{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T02:19:42Z","timestamp":1767665982653,"version":"3.40.5"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T00:00:00Z","timestamp":1587513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The overall number of international adoptions has dropped in the last 20\u00a0years, but a relative increase in the proportion of these children with special and surgical needs has occurred. Cleft lip\/palate and anorectal malformations are two common surgical pathologies for internationally adopted children. Internationally adopted children with cleft lip\/palate have high rates of speech impairment and frequent need for reoperation, and children with anorectal malformation commonly need multiple reoperations. For both groups, surgery prior to adoption may have actually contributed to morbidity. Both speech impairment and anorectal malformation negatively affect quality of life, independent of adoption. Additionally, internationally adopted children frequently have experienced trauma, single or complex, and institutionalization. Each of these can independently contribute to impaired psychosocial and behavioral development. These children face surgery, sometimes multiple surgeries, while adapting to a new culture, learning a new language, and bonding with a new family. The impact of prior medical experiences without the presence of a caregiver and\/or while institutionalized is understudied. The surgical experience and perioperative outcomes within this population warrant research, and clinical coordination between teams may help improve care for this uniquely vulnerable population.<\/jats:p>","DOI":"10.1111\/pan.13866","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T13:20:31Z","timestamp":1586352031000},"page":"647-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perioperative care for internationally adopted children: Medical, surgical, and psychosocial considerations for a population of concern"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2386-2733","authenticated-orcid":false,"given":"Emily","family":"Knipper","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Seattle Children's Hospital University of Washington Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Davies","sequence":"additional","affiliation":[{"name":"Center for Adoption Medicine Seattle Children\u2019s Hospital University of Washington Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Pediatric General and Thoracic Surgery Seattle Children's Hospital University of Washington Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Earley","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine Seattle Children's Hospital University of Washington Seattle Washington"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,22]]},"reference":[{"key":"e_1_2_4_2_1","unstructured":"PinderhughesE MatthewsJ DeoudesG et al.A Changing World: Shaping Best Practices Through Understanding of the New Realities of Intercountry Adoption. Policy and Practice Perspective. 2013. The Donaldson Adoption Institute. Accessed via the world wide web athttps:\/\/www.adoptioninstitute.org\/wp\u2010content\/uploads\/2013\/12\/2013_10_AChangingWorld.pdf. Accessed October 22 2019."},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.25-7-242"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NMC.0000357911.10606.63"},{"key":"e_1_2_4_5_1","unstructured":"US Department of State. Bureau of Consular Affairs.Narrative Report Fiscal Year 2015 Annual Report.https:\/\/travel.state.gov\/content\/dam\/aa\/pdfs\/2015NarrativeAnnualReportonIntercountryAdoptions.pdf. Accessed September 16 2019."},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.04.011"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618771423"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2016.07.018"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000391"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000224"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000701"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2012.668774"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.3.224"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1597\/14-260"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1055-8586(02)00022-7"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2012.12.003"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-013-3359-8"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-54696-6.00031-8"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000639"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567-013-0130-6"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/0002-9432.73.3.255"},{"issue":"2","key":"e_1_2_4_22_1","first-page":"137","article-title":"Effects of early maltreatment on development: a descriptive study using the Vineland adaptive behavior scales\u2010II","volume":"88","author":"Becker\u2010Weidman A","year":"2009","journal-title":"Child Welfare"},{"key":"e_1_2_4_23_1","unstructured":"National Child Traumatic Stress Network (NCTSN). (n.d.).Trauma Types Complex Trauma Screening and Assessment.www.nctsn.org\/what\u2010is\u2010child\u2010trauma\/trauma\u2010types\/complex\u2010trauma\/screening\u2010and\u2010assessment.Accessed November 12 2019."},{"key":"e_1_2_4_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.20.2501"},{"volume-title":"Adoption disruption and dissolution","year":"2012","author":"Child Welfare Information Gateway","key":"e_1_2_4_25_1"},{"key":"e_1_2_4_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2012.05.004"},{"key":"e_1_2_4_27_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000000627"},{"key":"e_1_2_4_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40653-015-0055-y"},{"key":"e_1_2_4_29_1","first-page":"CD006447","article-title":"Non\u2010pharmacological interventions for assisting the induction of anaesthesia in children","volume":"7","author":"Manyanda A","year":"2015","journal-title":"Cochrane Database of Systemic Reviews"},{"key":"e_1_2_4_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2009.03.014"},{"key":"e_1_2_4_31_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2002\/045)"},{"key":"e_1_2_4_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2007.01852.x"},{"key":"e_1_2_4_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2012.05.004"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpan.13866","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.13866","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pan.13866","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.13866","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T20:16:17Z","timestamp":1693599377000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.13866"}},"subtitle":[],"editor":[{"given":"Mark","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,4,22]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1111\/pan.13866"],"URL":"https:\/\/doi.org\/10.1111\/pan.13866","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"type":"print","value":"1155-5645"},{"type":"electronic","value":"1460-9592"}],"subject":[],"published":{"date-parts":[[2020,4,22]]},"assertion":[{"value":"2019-12-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}