{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:42:13Z","timestamp":1793068933221,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2020,4,9]],"date-time":"2020-04-09T00:00:00Z","timestamp":1586390400000},"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":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Studies have begun analyzing how the world converses on social media platforms about medical\/surgical topics. This study\u2019s objective was to examine how cleft lip and palate, two of the most common birth defects in the world, are discussed on the social media platform Twitter. No study to date has analyzed this topic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Tweets were identified using any of the following: cleft, cleft lip, cleft palate, #cleft, #cleftlip, #cleftpalate. Eight months between 2017 and 2018 were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures:<\/jats:title>\n                    <jats:p>The primary outcome was the tweet subject matter. Secondary outcomes were author characteristics, tweet engagement, multimedia, and tweet accuracy<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 1222 tweets were included. #Cleft was the most common hashtag (71%), and it was significantly associated with more retweets (\n                      <jats:italic>P<\/jats:italic>\n                      = .03). Twenty-seven countries tweeted, with the United States (34%) and India (27%) producing the most. Charities (36%), hospitals (14%), and physicians (13%) were the most common authors. Over three-quarters of tweets were self-promotional. The top content included charity information (22%) and patients\u2019 cleft stories (14%). Tweets about patient safety\/care and surgical service trips generated the most engagement. The accuracy of educational tweets was 38% low accuracy and 1% inaccurate. One hundred forty-nine tweets (12%) discussed a published research article, but 41 tweets did not share a link.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Charities dominate the cleft lip\/palate \u201cTwitterverse.\u201d Most tweets were self-promotional, and over a third of educational tweets were low accuracy. As the cleft social media community continues to grow, we recommend using the hashtag #cleft to reach a wider audience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620913176","type":"journal-article","created":{"date-parts":[[2020,4,9]],"date-time":"2020-04-09T05:21:57Z","timestamp":1586409717000},"page":"1093-1099","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["#Cleftlip\/Palate: What Is the World Talking About?"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9016-6917","authenticated-orcid":false,"given":"Alexandra S.","family":"Hudson","sequence":"first","affiliation":[{"name":"University of Alberta, Edmonton, Alberta, Canada"},{"name":"Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander D.","family":"Morzycki","sequence":"additional","affiliation":[{"name":"University of Alberta, Edmonton, Alberta, Canada"},{"name":"Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regan","family":"Guilfoyle","sequence":"additional","affiliation":[{"name":"University of Alberta, Edmonton, Alberta, Canada"},{"name":"Division of Plastic and Reconstructive Surgery, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,4,9]]},"reference":[{"key":"e_1_3_2_2_1","first-page":"30","article-title":"Health information seeking through social media and search engines by parents of children with orofacial cleft in Nigeria","author":"Adekunle AA","year":"2019","unstructured":"Adekunle AA, James O, Adeyemo WL. Health information seeking through social media and search engines by parents of children with orofacial cleft in Nigeria. Cleft Palate Craniofac J. 2019:30. doi:10.1177\/1055665619884447.","journal-title":"Cleft Palate Craniofac J"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005535"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-016-5406-x"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1637943"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1761-2"},{"key":"e_1_3_2_7_1","unstructured":"Brandwatch. 58 incredible and interesting twitter stats and statistics. https:\/\/www.brandwatch.com\/blog\/twitter-stats-and-statistics\/. Accessed July 1 2019."},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002814"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.05.010"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjx120"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2012.746448"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1597\/16-036"},{"issue":"2","key":"e_1_3_2_13_1","first-page":"105566561985070","article-title":"The experiences and support needs of grandparents of children born with cleft lip and\/or palate","volume":"29","author":"Guest E","year":"2019","unstructured":"Guest E, Costa B, McCarthy G, Cunniffe C, Stock NM. The experiences and support needs of grandparents of children born with cleft lip and\/or palate. Cleft Palate Craniofac J. 2019;29(2):1055665619850709.","journal-title":"Cleft Palate Craniofac J"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.2917"},{"issue":"6","key":"e_1_3_2_15_1","first-page":"e1931","article-title":"The use of twitter by the trauma and orthopaedic surgery journals: twitter activity, impact factor, and alternative metrics","volume":"9","author":"Hughes H","year":"2017","unstructured":"Hughes H, Hughes A, Murphy C. The use of twitter by the trauma and orthopaedic surgery journals: twitter activity, impact factor, and alternative metrics. Cureus. 2017;9(6):e1931.","journal-title":"Cureus"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000000597"},{"issue":"4","key":"e_1_3_2_17_1","first-page":"281","article-title":"The \u201cgender gap\u201d in authorship of academic medical literature\u2014a 35-year perspective","volume":"355","author":"Jagsi R","year":"2016","unstructured":"Jagsi R, Guancial EA, Cooper Woroby CC, Henault LE, Chang Y, Starr R, Tarbell NJ, Hylek EM. The \u201cgender gap\u201d in authorship of academic medical literature\u2014a 35-year perspective. N Engl J Med. 2016;355(4):281\u2013287.","journal-title":"N Engl J Med"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004484"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1597\/16-156"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.049"},{"key":"e_1_3_2_21_1","first-page":"4","article-title":"Social media improves cardiothoracic surgery literature dissemination: results of a randomized trial","author":"Luc JGY","year":"2019","unstructured":"Luc JGY, Archer MA, Arora RC, Bender EM, Blitz A, Cooke DT, Hlci TN, Kidane B, Ouzounian M, Varghese TKJr, et al. Social media improves cardiothoracic surgery literature dissemination: results of a randomized trial. Ann Thorac Surg. 2019;4. doi:10.1016\/j.athoracsur.2019.06.062.","journal-title":"Ann Thorac Surg"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1597\/14-047"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003188"},{"key":"e_1_3_2_24_1","unstructured":"SAGE Publishing. Body image and quality of life in adolescents with craniofacial conditions: overview of attention for article published in the Cleft Palate\u2013Craniofacial Journal. 2017. https:\/\/sage.altmetric.com\/details\/15571583. Accessed August 12 2019."},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2966"},{"key":"e_1_3_2_26_1","unstructured":"Scimago Institutions Rankings. Scimago Journal & Country Rank. https:\/\/www.scimagojr.com\/journalrank.php?category=2746&area=2700&type=j. Accessed August 29 2019."},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMms1801980"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1597\/13-314"},{"key":"e_1_3_2_29_1","unstructured":"Twitter. 2018. www.twitter.com. Accessed June 2019."},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.18346"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26727"},{"key":"e_1_3_2_32_1","unstructured":"World Health Organization. International collaborative research on craniofacial anomalies. https:\/\/www.who.int\/genomics\/anomalies\/en . Accessed July 18 2019."}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620913176","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1055665620913176","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1055665620913176","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:20:35Z","timestamp":1777393235000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1055665620913176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,9]]},"references-count":31,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/1055665620913176"],"URL":"https:\/\/doi.org\/10.1177\/1055665620913176","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,9]]}}}