{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:36:12Z","timestamp":1777523772123,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"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":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine how race and ethnicity affect palatoplasty 30-day outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients\/setting<\/jats:title>\n                    <jats:p>The 2012 to 2019 National Surgical Quality Improvement Program (NSQIP) Pediatric database was used to identify patients \u2264 2 years who underwent primary palatoplasty. We compared demographics, comorbidities, and 30-day outcomes among different racial and ethnic groups. Logistic regression was used to determine independent risk factors for adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Increased risk for adverse events and postoperative surgical outcomes, including complications, readmission, and prolonged length of stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 8537 patients were identified in the database. African-American patients had the highest proportion of premature infants and infants with a BMI &lt; 15% at the time of repair. Asian patients underwent palatoplasty at a later age compared to other races (12.7 months vs 11.7-12.1 months). Postoperatively, the odds of a complication were significantly higher in Asian patients (aOR\u2009=\u20091.73, 95% CI: 1.17-2.57) and other\/unknown patients (aOR\u2009=\u20091.40, 95% CI: 1.05-1.86), but not among African American (aOR\u2009=\u20091.02, 95% CI: 0.70-1.47) or Hispanic (aOR\u2009=\u20090.93, 95% CI: 0.69\u20131.26) patients. Other\/unknown patients were more likely to require postoperative ventilation (aOR\u2009=\u20092.34, 95% CI: 1.38-3.95). The odds of readmission were highest in Asian and other\/unknown patients. African American, Hispanic, and other\/unknown patients were more likely than Caucasian patients to be hospitalized &gt; 2 days postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights ethnic differences in presentation and 30-day outcomes following palatoplasty. Further evaluation of disparities in cleft care should be performed to improve healthcare access and surgical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221078154","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T11:11:43Z","timestamp":1644405103000},"page":"663-670","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["The Impact of Race and Ethnicity on Surgical Risk and Outcomes Following Palatoplasty: An Analysis of the NSQIP Pediatric Database"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5513-5162","authenticated-orcid":false,"given":"Jordan N.","family":"Halsey","sequence":"first","affiliation":[{"name":"Nationwide Children\u2019s Hospital, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Asti","sequence":"additional","affiliation":[{"name":"Center for Surgical Outcomes Research, Abigail Wexner Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA"},{"name":"Center for Child Health Equity and Outcomes Research, Abigail Wexner Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard E.","family":"Kirschner","sequence":"additional","affiliation":[{"name":"Nationwide Children\u2019s Hospital, Columbus, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"bibr1-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-020-04394-7"},{"key":"bibr2-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002160"},{"issue":"4","key":"bibr3-10556656221078154","first-page":"E1369","volume":"131","author":"Pecha PP","journal-title":"Laryngoscope"},{"key":"bibr4-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-4113"},{"key":"bibr5-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2019.1661848"},{"key":"bibr6-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000005918"},{"key":"bibr7-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618799224"},{"key":"bibr8-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000005542"},{"key":"bibr9-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007349"},{"key":"bibr10-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1597\/14-193"},{"key":"bibr11-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1597\/14-251"},{"key":"bibr12-10556656221078154","first-page":"115e21","volume":"46","author":"Raval MV","journal-title":"J Pediatr Surg"},{"key":"bibr13-10556656221078154","unstructured":"WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length\/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: World Health Organization; 2006; pp 312. (website: http:\/\/www.who.int\/childgrowth\/publications\/en\/)."},{"key":"bibr14-10556656221078154","unstructured":"CDC Healthy Weight, Nutrition, and Physical Activity. About Child and Teen BMI. (web site: https:\/\/www.cdc.gov\/healthyweight\/assessing\/bmi\/childrens_bmi\/about_childrens_bmi.html); 2021."},{"key":"bibr15-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2008.09.004"},{"key":"bibr16-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2017.07.003"},{"key":"bibr17-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-017-2410-0"},{"key":"bibr18-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.04.011"},{"key":"bibr19-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000391"},{"key":"bibr20-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619897233"},{"key":"bibr21-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618765780"},{"key":"bibr22-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006163"},{"key":"bibr23-10556656221078154","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001259"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656221078154","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656221078154","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656221078154","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:50Z","timestamp":1777393310000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656221078154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,9]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/10556656221078154"],"URL":"https:\/\/doi.org\/10.1177\/10556656221078154","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,9]]}}}