{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:18:35Z","timestamp":1785424715062,"version":"3.56.0"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951125110317_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Disparities in clinical outcomes exist among children with CHD, and social determinants of health are a significant contributor. Follow-up care plays an important role in long-term health and may be impacted by social determinants of health. We aimed to describe the population with lapses in care to outpatient, general paediatric cardiology from a social determinants of health standpoint and compare them to our primary service area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110317_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective chart review was completed for children who had lapses in care within outpatient, general cardiology. Data were compared to the Cincinnati Children\u2019s Hospital Medical Center\u2019s primary service area population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110317_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A higher proportion of patients who had lapses in care were noted to identify as Hispanic\/Latino, utilised some form of public insurance, and lived in communities with more social deprivation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951125110317_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients who identify as a minority race\/ethnicity, utilise public insurance, or live in an area with a higher social deprivation may be at a higher risk for lapses in outpatient cardiology care, including both follow-up care and initial evaluations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951125110317","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T08:25:35Z","timestamp":1765873535000},"page":"2457-2462","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics of paediatric cardiology patients with interrupted outpatient care using a social determinants framework"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2586-1516","authenticated-orcid":false,"given":"Katherine Dahlia","family":"Boyer","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00y64dx33","id-type":"ROR","asserted-by":"publisher"}],"name":"Monroe Carell Junior Children\u2019s Hospital at Vanderbilt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"de Loizaga","sequence":"additional","affiliation":[{"name":"University of Cincinnati"},{"name":"Heart Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myra","family":"Saeed","sequence":"additional","affiliation":[{"name":"Heart Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Statile","sequence":"additional","affiliation":[{"name":"University of Cincinnati"},{"name":"Heart Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JangDong","family":"Seo","sequence":"additional","affiliation":[{"name":"Heart Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Tippmann","sequence":"additional","affiliation":[{"name":"Heart Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3878-9839","authenticated-orcid":false,"given":"Elisa","family":"Marcuccio","sequence":"additional","affiliation":[{"name":"University of Cincinnati"},{"name":"Heart Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"S1047951125110317_ref8","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-020-01196-6"},{"key":"S1047951125110317_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12732"},{"key":"S1047951125110317_ref1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.117.007065"},{"key":"S1047951125110317_ref17","unstructured":"17. Cincinnati Children\u2019s Hospital Medical Center. Community Health Needs Assessment 2022; pp 1\u2013228."},{"key":"S1047951125110317_ref22","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.122.025358"},{"key":"S1047951125110317_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12475"},{"key":"S1047951125110317_ref6","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.839464"},{"key":"S1047951125110317_ref24","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201601-054PS"},{"key":"S1047951125110317_ref3","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.010342"},{"key":"S1047951125110317_ref18","doi-asserted-by":"publisher","DOI":"10.21105\/joss.01686"},{"key":"S1047951125110317_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/00099228221144838"},{"key":"S1047951125110317_ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951122002037"},{"key":"S1047951125110317_ref5","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302099"},{"key":"S1047951125110317_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2018.09.038"},{"key":"S1047951125110317_ref12","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.120.053062"},{"key":"S1047951125110317_ref14","unstructured":"14. Robert Graham Center - Policy Studies in Family Medicine & Primary Care. Social deprivation index (SDI). 2018."},{"key":"S1047951125110317_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-017-3851-8"},{"key":"S1047951125110317_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2007.02.023"},{"key":"S1047951125110317_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2018.11.008"},{"key":"S1047951125110317_ref21","doi-asserted-by":"publisher","DOI":"10.1177\/2372732214548430"},{"key":"S1047951125110317_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.08.1028"},{"key":"S1047951125110317_ref20","volume-title":"RStudio: Integrated Development Environment for R","year":"2025"},{"key":"S1047951125110317_ref4","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-0302"},{"key":"S1047951125110317_ref19","volume-title":"R: A Language and Environment for Statistical Computing","year":"2025"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951125110317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T11:35:12Z","timestamp":1778758512000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951125110317\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":24,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S1047951125110317"],"URL":"https:\/\/doi.org\/10.1017\/s1047951125110317","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. 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