{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:11:38Z","timestamp":1788930698273,"version":"build-2803163510"},"reference-count":23,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Duke Matton Endowment","award":["n\/a"],"award-info":[{"award-number":["n\/a"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To characterize operative care for cleft lip and\/or palate (CL\/P) based on location (ie, from American Cleft Palate Craniofacial Association [ACPA]\u2013approved multidisciplinary teams or from community providers).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional analysis of Healthcare Cost and Utilization Project State Inpatient Database and State Ambulatory Surgery &amp; Services Database databases for North Carolina from 2012 to 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Patients and Main Outcome Measures:<\/jats:title>\n                    <jats:p>Clinical encounters for children with CL\/P undergoing operative procedures were identified, classified by location as \u201cTeam\u201d versus \u201cCommunity,\u201d and characterized by demographic, geographic, clinical, and procedural factors. A secondary evaluation reviewed concordance of team and community practices with an ACPA guideline related to coordination of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three teams and 39 community providers performed a total of 3010 cleft-related procedures across 2070 encounters. Teams performed 69.7% of total volume and performed the majority of cleft procedures, including cleft lip repair, palate repair, alveolar bone grafting, and correction of velopharyngeal insufficiency. Community locations principally offered myringotomy and rhinoplasty. Team care was associated with higher guideline concordance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>American Cleft Palate Craniofacial Association \u2013approved team-based care accounts for the majority of cleft-related care in North Carolina; however, a substantial volume of cleft-related procedures was provided by community providers, with 3 providers accounting for the vast majority of community cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620946565","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T07:49:09Z","timestamp":1598428149000},"page":"1298-1307","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Provision and Utilization of Team- and Community-Based Operative Care for Patients With Cleft Lip\/Palate in North Carolina"],"prefix":"10.1177","volume":"57","author":[{"given":"Elliot","family":"Le","sequence":"first","affiliation":[{"name":"Duke University School of Medicine, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Shrader","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute (DCRI), Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayden","family":"Bosworth","sequence":"additional","affiliation":[{"name":"Departments of Population Health Sciences, Medicine, Psychiatry, School of Nursing, Duke University; Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jillian","family":"Hurst","sequence":"additional","affiliation":[{"name":"Children\u2019s Health &amp; Discovery Initiative (CHDI), Duke University School of Medicine, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Goldstein","sequence":"additional","affiliation":[{"name":"Department of Biostatistics &amp; Bioinformatics, Duke University, Durham, NC, USA"},{"name":"Children\u2019s Health &amp; Discovery Initiative (CHDI), Department of Pediatrics; Duke University School of Medicine, Durham, NC, USA"},{"name":"Duke Clinical Research Institute (DCRI), Duke University, Durham, NC, USA"},{"name":"Department of Population Health, Duke University, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia","family":"Drake","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of North Carolina\u2013Chapel Hill Medical Center, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeyhan","family":"Wood","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, University of North Carolina\u2013Chapel Hill Medical Center, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa R.","family":"David","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Runyan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joao Ricardo Nickenig","family":"Vissoci","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Surgery, Duke Global Health Institute, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Harker","sequence":"additional","affiliation":[{"name":"Duke Health Technology Solutions, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3334-9877","authenticated-orcid":false,"given":"Alexander C.","family":"Allori","sequence":"additional","affiliation":[{"name":"Children\u2019s Health &amp; Discovery Initiative (CHDI), Department of Pediatrics; Duke University School of Medicine, Durham, NC, USA"},{"name":"Department of Population Health, Duke University, Durham, NC, USA"},{"name":"Division of Plastic, Maxillofacial &amp; Oral Surgery, Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,8,26]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"ACPA (American Cleft Palate Craniofacial Association) Commission on Approval of Teams. 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