{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T21:53:08Z","timestamp":1781560388495,"version":"3.54.5"},"reference-count":27,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T00:00:00Z","timestamp":1631491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In Nepal's remote regions, challenging topography prevents patients with cleft lip and palate (CLP) from seeking care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To measure the effect of a mobile surgical scout program on CLP surgical care in remote regions of Nepal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Forty-four lay people were trained as mobile surgical scouts and over 5 months traversed remote districts of Nepal on foot to detect and refer CLP patients for surgical care. Surgical patients from remote districts were compared with matched time periods in the year before intervention. Diagnostic accuracy of the surgical scouts was assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>\n                      Mobile surgical scouts accurately diagnosed (90%) and referred (82%) patients for cleft surgery. Before the intervention, CLP surgeries from remote districts represented 3.5% of cleft surgeries performed. With mobile surgical scouting, patients from remote districts comprised 8.2% of all cleft surgeries (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.007). When transportation and accompaniment was provided in addition to mobile surgical scouts, patients from remote districts represented 13.5% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\u2264\u20090.001) of all cleft surgeries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Task-shifting the surgical screening process to trained scouts resulted in accurate diagnoses, referrals, and increased access to cleft surgery in remote districts of Nepal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/fpsam.2021.0117","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T18:02:30Z","timestamp":1631556150000},"page":"447-452","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Mobile Surgical Scouts Increase Surgical Access for Patients with Cleft Lip and Palate in Nepal"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7786-7812","authenticated-orcid":false,"given":"David A.","family":"Shaye","sequence":"first","affiliation":[{"name":"Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA."},{"name":"Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran Kishor","family":"Nakarmi","sequence":"additional","affiliation":[{"name":"Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramila","family":"Shakya","sequence":"additional","affiliation":[{"name":"Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leeza","family":"Pradhan","sequence":"additional","affiliation":[{"name":"Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kabita","family":"Bhattarai","sequence":"additional","affiliation":[{"name":"Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Badri","family":"Rayamajhi","sequence":"additional","affiliation":[{"name":"Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemanta Dhoj","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney M.","family":"Yuen","sequence":"additional","affiliation":[{"name":"Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kailash Khaki","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shankar Man","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,9,13]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)70115-4"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60835-2"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60160-X"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000078"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01443.x"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-5-17"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1876-6"},{"key":"e_1_3_5_9_2","volume-title":"Disease Control Priorities in Developing Countries","author":"Debas HT","unstructured":"Debas HT, , Gosselin R, , McCord C, et al. Chapter 67 surgery. In: Disease Control Priorities in Developing Countries, 2nd ed. New York: Oxford University Press; 2006. p. 1245e60."},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2009.07.028"},{"key":"e_1_3_5_11_2","unstructured":"Debas HT Donkor P Gawande A et al. eds. Disease Control Priorities: Essential Surgery 3rd ed. Vol. 1. World Bank; 2015. http:\/\/www.dcp-3.org\/surgery (Accessed September1 2021)."},{"key":"e_1_3_5_12_2","unstructured":"World Bank. World Development Indicator Rural population (% of total population). http:\/\/data.worldbank.org\/indicator\/SP.RUR.TOTL.ZS. Accessed March26 2020."},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110026"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2018.04.024"},{"key":"e_1_3_5_15_2","unstructured":"Center for Global Health Delivery-Dubai. Global surgery: towards equitable surgical systems. In: Global Surgery: Towards Equitable Surgical Systems [Internet]. Center for Global Health Delivery-Dubai; 2016. p. 28. http:\/\/ghd-dubai.hms.harvard.edu (Accessed September1 2021)."},{"key":"e_1_3_5_16_2","unstructured":"World Bank Data. http:\/\/data.worldbank.org\/indicator\/IT.CEL.SETS.P2. Accessed December20 2019."},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.16.189282"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40249-019-0603-z"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czy094"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001141"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002656"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1010-1"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-017-3896-8"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003038"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-6577-8"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.4314\/mmj.v29i3.1"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2024-7"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.2307\/3583147"}],"container-title":["Facial Plastic Surgery &amp; Aesthetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/fpsam.2021.0117","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/fpsam.2021.0117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/fpsam.2021.0117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T21:09:12Z","timestamp":1781557752000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/fpsam.2021.0117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,13]]},"references-count":27,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,12,1]]}},"alternative-id":["10.1089\/fpsam.2021.0117"],"URL":"https:\/\/doi.org\/10.1089\/fpsam.2021.0117","relation":{},"ISSN":["2689-3614","2689-3622"],"issn-type":[{"value":"2689-3614","type":"print"},{"value":"2689-3622","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,13]]}}}