{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T16:10:55Z","timestamp":1778083855037,"version":"3.51.4"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005423","name":"Uppsala University Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005423","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007051","name":"Uppsala University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007051","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.bjps.2025.12.037","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:20:56Z","timestamp":1769084456000},"page":"300-312","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Academic achievement in children with orofacial clefts: A nationwide study in Sweden"],"prefix":"10.1016","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9760-7035","authenticated-orcid":false,"given":"Karl","family":"Olsson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9030-909X","authenticated-orcid":false,"given":"Karin K.","family":"Tillman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0012-1211","authenticated-orcid":false,"given":"Jonas","family":"H\u00f6ijer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1307-4928","authenticated-orcid":false,"given":"Matilda A.","family":"Frick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8203-8755","authenticated-orcid":false,"given":"Mia","family":"Ramklint","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5760-7730","authenticated-orcid":false,"given":"Lisa","family":"Ekselius","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Nowinski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malin","family":"Hakelius","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fotios C.","family":"Papadopoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2025.12.037_bib1","unstructured":"Farzaneh Farokh. Cleft lip and palate. Clinical studies regarding speech and facial growth. Lund University. \u3008https:\/\/www.lunduniversity.lu.se\/lup\/publication\/a04c182d-59e1-4374-b5f3-8dc4d100f2eb\u3009 [Accessed January 9, 2025]."},{"issue":"2","key":"10.1016\/j.bjps.2025.12.037_bib2","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1597\/09-047","article-title":"Academic achievement in individuals with cleft: a population-based register study","volume":"49","author":"Persson","year":"2012","journal-title":"Cleft Palate Craniofac J"},{"issue":"1","key":"10.1016\/j.bjps.2025.12.037_bib3","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2018-4027","article-title":"Neurodevelopmental and academic outcomes in children with orofacial clefts: a systematic review","volume":"144","author":"Gallagher","year":"2019","journal-title":"Pediatrics"},{"issue":"5","key":"10.1016\/j.bjps.2025.12.037_bib4","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1542\/peds.2013-3072","article-title":"Academic achievement of children and adolescents with oral clefts","volume":"133","author":"Wehby","year":"2014","journal-title":"Pediatrics"},{"issue":"1","key":"10.1016\/j.bjps.2025.12.037_bib5","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1177\/1055665617718823","article-title":"Academic achievement among children with nonsyndromic orofacial clefts: a population-based study","volume":"55","author":"Watkins","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"issue":"4","key":"10.1016\/j.bjps.2025.12.037_bib6","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1136\/archdischild-2017-313777","article-title":"Early academic achievement in children with isolated clefts: a population-based study in England","volume":"103","author":"Fitzsimons","year":"2018","journal-title":"Arch Dis Child"},{"issue":"5","key":"10.1016\/j.bjps.2025.12.037_bib7","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1111\/odi.14137","article-title":"Academic outcomes of children with orofacial clefts: a review of the literature and recommendations for future research","volume":"28","author":"Constantin","year":"2022","journal-title":"Oral Dis"},{"issue":"1","key":"10.1016\/j.bjps.2025.12.037_bib8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00125817-200201000-00001","article-title":"Structural brain abnormalities in adult males with clefts of the lip and\/or palate","volume":"4","author":"Nopoulos","year":"2002","journal-title":"Genet Med"},{"issue":"8","key":"10.1016\/j.bjps.2025.12.037_bib9","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1001\/archpedi.161.8.753","article-title":"Abnormal brain structure in children with isolated clefts of the lip or palate","volume":"161","author":"Nopoulos","year":"2007","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"12","key":"10.1016\/j.bjps.2025.12.037_bib10","doi-asserted-by":"crossref","first-page":"1616","DOI":"10.1177\/0883073813510603","article-title":"Morphometric analysis of brain shape in children with nonsyndromic cleft lip and\/or palate","volume":"29","author":"Chollet","year":"2014","journal-title":"J Child Neurol"},{"issue":"2","key":"10.1016\/j.bjps.2025.12.037_bib11","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1002\/ajmg.a.38567","article-title":"Associations between laterality of orofacial clefts and medical and academic outcomes","volume":"176","author":"Gallagher","year":"2018","journal-title":"Am J Med Genet A"},{"issue":"2","key":"10.1016\/j.bjps.2025.12.037_bib12","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-2662","article-title":"Laterality of oral clefts and academic achievement","volume":"139","author":"Gallagher","year":"2017","journal-title":"Pediatrics"},{"issue":"0","key":"10.1016\/j.bjps.2025.12.037_bib13","first-page":"1","article-title":"A review and meta-analysis on altered brain structure in patients born with non-syndromic cleft lip and\/or palate","volume":"0","author":"Homoud","year":"2025","journal-title":"Cleft Palate Craniofac J"},{"issue":"11","key":"10.1016\/j.bjps.2025.12.037_bib14","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/j.jaac.2018.06.024","article-title":"Increased risk for neurodevelopmental disorders in children with orofacial clefts","volume":"57","author":"Tillman","year":"2018","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"issue":"5","key":"10.1016\/j.bjps.2025.12.037_bib15","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1192\/bjp.bp.108.054841","article-title":"Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study","volume":"194","author":"Lee","year":"2009","journal-title":"Br J Psychiatry"},{"issue":"11","key":"10.1016\/j.bjps.2025.12.037_bib16","doi-asserted-by":"crossref","first-page":"1895","DOI":"10.1017\/S0033291709005510","article-title":"Childhood and adolescent hyperactivity-inattention symptoms and academic achievement 8 years later: the GAZEL Youth study","volume":"39","author":"Gal\u00e9ra","year":"2009","journal-title":"Psychol Med"},{"issue":"1","key":"10.1016\/j.bjps.2025.12.037_bib17","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1001\/jamapsychiatry.2017.3523","article-title":"Association of obsessive-compulsive disorder with objective indicators of educational attainment: a nationwide register-based sibling control study","volume":"75","author":"P\u00e9rez-Vigil","year":"2018","journal-title":"JAMA Psychiatry"},{"issue":"8","key":"10.1016\/j.bjps.2025.12.037_bib18","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1001\/jamapsychiatry.2020.0217","article-title":"Association of mental disorder in childhood and adolescence with subsequent educational achievement","volume":"77","author":"Dalsgaard","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"10.1016\/j.bjps.2025.12.037_bib19","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2023.1115304","article-title":"Cognitive functioning and clinical characteristics of children with non-syndromic orofacial clefts: a case-control study","volume":"14","author":"S\u00e1ndor-Bajusz","year":"2023","journal-title":"Front Psychol"},{"issue":"4","key":"10.1016\/j.bjps.2025.12.037_bib20","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1177\/0020731415585986","article-title":"Education improves public health and promotes health equity","volume":"45","author":"Hahn","year":"2015","journal-title":"Int J Health Serv"},{"key":"10.1016\/j.bjps.2025.12.037_bib21","unstructured":"Feinstein L, Sabates R, Anderson TM, Sorhaindo A, Hammond C. 4. What are the effects of education on health? 2006."},{"issue":"12","key":"10.1016\/j.bjps.2025.12.037_bib22","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1136\/archdischild-2015-308358","article-title":"Children with oral clefts are at greater risk for persistent low achievement in school than classmates","volume":"100","author":"Wehby","year":"2015","journal-title":"Arch Dis Child"},{"issue":"2","key":"10.1016\/j.bjps.2025.12.037_bib23","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1136\/archdischild-2020-319123","article-title":"School absence and achievement in children with isolated orofacial clefts","volume":"106","author":"Fitzsimons","year":"2021","journal-title":"Arch Dis Child"},{"issue":"10","key":"10.1016\/j.bjps.2025.12.037_bib24","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-046944","article-title":"Isolated oral clefts and school grades: population-based cohort study from Norway","volume":"11","author":"Gjerdevik","year":"2021","journal-title":"BMJ Open"},{"issue":"2","key":"10.1016\/j.bjps.2025.12.037_bib25","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1177\/1055665617726990","article-title":"Female and male differences in academic achievement in individuals with cleft: a population-based register study","volume":"55","author":"Persson","year":"2018","journal-title":"Cleft Palate Craniofac J"},{"issue":"4","key":"10.1016\/j.bjps.2025.12.037_bib26","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1093\/ije\/dyaa047","article-title":"Cleft lip\/palate and educational attainment: cause, consequence or correlation? A Mendelian randomization study","volume":"49","author":"Dardani","year":"2020","journal-title":"Int J Epidemiol"},{"issue":"18","key":"10.1016\/j.bjps.2025.12.037_bib27","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1093\/hmg\/ddaf115","article-title":"Copy number variants and their implications for developmental and behavioural problems in cleft lip and\/or palate","volume":"34","author":"Rammos","year":"2025","journal-title":"Hum Mol Genet"},{"issue":"9","key":"10.1016\/j.bjps.2025.12.037_bib28","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0162196","article-title":"Socio-economic status and reproduction among adults born with an oral cleft: a population-based cohort study in Norway","volume":"11","author":"Berg","year":"2016","journal-title":"PLoS One"},{"issue":"7","key":"10.1016\/j.bjps.2025.12.037_bib29","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1093\/jpepsy\/jsu049","article-title":"Academic achievement in children with oral clefts versus unaffected siblings","volume":"39","author":"Collett","year":"2014","journal-title":"J Pediatr Psychol"},{"issue":"1","key":"10.1016\/j.bjps.2025.12.037_bib30","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1177\/1087054714566076","article-title":"Long-term outcomes of ADHD: academic achievement and performance","volume":"24","author":"Arnold","year":"2020","journal-title":"J Atten Disord"},{"issue":"12","key":"10.1016\/j.bjps.2025.12.037_bib31","doi-asserted-by":"crossref","first-page":"1993","DOI":"10.1017\/S0033291717003518","article-title":"School performance from primary education in the adolescent offspring of parents with schizophrenia and bipolar disorder- a national, register-based study","volume":"48","author":"Ranning","year":"2018","journal-title":"Psychol Med"},{"key":"10.1016\/j.bjps.2025.12.037_bib32","series-title":"Gender disparities in US educational achievement during elementary and middle school","author":"Fahle","year":"2021"},{"key":"10.1016\/j.bjps.2025.12.037_bib33","unstructured":"Stata; 2021."},{"issue":"4","key":"10.1016\/j.bjps.2025.12.037_bib34","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1080\/08039488.2020.1850859","article-title":"The road to diagnosis and treatment in girls and boys with ADHD - gender differences in the diagnostic process","volume":"75","author":"Klefsj\u00f6","year":"2021","journal-title":"Nord J Psychiatry"},{"issue":"5","key":"10.1016\/j.bjps.2025.12.037_bib35","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1177\/1055665620959989","article-title":"Educational attainment of children born with unilateral cleft lip and palate in the United Kingdom","volume":"58","author":"Grewal","year":"2021","journal-title":"Cleft Palate Craniofac J"},{"key":"10.1016\/j.bjps.2025.12.037_bib36","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1186\/s12916-015-0414-4","article-title":"A systematic review of attention deficit hyperactivity disorder (ADHD) and mathematical ability: current findings and future implications","volume":"13","author":"Tosto","year":"2015","journal-title":"BMC Med"},{"issue":"1","key":"10.1016\/j.bjps.2025.12.037_bib37","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1177\/1362361317722028","article-title":"Supporting metacognitive monitoring in mathematics learning for young people with autism spectrum disorder: a classroom-based study","volume":"23","author":"Maras","year":"2019","journal-title":"Autism"},{"issue":"3","key":"10.1016\/j.bjps.2025.12.037_bib38","first-page":"189","article-title":"Obstructive sleep apnoea in children with craniofacial syndromes","volume":"16","author":"Cielo","year":"2015","journal-title":"Paediatr Respir Rev"},{"key":"10.1016\/j.bjps.2025.12.037_bib39","article-title":"Glue ear in children with cleft lip and palate: an update","author":"Kuo","year":"2018","journal-title":"Clin Med Ther"},{"issue":"9956","key":"10.1016\/j.bjps.2025.12.037_bib40","doi-asserted-by":"crossref","first-page":"1800","DOI":"10.1016\/S0140-6736(14)61277-0","article-title":"Effects of perinatal mental disorders on the fetus and child","volume":"384","author":"Stein","year":"2014","journal-title":"Lancet"},{"issue":"7","key":"10.1016\/j.bjps.2025.12.037_bib41","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1001\/jamapsychiatry.2019.0041","article-title":"Association of timing of onset of maternal mental disorders with completion of primary education in offspring","volume":"76","author":"Ingstrup","year":"2019","journal-title":"JAMA Psychiatry"},{"issue":"10","key":"10.1016\/j.bjps.2025.12.037_bib42","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pgen.1008357","article-title":"Genetic factors define CPO and CLO subtypes of nonsyndromicorofacial cleft","volume":"15","author":"Huang","year":"2019","journal-title":"PLoS Genet"}],"container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681526000033?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681526000033?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T15:14:03Z","timestamp":1778080443000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681526000033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":42,"alternative-id":["S1748681526000033"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2025.12.037","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Academic achievement in children with orofacial clefts: A nationwide study in Sweden","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2025.12.037","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.","name":"copyright","label":"Copyright"}]}}