{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:12:25Z","timestamp":1792725145073,"version":"4.5.0"},"reference-count":16,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"content-version":"am","delay-in-days":245,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["7F32HD106687-02"],"award-info":[{"award-number":["7F32HD106687-02"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2022,9]]},"DOI":"10.1016\/j.jss.2022.04.022","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T12:56:09Z","timestamp":1651668969000},"page":"290-295","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"special_numbering":"C","title":["Frequency of Potentially Avoidable Surgical Referrals for Asymptomatic Umbilical Hernias in Children"],"prefix":"10.1016","volume":"277","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6402-8537","authenticated-orcid":false,"given":"Katherine","family":"He","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan L.","family":"Hills-Dunlap","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Kashtan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Riley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Owen S.","family":"Henry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dionne A.","family":"Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Wynne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon L.","family":"Cramm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn J.","family":"Rangel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2022.04.022_bib2","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1007\/s002680020072","article-title":"Incidence of umbilical hernia in African children: redefinition of \u201cnormal\u201d and reevaluation of indications for repair","volume":"25","author":"Meier","year":"2001","journal-title":"World J Surg"},{"key":"10.1016\/j.jss.2022.04.022_bib3","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1016\/S0039-6109(03)00119-1","article-title":"Umbilical and epigastric hernia repair","volume":"83","author":"Muschaweck","year":"2003","journal-title":"Surg Clin North Am"},{"key":"10.1016\/j.jss.2022.04.022_bib4","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/0022-3468(75)90104-9","article-title":"The management of umbilicial hernias in infancy and childhood","volume":"10","author":"Lassaletta","year":"1975","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.04.022_bib5","first-page":"245","article-title":"Repair of umbilical hernias in childhood to prevent adult incarceration","volume":"37","author":"Haller","year":"1971","journal-title":"Am Surg"},{"key":"10.1016\/j.jss.2022.04.022_bib6","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.suc.2016.08.010","article-title":"Incarcerated pediatric hernias","volume":"97","author":"Abdulhai","year":"2017","journal-title":"Surg Clin North Am"},{"key":"10.1016\/j.jss.2022.04.022_bib7","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/S0022-3476(81)80707-X","article-title":"Umbilical hernia: what happens after age 5 years?","volume":"98","author":"Hall","year":"1981","journal-title":"J Pediatr"},{"key":"10.1016\/j.jss.2022.04.022_bib8","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1016\/j.jpedsurg.2019.06.005","article-title":"Variation in surgical management of asymptomatic umbilical hernia at freestanding children\u2019s hospitals","volume":"55","author":"Hills-Dunlap","year":"2019","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.04.022_bib10","doi-asserted-by":"crossref","first-page":"2052","DOI":"10.1016\/j.jpedsurg.2020.02.002","article-title":"Contemporary practice and perceptions surrounding the management of asymptomatic umbilical hernias in children: a survey of the American Pediatric Surgical Association","volume":"55","author":"Hills-Dunlap","year":"2020","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.04.022_bib11","first-page":"177","article-title":"When should a patient be referred to the pediatric surgeon?","volume":"25","author":"Aspiazu","year":"2012","journal-title":"Cir Pediatr"},{"key":"10.1016\/j.jss.2022.04.022_bib12","doi-asserted-by":"crossref","first-page":"2596","DOI":"10.1016\/j.jpedsurg.2020.06.012","article-title":"Inappropriate referrals in pediatric surgery","volume":"55","author":"Shinkunas","year":"2020","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.04.022_bib14","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s00383-018-4413-3","article-title":"Age-dependent outcomes in asymptomatic umbilical hernia repair","volume":"35","author":"Zens","year":"2019","journal-title":"Pediatr Surg Int"},{"key":"10.1016\/j.jss.2022.04.022_bib15","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jpeds.2019.10.035","article-title":"Association between age and umbilical hernia repair outcomes in children: a multistate population-based cohort study","volume":"217","author":"Halleran","year":"2020","journal-title":"J Pediatr"},{"key":"10.1016\/j.jss.2022.04.022_bib16","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1016\/j.jpedsurg.2019.02.048","article-title":"Geographic distance to pediatric surgical care within the continental United States","volume":"54","author":"McEvoy","year":"2019","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2022.04.022_bib17","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1001\/jamapediatrics.2015.0912","article-title":"Campaigns against ionizing radiation and changed practice patterns for imaging use in pediatric appendicitis","volume":"169","author":"Richards","year":"2015","journal-title":"JAMA Pediatr"},{"key":"10.1016\/j.jss.2022.04.022_bib18","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/coa.13233","article-title":"A 20-year observational cohort of a 5 million patient population\u2014tonsillectomy rates in the context of two national policy changes","volume":"44","author":"Douglas","year":"2019","journal-title":"Clin Otolaryngol"},{"key":"10.1016\/j.jss.2022.04.022_bib19","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1093\/fampra\/cmy017","article-title":"Is Scottish Intercollegiate Guidelines Network guidance for GP management of tonsillitis suitable? A qualitative study","volume":"35","author":"McSweeney","year":"2018","journal-title":"Fam Pract"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480422002062?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480422002062?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T14:59:15Z","timestamp":1758380355000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480422002062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":16,"alternative-id":["S0022480422002062"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2022.04.022","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Frequency of Potentially Avoidable Surgical Referrals for Asymptomatic Umbilical Hernias in Children","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2022.04.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}