{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T15:09:54Z","timestamp":1784214594408,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"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":[[2026,4]]},"abstract":"<jats:p>Velopharyngeal insufficiency (VPI) predominantly affects children with cleft palate, undermining their ability to communicate. As a result, intelligible speech generation is one of the most important outcomes following cleft palate repair. In low- and middle-income countries (LMICs), the elevated incidence of cleft palate, unavailability of speech services, and suboptimal surgical outcomes has contributed to a substantial yet poorly defined global burden of VPI. Tracking speech outcomes in LMICs is essential to assessing VPI severity and identifying patients needing care. Artificial intelligence and machine learning are well-suited to accommodate this goal.<\/jats:p>","DOI":"10.1177\/10556656251316084","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T08:59:21Z","timestamp":1738313961000},"page":"945-948","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["It's Time to Define the Global Burden of Velopharyngeal Insufficiency"],"prefix":"10.1177","volume":"63","author":[{"given":"Noah","family":"Alter","sequence":"first","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Stone","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Powell","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa J.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beyhan","family":"Anan","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"},{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3654-7262","authenticated-orcid":false,"given":"Usama","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Global Smile Foundation, Norwood, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhijun","family":"Yin","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2329-9899","authenticated-orcid":false,"given":"Matthew E.","family":"Pontell","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"},{"name":"Division of Pediatric Plastic Surgery, Monroe Carell Jr. Children's Hospital, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1554978"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.3.224"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2017.0639"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109643"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006463"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-33066"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3109\/02844319509008968"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000011312"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000184"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12112"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617735102"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620902883"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000009555"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000010147"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1425.011"},{"issue":"9","key":"e_1_3_2_17_2","article-title":"Implementation strategies for health systems in low-income countries: an overview of systematic reviews","volume":"9","author":"Pantoja T","year":"2017","unstructured":"Pantoja T, Opiyo N, Lewin S, Paulsen E, Ciapponi A, Wiysonge CS, Herrera CA, Rada G, Penaloza B, Dudley L, et al. Implementation strategies for health systems in low-income countries: an overview of systematic reviews. Cochrane Database Syst Rev. 2017;9(9):CD011086. Published 2017 Sep 12. doi:https:\/\/doi.org\/10.1002\/14651858.CD011086.pub2.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13092570"},{"issue":"3","key":"e_1_3_2_19_2","first-page":"322","article-title":"The global occurrences of cleft lip and palate in pediatric patients and their association with demographic factors: a narrative review","volume":"11","author":"Putri FA","year":"2024","unstructured":"Putri FA, Pattamatta M, Anita SES, Maulina T. The global occurrences of cleft lip and palate in pediatric patients and their association with demographic factors: a narrative review. Children (Basel). 2024;11(3):322. Published 2024 Mar 8. doi:https:\/\/doi.org\/10.3390\/children11030322.","journal-title":"Children (Basel)"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2005.00421.x"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2023-012690"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-022-01804-3"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.5105"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2006.00022.x"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15659"},{"key":"e_1_3_2_26_2","volume-title":"National Healthcare Quality and Disparities Report","year":"2021","unstructured":"National Healthcare Quality and Disparities Report. Rockville (MD): Agency for Healthcare Research and Quality (US); 2021."},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7336.499"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.914423"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2023.2179163"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620957531"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221074883"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1109\/TBME.2021.3058424"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13162714"},{"issue":"5","key":"e_1_3_2_34_2","article-title":"Improving community health-care screenings with smartphone-based AI technologies","volume":"3","author":"Mantena S","year":"2021","unstructured":"Mantena S, Celi LA, Keshavjee S, Beratarrechea A. Improving community health-care screenings with smartphone-based AI technologies. Lancet Digit Health. 2021;3(5):e280-e282. doi:https:\/\/doi.org\/10.1016\/S2589-7500(21)00054-6","journal-title":"Lancet Digit Health"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.2196\/44030"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.2196\/52888"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251316084","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251316084","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251316084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:22:24Z","timestamp":1777393344000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251316084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,31]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/10556656251316084"],"URL":"https:\/\/doi.org\/10.1177\/10556656251316084","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,31]]}}}