year":"2020","journal-title":"Am J Surg"},{"key":"10.1016\/j.bja.2025.07.086_bib9","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1186\/s12893-015-0073-6","article-title":"The impact of health literacy in the care of surgical patients: a qualitative systematic review","volume":"15","author":"De Oliveira","year":"2015","journal-title":"BMC Surg"},{"key":"10.1016\/j.bja.2025.07.086_bib10","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1213\/ANE.0000000000005829","article-title":"Association between health literacy and enhanced recovery after surgery protocol adherence and postoperative outcomes among patients undergoing colorectal cancer surgery: a prospective cohort study","volume":"134","author":"Qin","year":"2022","journal-title":"Anesth Analg"},{"key":"10.1016\/j.bja.2025.07.086_bib11","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1016\/j.amjsurg.2021.10.024","article-title":"The association of health literacy and postoperative complications after colorectal surgery: a cohort study","volume":"223","author":"Theiss","year":"2022","journal-title":"Am J Surg"},{"key":"10.1016\/j.bja.2025.07.086_bib12","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1001\/jamasurg.2017.3832","article-title":"Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery","volume":"153","author":"Wright","year":"2018","journal-title":"JAMA Surg"},{"key":"10.1016\/j.bja.2025.07.086_bib13","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1111\/pan.13993","article-title":"Epidemiology of pediatric surgery in the United States","volume":"30","author":"Rabbitts","year":"2020","journal-title":"Pediatr Anesth"},{"key":"10.1016\/j.bja.2025.07.086_bib14","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1016\/j.jpedsurg.2012.01.057","article-title":"Parent health literacy and satisfaction with plain language education materials in a pediatric surgery outpatient clinic: a pilot study","volume":"47","author":"Otal","year":"2012","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.bja.2025.07.086_bib15","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.jclinane.2014.01.013","article-title":"Health literacy and anesthesia: patients' knowledge of anesthesiologist roles and information desired in the preoperative visit","volume":"26","author":"Garcia-Marcinkiewicz","year":"2014","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.bja.2025.07.086_bib16","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1370\/afm.405","article-title":"Quick assessment of literacy in primary care: the Newest Vital Sign","volume":"3","author":"Weiss","year":"2005","journal-title":"Ann Fam Med"},{"key":"10.1016\/j.bja.2025.07.086_bib17","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1161\/01.CIR.0000157738.12783.71","article-title":"Racial and ethnic disparities in care: the perspectives of cardiologists","volume":"111","author":"Lurie","year":"2005","journal-title":"Circulation"},{"key":"10.1016\/j.bja.2025.07.086_bib18","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1001\/jamasurg.2015.4901","article-title":"US surgeons\u2019 perceptions of racial\/ethnic disparities in health care","volume":"151","author":"Britton","year":"2016","journal-title":"JAMA Surg"},{"key":"10.1016\/j.bja.2025.07.086_bib19","first-page":"e107","article-title":"Health literacy estimation of English and Spanish language caregivers","volume":"2","author":"Cooper","year":"2018","journal-title":"Health Lit Res Pract"},{"key":"10.1016\/j.bja.2025.07.086_bib20","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.acap.2014.01.004","article-title":"Low caregiver health literacy is associated with higher pediatric emergency department use and nonurgent visits","volume":"14","author":"Morrison","year":"2014","journal-title":"Acad Pediatr"},{"key":"10.1016\/j.bja.2025.07.086_bib21","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1177\/0009922814541674","article-title":"Measuring health literacy in caregivers of children: a comparison of the Newest Vital Sign and S-TOFHLA","volume":"53","author":"Morrison","year":"2014","journal-title":"Clin Pediatr"},{"key":"10.1016\/j.bja.2025.07.086_bib22","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.pedhc.2013.05.005","article-title":"Using the \u201cNewest Vital Sign\u201d to assess health literacy in children","volume":"28","author":"Drissnack","year":"2014","journal-title":"J Pediatr Health Care"},{"key":"10.1016\/j.bja.2025.07.086_bib23","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1016\/j.jpedsurg.2024.03.038","article-title":"Evaluating health literacy in families of inured children: a prospective observational cohort study at a level one pediatric trauma center","volume":"59","author":"Melhado","year":"2024","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.bja.2025.07.086_bib24","doi-asserted-by":"crossref","DOI":"10.1155\/2022\/3284199","article-title":"Assessing the readability of anesthesia-related patient education materials from major anesthesiology organizations","volume":"2022","author":"Pashkova","year":"2022","journal-title":"Biomed Res Int"},{"key":"10.1016\/j.bja.2025.07.086_bib25","doi-asserted-by":"crossref","DOI":"10.1001\/jamahealthforum.2023.3883","article-title":"Progress and persistent disparities in patient access to electronic health information","volume":"4","author":"Richwine","year":"2023","journal-title":"JAMA Health Forum"},{"key":"10.1016\/j.bja.2025.07.086_bib26","doi-asserted-by":"crossref","first-page":"S517","DOI":"10.2105\/AJPH.2014.302200","article-title":"Social determinants of health equity","volume":"104","author":"Marmot","year":"2014","journal-title":"Am J Public Health"},{"key":"10.1016\/j.bja.2025.07.086_bib27","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1093\/heapro\/day062","article-title":"Does health literacy mediate the relationship between socioeconomic status and health disparities? Integrative review","volume":"34","author":"Stormacq","year":"2019","journal-title":"Health Promot Int"},{"key":"10.1016\/j.bja.2025.07.086_bib28","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1080\/10401334.2012.715257","article-title":"Language use in the informed consent discussion for emergency procedures","volume":"24","author":"McCarthy","year":"2012","journal-title":"Teach Learn Med"},{"key":"10.1016\/j.bja.2025.07.086_bib29","first-page":"284","article-title":"Use and effectiveness of the teach-back method in patient education and health outcomes","volume":"36","author":"Yen","year":"2019","journal-title":"Fed Pract"}],"container-title":["British Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091225005495?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091225005495?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:20:39Z","timestamp":1793492439000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0007091225005495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S0007091225005495"],"URL":"https:\/\/doi.org\/10.1016\/j.bja.2025.07.086","relation":{},"ISSN":["0007-0912"],"issn-type":[{"value":"0007-0912","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Navigating care: a multicentre US survey of health literacy in paediatric perioperative care","name":"articletitle","label":"Article Title"},{"value":"British Journal of Anaesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bja.2025.07.086","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 British Journal of Anaesthesia. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}]}}