{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:40:38Z","timestamp":1793716838750,"version":"4.6.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"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":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify sociodemographic and clinical factors associated with missed outpatient plastic surgery appointments among children with cleft lip and palate (CLP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single urban academic tertiary pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients\/Participants<\/jats:title>\n                    <jats:p>Children with CLP who underwent cleft lip repair between 2015 and 2025. Exclusion criteria included &lt;5 total outpatient visits during the study period or out-of-state primary residence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Not applicable (observational). Management included routine surgical follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"order\">\n                        <jats:list-item>\n                          <jats:p>Occurrence of \u22651 missed outpatient appointment<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>No-show rate (%) among patients with any missed visit.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cohort (n\u2009=\u2009308) was predominantly Hispanic\/Latino (55.2%), with high prevalence of public insurance (61.0%), siblings (71.4%), and household instability (40.6%). Patients attended a mean of 12.0 appointments over 5.2 years of follow-up, with 46.1% missing at least one visit. Among those with \u22651 missed appointment, the mean no-show rate was 8.4%. Hierarchical logistic regression identified Black race, household instability, siblings, and pulmonology care as being associated with appointment no-show. In hierarchical linear regression among patients with \u22651 missed visit, older age at follow-up and greater surgical burden were associated with slightly lower no-show rates, with limited contribution from sociodemographic or care coordination factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Disparities in appointment attendance may be driven by household-level and clinical complexity factors. Interventions supporting families facing household instability and high caregiving demands may help reduce missed outpatient plastic surgery visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261442417","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T12:17:25Z","timestamp":1776341845000},"page":"4342-4351","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Disparities in Appointment Attendance Among Children with Cleft Lip and Palate: A 10-Year Analysis"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0594-7661","authenticated-orcid":false,"given":"Caroline C.","family":"Kreh","sequence":"first","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Division of Plastic and Reconstructive Surgery, Saint Louis University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6720-8250","authenticated-orcid":false,"given":"Anika Y.","family":"Kim","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0841-6021","authenticated-orcid":false,"given":"Meryem","family":"Guler","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Thomas Jefferson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0088-2991","authenticated-orcid":false,"given":"Artur","family":"Manasyan","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naya","family":"Saker","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marvee","family":"Turk","sequence":"additional","affiliation":[{"name":"Keck School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph M.","family":"Firriolo","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark M.","family":"Urata","sequence":"additional","affiliation":[{"name":"Children's Hospital Los Angeles"},{"name":"Keck School of Medicine"},{"name":"Keck School of Medicine"},{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0030-1420","authenticated-orcid":false,"given":"Jeffrey 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