{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:40:14Z","timestamp":1777524014693,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T00:00:00Z","timestamp":1740096000000},"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":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Objective<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Timely medical care is crucial for optimal outcomes in children with cleft lip and palate. Undocumented migrant children face significant healthcare barriers. This study assesses the demographic characteristics and unmet surgical needs of undocumented children at our institution and analyzes state-level policies affecting their care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Design<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>A retrospective review was conducted at a single institution between 2023 and 2024. Medicaid and Children's Health Insurance Program policies were reviewed as of August 2024, categorizing states by immigrant child healthcare coverage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Setting<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Multidisciplinary cleft clinic in a pediatric referral center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Patients, Participants<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Ten undocumented children were included, with clinical data and immigration status collected from social work and insurance records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Main Outcome Measure(s):<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>Timing of initial cleft surgery, additional surgical needs, and surgical completion were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Results<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>\n                      Ten undocumented children were identified, with a mean age of 7 (range 1-10) years. Eight received primary cleft surgery in their home countries, but many had unmet surgical needs, including alveolar bone grafting (n\u2009=\u20094), oronasal fistula closure (n\u2009=\u20095), and dental care (n\u2009=\u20093). Twelve states provide comprehensive coverage regardless of immigration status, with 2 more expected by 2025. Twenty-three states cover only certain noncitizens without a waiting period, while 14 impose a 5-year delay. Broad coverage was concentrated in the Northeast and West (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.002), with only one US\u2013Mexico border state included.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:italic toggle=\"yes\">Conclusions<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>This study highlights barriers undocumented migrant children face in accessing cleft care, with disparities in state-funded policies potentially delaying critical interventions. Addressing these disparities is essential for equitable healthcare access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251318860","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T05:14:02Z","timestamp":1740114842000},"page":"973-980","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Care Pathways for Undocumented Migrant Children Seeking Cleft Lip and Palate Care: Institutional Experience, Current State Policies, and Opportunities"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7818-3546","authenticated-orcid":false,"given":"Diego A.","family":"Gomez","sequence":"first","affiliation":[{"name":"Children's Hospital of Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1167-5352","authenticated-orcid":false,"given":"Skyler K.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Children's Hospital of Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"Andrews","sequence":"additional","affiliation":[{"name":"Children's Hospital of Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio R.","family":"Porras","sequence":"additional","affiliation":[{"name":"Children's Hospital of Colorado"},{"name":"University of Colorado Anschutz Medical Campus"},{"name":"Children's Hospital Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason W.","family":"Yu","sequence":"additional","affiliation":[{"name":"Children's Hospital of Colorado"},{"name":"Division of Plastic and Reconstructive Surgery, University of Colorado Hospital, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Y.","family":"Khechoyan","sequence":"additional","affiliation":[{"name":"Children's Hospital of Colorado"},{"name":"Division of Plastic and Reconstructive Surgery, University of Colorado Hospital, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brooke","family":"French","sequence":"additional","affiliation":[{"name":"Children's Hospital of Colorado"},{"name":"Division of Plastic and Reconstructive Surgery, University of Colorado Hospital, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phuong D.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Children's Hospital of Colorado"},{"name":"Division of Plastic and Reconstructive Surgery, University of Colorado Hospital, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008334"},{"issue":"7","key":"e_1_3_2_3_2","article-title":"Global birth prevalence of orofacial clefts: a systematic review","volume":"98","author":"Panamonta V","year":"2015","unstructured":"Panamonta V, Pradubwong S, Panamonta M, Chowchuen B. 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