{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T06:39:03Z","timestamp":1778913543067,"version":"3.51.4"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>\n            Introduction\u2003There has been a substantial rise in refugees entering Germany over the past years, of which approximately one-third are underaged. Many end up in pediatric surgical care, and little is known about the health of these individuals. Our study was designed to assess the surgical-related health status of underage refugees based on a large sample cohort.<\/jats:p><jats:p>\n            Materials and Methods\u2003After ethics board approval, we used a structured questionnaire to collect demographic information and surgical health-related elements in three large refugee accommodation centers.<\/jats:p><jats:p>\n            Results\u2003A total of 461 minor refugees were included. The majority were boys (54.5%) with an average age of 8 years. Out of the eight recorded countries of origin, most children came from Syria (33.6%) followed by Afghanistan (23.2%). Previous operative interventions were recorded in 42.2% of participants. Among girls, 11% suffered genital mutilation. Trauma was common and the most common mechanism was a fall from bicycle (38%) followed by burn injuries (7.4%). Up to 20% of them experienced physical violence during the flight or in the accommodation facility. Vaccination rates varied widely according to origin. Of the participants, only 63% were vaccinated according to schedule. Chronic diseases were found in only 13% of the study cohort, anemia being most prevalent at 4%.<\/jats:p><jats:p>\n            Conclusion\u2003Minor refugees have specific health-related problems that must be considered to ensure appropriate medical care. Many refugee children were victims of physical violence and many girls suffered genital mutilation. Vaccination status is unreliable; therefore, tetanus vaccination should always be considered when these patients seek pediatric surgical care. Tailored anticipatory guidance should be provided to this patient population.<\/jats:p>","DOI":"10.1055\/s-0037-1604398","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T22:58:58Z","timestamp":1500418738000},"page":"060-066","source":"Crossref","is-referenced-by-count":10,"title":["Surgical Health Needs of Minor Refugees in Germany: A Cross-Sectional Study"],"prefix":"10.1055","volume":"28","author":[{"given":"Marios","family":"Loucas","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, University Medicine Mainz, Mainz, RP, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Loucas","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, University Medicine Mainz, Mainz, RP, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Muensterer","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University Medicine Mainz, Mainz, RP, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2017,7,18]]},"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0037-1604398.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,1,19]],"date-time":"2018-01-19T23:31:14Z","timestamp":1516404674000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0037-1604398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,18]]},"references-count":0,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2018,1,19]]},"published-print":{"date-parts":[[2018,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0037-1604398","relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,18]]}}}