{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:29:10Z","timestamp":1790998150782,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"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":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the impact of sociodemographic factors on the surgical management and outcomes of patients with non-syndromic craniosynostosis, with a focus on delays in diagnosis and intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Three hundred seventy-three non-syndromic patients who underwent primary craniosynostosis surgery between 2013 and 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Primary outcomes included age at first specialty appointment, age at diagnosis, age at surgery, and type of surgery (CVR, open cranial vault remodeling; or ES\u2009+\u2009HT, endoscopic suturectomy\u2009+\u2009helmet therapy). Secondary outcomes included postoperative complications, need for additional craniofacial procedures, and length of hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients undergoing CVR were older at the time of specialty appointments (median 6.6 vs. 1.9 months, P\u2009&lt;\u20090.001), diagnosis (median 8.1 vs. 2.1 months, P\u2009&lt;\u20090.001), and surgery (median 11.3 vs. 2.9 months, P\u2009&lt;\u20090.001) compared to those undergoing ES\u2009+\u2009HT. When controlling procedure type and sociodemographic variables, private insurance was a predictor of earlier diagnosis (\u03b2=-3.06, 95% CI [-5.97, \u22120.16], P\u2009=\u20090.039) and earlier surgical intervention (\u03b2=-3.55, 95% CI [-6.67, \u22120.42], P\u2009=\u20090.026). Independent predictors of longer hospital stay included Hispanic ethnicity (\u03b2=0.45, 95% CI [0.03, 0.87], P\u2009=\u20090.035) and higher national Area Deprivation Index (ADI) score (\u03b2=0.014, 95% CI [0.008, 0.021], P\u2009&lt;\u20090.001). After multivariable adjustment, complication rates and the need for additional craniofacial procedures did not differ significantly between ES\u2009+\u2009HT and CVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with public insurance were more likely to experience a delay in diagnosis and, consequently, underwent a more invasive CVR procedure than privately insured patients. Hispanic ethnicity and higher ADI were associated with longer hospitalizations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656251411364","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T19:11:27Z","timestamp":1767985887000},"page":"3318-3327","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Examining Sociodemographic Disparities in Diagnostic Delays and Surgical Management of Non-Syndromic Craniosynostosis: A 10-Year Review"],"prefix":"10.1177","volume":"63","author":[{"given":"Melanie","family":"Bakovic","sequence":"first","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4422-9635","authenticated-orcid":false,"given":"Sofia A","family":"Finestone","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0552-4626","authenticated-orcid":false,"given":"Liara S","family":"Ortiz-Ocasio","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Goldman","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6229-1698","authenticated-orcid":false,"given":"Athena","family":"Zhang","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8348-8919","authenticated-orcid":false,"given":"Kennedy H","family":"Sun","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5337-8136","authenticated-orcid":false,"given":"Brandon","family":"Boyarsky","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9821-1241","authenticated-orcid":false,"given":"Esperanza","family":"Mantilla-Rivas","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica S","family":"Zhang","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8702-2207","authenticated-orcid":false,"given":"Patrick F","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saige A","family":"Teti","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F","family":"Keating","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert K","family":"Oh","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary F","family":"Rogers","sequence":"additional","affiliation":[{"name":"Children's National Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2014.08.002"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2016.06.007"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/S00381-018-3852-4"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000324"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-024-06692-2"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007168"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0B013E3181BD2CB2"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241261838"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/S40615-017-0441-2"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2017.11.012"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/PON.4893"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMSA1103216\/SUPPL_FILE\/NEJMSA1103216_DISCLOSURES.PDF"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820953381"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1037\/A0029416"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/CEN.12350"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211017791"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231226070"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1044\/2024_JSLHR-24-00060"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618764739"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMP1802313"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2021.10.018"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656211037510"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2023.10.037"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2022.12.033"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.3171\/2015.4.PEDS14342"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.3389\/FPED.2021.620848\/BIBTEX"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000006035"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251411364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251411364","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251411364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T03:39:50Z","timestamp":1788665990000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251411364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":27,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/10556656251411364"],"URL":"https:\/\/doi.org\/10.1177\/10556656251411364","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]}}}