{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:18:06Z","timestamp":1770887886899,"version":"3.50.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"12","funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"crossref","award":["R01 MD007796"],"award-info":[{"award-number":["R01 MD007796"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003This study aimed to examine factors associated with timely (0\u20132 days after birth) myelomeningocele surgical repair.<\/jats:p><jats:p>\n          Study Design\u2003We examined 2006 to 2011 births from the California Perinatal Quality Care Collaborative, linking to hospital discharge and vital records. Selected maternal, infant, and delivery hospital characteristics were evaluated to understand disparities in timely repair. Poisson regression was used to estimate adjusted risk ratios (aRRs) and 95% confidence intervals (CIs).<\/jats:p><jats:p>\n          Results\u2003Overall, 399 of the 450 (89%) infants had a timely repair and approximately 80% of them were delivered in level III\/IV hospitals. Infants with hydrocephalus were significantly less likely to have a delayed myelomeningocele repair compared with those without (aRR\u2009=\u20090.22; 95% CI\u2009=\u20090.13, 0.39); infants whose medical care was paid by Medi-Cal or other nonprivate insurance were 2.2 times more likely to have a delayed repair compared with those covered by a private insurance (aRR\u2009=\u20092.23; 95% CI\u2009=\u20091.17, 4.27). Low birth weight was a significant predictor for delayed repair (aRR\u2009=\u20092.06; 95% CI\u2009=\u20091.10, 3.83).<\/jats:p><jats:p>\n          Conclusion\u2003There was a significant disparity in myelomenigocele repair based on medical care payer. Families and hospitals should work together for timely repair in hospitals having specialized multidisciplinary teams. Findings from the study can be used to follow best clinical practices for myelomeningocele repair.<\/jats:p>","DOI":"10.1055\/s-0039-1693127","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T10:29:18Z","timestamp":1564396158000},"page":"1234-1242","source":"Crossref","is-referenced-by-count":4,"title":["Factors Associated with Timeliness of Surgical Repair among Infants with Myelomeningocele: California Perinatal Quality Care Collaborative, 2006 to 2011"],"prefix":"10.1055","volume":"37","author":[{"given":"Vijaya","family":"Kancherla","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Ma","sequence":"additional","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Stanford University School of Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry C.","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary M.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan R.","family":"Hintz","sequence":"additional","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzan L.","family":"Carmichael","sequence":"additional","affiliation":[{"name":"Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,7,15]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"144","DOI":"10.3171\/2014.10.PEDS1441","article-title":"Assessing health-related quality of life in children with spina bifida","volume":"15","author":"B G Rocque","year":"2015","journal-title":"J Neurosurg Pediatr"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1111\/cch.12367","article-title":"Health-related quality of life in children with myelomeningocele: a systematic review of the 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