{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:21:10Z","timestamp":1777522870124,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T00:00:00Z","timestamp":1521763200000},"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":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To identify disparities in compliance of and care for patients with cleft lip and\/or palate (CL\/P) by determining the impact of sociodemographic variables on the rate of missed appointments and Child Protective Services (CPS) involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A retrospective, noninterventional quality assessment and quality improvement study were designed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>This institutional study was performed at the University of Michigan in Ann Arbor, Michigan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>All patients born between January 1, 2011, and December 31, 2014, who underwent surgical CL\/P repair, excluding those with fewer than 5 appointments (n = 178).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure:<\/jats:title>\n                    <jats:p>The rate of missed appointments, calculated as the total number of no-show appointments divided by the total number of scheduled appointments. All appointments from CL\/P diagnosis to data collection were considered, including those outside of plastic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average patient was 4.5 years of age and had 49 total scheduled appointments. The overall rate of missed appointments was 9.6%, with 66.8% of patients missing at least 1 scheduled visit. Patients who were black ( P = .04), not affiliated with a religion ( P = .01), Medicaid users ( P = .01), from an unstable social background ( P = .01), or received need-based financial assistance ( P = .00) were significantly more likely to miss appointments. Child Protective Services was involved with 3.9% of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Disparities exist in attendance rates among patients with CL\/P, and at-risk patient populations have been identified. The allocation of cleft care resources must be efficiently planned in order to enhance the quality of care for at-risk individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665618764739","type":"journal-article","created":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T12:50:25Z","timestamp":1521809425000},"page":"1440-1446","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":43,"title":["Sociodemographic Predictors of Missed Appointments Among Patients With Cleft Lip and Palate"],"prefix":"10.1177","volume":"55","author":[{"given":"Jeremy V.","family":"Lynn","sequence":"first","affiliation":[{"name":"Craniofacial Research Laboratory, Section of Plastic and Reconstructive Surgery, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavitha","family":"Ranganathan","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery, Integrated Plastic Surgery Residency, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew H.","family":"Bageris","sequence":"additional","affiliation":[{"name":"Craniofacial Research Laboratory, Section of Plastic and Reconstructive Surgery, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tami","family":"Hart-Johnson","sequence":"additional","affiliation":[{"name":"Office for Health Equity and Inclusion, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven R.","family":"Buchman","sequence":"additional","affiliation":[{"name":"Craniofacial Research Laboratory, Section of Plastic and Reconstructive Surgery, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Alexander","family":"Blackwood","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,23]]},"reference":[{"key":"bibr1-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.10.002"},{"key":"bibr2-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182043af6"},{"key":"bibr3-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1177\/1077558700057001S09"},{"key":"bibr4-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.27.021405.102103"},{"key":"bibr5-1055665618764739","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300654"},{"key":"bibr6-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.19.2579"},{"key":"bibr7-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2008.03.008"},{"key":"bibr8-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2017.05.015"},{"key":"bibr9-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1136\/adc.74.4.360"},{"key":"bibr10-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1108\/IJHCQA-06-2015-0077"},{"key":"bibr11-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1016\/j.cppeds.2008.02.003"},{"key":"bibr12-1055665618764739","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-88-2-251"},{"key":"bibr13-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-017-3851-8"},{"key":"bibr14-1055665618764739","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302804"},{"key":"bibr15-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60695-4"},{"key":"bibr16-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511402083"},{"key":"bibr17-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1997_034_0007_caesoc_2.3.co_2"},{"key":"bibr18-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0004.2002.610402.x"},{"key":"bibr19-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-8910.2015049005145"},{"key":"bibr20-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2014.09.030"},{"key":"bibr21-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20735"},{"key":"bibr22-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1597\/05-162"},{"key":"bibr23-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.1993.tb00527.x"},{"key":"bibr24-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199706000-00003"},{"key":"bibr25-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1177\/0036933014564133"},{"key":"bibr26-1055665618764739","first-page":"461","volume":"12","author":"Starr P","year":"1975","journal-title":"Cleft Palate J"},{"key":"bibr27-1055665618764739","doi-asserted-by":"publisher","DOI":"10.1597\/15-206"},{"issue":"3","key":"bibr28-1055665618764739","first-page":"216","volume":"24","author":"Vanderas AP","year":"1987","journal-title":"Cleft Palate J"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665618764739","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665618764739","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665618764739","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:18:54Z","timestamp":1777393134000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665618764739"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,23]]},"references-count":28,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1177\/1055665618764739"],"URL":"https:\/\/doi.org\/10.1177\/1055665618764739","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,23]]}}}