Evidence map›Paper›PMID 41033971›Full record

Observational studyBritish journal of anaesthesia2025

Navigating care: a multicentre US survey of health literacy in paediatric perioperative care.

Anushree Doshi, Anita Akbar Ali, Chinyere Egbuta, Tessa Mandler, Kaitlyn Pellegrino, Shanique Kilgallon, Allison M Fernandez, Tomas Lazo, Elizabeth O'Brien, Jessica Katz and 9 more

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in British journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Anushree DoshiChildren's Hospital of Philadelphia, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. Electronic address: doshia1@chop.edu.
Anita Akbar AliArkansas Children's Hospital, Little Rock, AR, USA.
Chinyere EgbutaBoston Children's Hospital, Boston, MA, USA.
Tessa MandlerChildren's Hospital Colorado, Aurora, CO, USA.
Kaitlyn PellegrinoUniversity of Nebraska Medical Center, Omaha, NE, USA.
Shanique KilgallonNemours Children's Health, Wilmington, DE, USA.
Allison M FernandezJohns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Tomas LazoOHSU Doernbecher Children's Hospital, Portland, OR, USA.
Elizabeth O'BrienChildren's Hospital of Philadelphia, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Jessica KatzNemours Children's Health, Wilmington, DE, USA.
Norah JanosyChildren's Hospital Colorado, Aurora, CO, USA.
Shofolahan Da SilvaMcGovern Medical School, Houston, TX, USA.
Joana Tatiegi FardadRutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Sydney LashleyOHSU Doernbecher Children's Hospital, Portland, OR, USA.
Paula HuChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Hongyan LiuChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Isabel TorresChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Annery Garcia-MarcinkiewiczChildren's Hospital of Philadelphia, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
PedAHL (Pediatric Anesthesiology Health Literacy) Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth literacy is a critical determinant of patient outcomes and adherence to medical recommendations across healthcare settings, but it remains unexplored in the paediatric perioperative care. We evaluated the prevalence of limited health literacy among caregivers of paediatric patients undergoing surgery using the validated Newest Vital Sign tool.

methodsA cross-sectional survey was conducted in 2023 across multiple paediatric institutions: Children's Hospital of Philadelphia, Arkansas Children's Hospital, Boston Children's Hospital, Children's Colorado, Children's Nebraska, and Nemours Children's Health. Caregivers completed the Newest Vital Sign tool (available in English and Spanish) and provided patient data via an online database. Data analysis used Pearson's χ

resultsOf the 1400 caregivers surveyed, 16% demonstrated limited or possibly limited health literacy. Factors significantly associated with limited health literacy included younger age, lower educational attainment, non-White ethnicity, primary language other than English, and underrepresented minority status (P<0.001).

conclusionsThis multicentre study found that 16% of caregivers had limited health literacy, with higher rates among certain groups. These findings underscore a potential barrier to equitable access to care and highlight the need for further research and interventions aimed at reducing health literacy disparities and improving patient engagement in perioperative care.

Indexed as

Health LiteracyPerioperative CareAdolescentAdultCaregiversChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleMiddle AgedSurveys and QuestionnairesUnited Stateshealthcare disparitieshealth literacypaediatric anaesthesiapatient safetyperioperative caresocial determinants of health

Identifiers

PMID41033971
PMCPMC12597340

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.