{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T04:59:47Z","timestamp":1781758787004,"version":"3.54.5"},"reference-count":38,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T00:00:00Z","timestamp":1637107200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/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":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine differences in burden of care between nonsyndromic patients with unilateral cleft lip and palate undergoing treatment at American Cleft Palate-Craniofacial Association (ACPA)-accredited centers and nonaccredited centers in New York State.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective review of the New York Statewide Planning and Research Cooperative System database from January 2001 to December 2014 was performed using ICD-9 and CPT coding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, participants<\/jats:title>\n                    <jats:p>This study included patients with unilateral cleft lip and palate who underwent both lip and palate repairs during their first \u20096 years of life. Exclusion criteria included orofacial cleft syndromes, follow-up under \u20096 years, and one-stage combined cleft lip and palate repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty-eight patients were treated at cleft centers, and 29 patients at nonaccredited centers (\u2009\u2009 n\u2009=\u2009117). Age at primary palatoplasty (13.0 months vs 18.1 months; \u2009\u2009 p\u2009=\u2009.019), total number of cleft operations (2.3 vs 2.7; \u2009\u2009 p\u2009=\u2009.012), and total number of primary cleft-specific procedures (2.2 vs 2.5; \u2009\u2009 p\u2009=\u2009.0049) were significantly lower for patients treated in cleft centers. Age at primary cheiloplasty (4.8 months vs 4.6 months; \u2009\u2009 p\u2009=\u2009.865), post-cheiloplasty length of stay (1.2 days vs 1.2 days; \u2009\u2009 p\u2009=\u2009.673), post-palatoplasty length of stay (1.5 days vs 1.9 days; \u2009\u2009 p\u2009=\u2009.211), average hospital admissions (2.2 vs 2.3; p\u2009=\u20090.161), and total complication rates (34.1% vs 21.1%; p\u2009=\u20090.517) did not differ significantly between cleft centers and noncenters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This data demonstrates some significant differences in overall 6 year burden of care for nonsyndromic patients with unilateral cleft lip and palate treated at ACPA-accredited cleft centers versus nonaccredited centers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211053768","type":"journal-article","created":{"date-parts":[[2021,11,17]],"date-time":"2021-11-17T06:01:11Z","timestamp":1637128871000},"page":"5-12","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Six-year Burden of Care for Nonsyndromic Unilateral Cleft Lip and Palate Patients: A Comparison Between Cleft Centers and Noncleft Centers"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5413-8476","authenticated-orcid":false,"given":"Pierce L.","family":"Janssen","sequence":"first","affiliation":[{"name":"Stony Brook University School of Medicine, Stony Brook, NY, USA"},{"name":"Icahn School of Medicine at Mount Sinai, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanad","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Stony Brook University School of Medicine, Stony Brook, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel M.","family":"Klein","sequence":"additional","affiliation":[{"name":"Stony Brook University School of Medicine, Stony Brook, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Hou","sequence":"additional","affiliation":[{"name":"Stony Brook University, Stony Brook, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Bellber","sequence":"additional","affiliation":[{"name":"Stony Brook University School of Medicine, Stony Brook, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3684-4585","authenticated-orcid":false,"given":"Alexander B.","family":"Dagum","sequence":"additional","affiliation":[{"name":"Stony Brook University School of Medicine, Stony Brook, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,11,17]]},"reference":[{"key":"bibr1-10556656211053768","unstructured":"American Association of Professional Coders. CPT\u00ae codes. 2020. Accessed January 21, 2020. https:\/\/coder.aapc.com\/cpt-codes\/"},{"key":"bibr2-10556656211053768","first-page":"817","volume":"7","author":"Kremenak CR","year":"1970","journal-title":"Cleft Palate J"},{"key":"bibr3-10556656211053768","unstructured":"Jones MC, Jones KL. Syndromes of Orofacial Clefting. In: Losee JE, Kirshner RE, eds.\n                      Comprehensive Cleft Care\n                      1st ed. China: McGraw-Hill Co; 2009:107-127."},{"key":"bibr4-10556656211053768","unstructured":"American Cleft Palate-Craniofacial Association. ACPA approved teams in the U.S. & Canada. 2019. Accessed September 4, 2019. https:\/\/cleftline.org\/find-a-team\/acpa-approved-teams-in-the-us-and-canada\/"},{"key":"bibr5-10556656211053768","doi-asserted-by":"publisher","DOI":"10.1080\/14015439.2017.1390606"},{"key":"bibr6-10556656211053768","unstructured":"Centers for Disease Control and Prevention. 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