{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:28:26Z","timestamp":1761006506422,"version":"build-2065373602"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T00:00:00Z","timestamp":1358985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine national variations in resource utilization for primary repair of cleft lip, identify patient and institutional factors associated with high resource use, and estimate the current incidence of cleft lip in the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective analysis of a national, pediatric database (2009\u00a0Kids\u2019 Inpatient Database [KID]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients aged 1 year and younger were selected using international classification of disease codes for cleft lip and procedure codes for cleft lip repair. A number of demographic variables were analyzed, and hospital charges were considered as a measure of resource utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 1318 patients identified. The national incidence was 0.09%, with a male to female ratio of 1.8:1. Regional incidence varied from 0.07% (Northeast) to 0.10% (West). The mean age at surgery was 4.2\u00a0months. The average length of stay was 1.4\u00a0days. The national average hospital charge was $20,147, ranging from $14,635 (South) to $23,663 (West). Teaching hospitals charge an average of $9764 higher than nonteaching hospitals. The strongest predictor of charge was length of stay, increasing charge by $8102 for every additional hospital day (<jats:italic>P<\/jats:italic> &lt;. 01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Regional variations exist in resource utilization for primary cleft lip repair. Resource use is higher in the West and among teaching hospitals.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599812474634","type":"journal-article","created":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T23:00:47Z","timestamp":1359068447000},"page":"409-414","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Resource Utilization in Primary Repair of Cleft Lip"],"prefix":"10.1002","volume":"148","author":[{"given":"James A.","family":"Owusu","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Minnesota Medical School Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meixia","family":"Liu","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospitals and Clinics of Minnesota Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James D.","family":"Sidman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Minnesota Medical School Minneapolis Minnesota USA"},{"name":"Children\u2019s Hospitals and Clinics of Minnesota Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew R.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Floating Hospital for Children\u2013Tufts Medical Center Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,24]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.10.011"},{"key":"e_1_2_8_3_2","unstructured":"The Dartmouth Institute for Health Policy & Clinical Practice.The Dartmouth Atlas of Healthcare.http:\/\/www.dartmouthatlas.org\/"},{"key":"e_1_2_8_4_2","unstructured":"Agency for Healthcare Research and Quality (AHRQ).HCUP Kids\u2019 Inpatient Database (KID).Rockville MD:AHRQ; 2006 2009.www.hcup\u2010us.ahrq.gov\/kidoverview.jsp"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182043af6"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2071"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.10.015"},{"key":"e_1_2_8_8_2","unstructured":"US Census Bureau.Census data.2010.census.gov\/2010census\/data"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20735"},{"key":"e_1_2_8_10_2","first-page":"S3","article-title":"The effect of maternal race on oral clefts in Hawaii","volume":"145","author":"Yoon PW","year":"1997","journal-title":"Am J Epidemiol"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20294"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.31922"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520390063034"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599812474634","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599812474634","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599812474634","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:14:24Z","timestamp":1760951664000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599812474634"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,24]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1177\/0194599812474634"],"URL":"https:\/\/doi.org\/10.1177\/0194599812474634","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2013,1,24]]},"assertion":[{"value":"2012-10-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-12-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-01-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}