{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:40:35Z","timestamp":1793716835088,"version":"4.6.1"},"reference-count":49,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"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 compare hospital charges associated with 2 airway treatments in infants with Robin sequence (RS)<\/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>Single quaternary pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Infants with RS admitted for treatment between January 2016 and April 2023<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Nonsurgical Stanford orthodontic airway plate (OAP) or surgical mandibular distraction osteogenesis (MDO)<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Hospital charges from admission to discharge, categorized and inflation-adjusted to 2024 United States Dollars<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirteen OAP-treated and nine MDO-treated infants were included. All infants were discharged home. Median age (minimum, maximum) at index admission was 38 days (1, 89) in OAP and 18 days (1, 65) in MDO. Median total hospital stay was 15 days (8, 26) in OAP and 23 days (12, 40) in MDO (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.003). This included intensive care unit (ICU) stays of 3 days (0, 6) in OAP and 14 days (4, 21) in MDO (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Median total inflation-adjusted hospital charges were significantly lower in OAP ($683,549.20; interquartile range (IQR): $567,075.90 - $821,018.30) compared to MDO ($1,269,670.00; IQR: $932,087.50 - $1,573,712.00;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.006), representing a 46.2% reduction. Non-ICU stay, ICU stay, and professional services were the top three contributors to the total hospital charges in OAP, while ICU stay, non-ICU stay, and operating room utilization were those in MDO during index admission.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nonsurgical OAP has the potential to reduce hospital charges and accelerate the transition home compared to MDO, serving as a high-value treatment modality for optimizing both clinical outcomes and hospital resource allocation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261450712","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:41:36Z","timestamp":1780069296000},"page":"4241-4252","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Analysis of Hospital Charges in Infants With Robin Sequence: Nonsurgical Orthodontic Airway Plate Versus Surgical Mandibular Distraction"],"prefix":"10.1177","volume":"63","author":[{"given":"Kelsi N.","family":"Krakauer","sequence":"first","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford"},{"name":"Lucile Packard Children's Hospital Stanford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R.","family":"Forrest","sequence":"additional","affiliation":[{"name":"University of Toronto Temerty Faculty of Medicine"},{"name":"The Centre for Craniofacial Care and Research, The Hospital for Sick Children, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joo-Young","family":"Park","sequence":"additional","affiliation":[{"name":"Seoul National University Dental Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianhao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Olivares","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Ly","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Komondor","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Hermann","family":"Lorenz","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford"},{"name":"Lucile Packard Children's Hospital Stanford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick C.","family":"Wan","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford"},{"name":"Lucile Packard Children's Hospital Stanford"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0225-0268","authenticated-orcid":false,"given":"HyeRan","family":"Choo","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital Stanford"},{"name":"Lucile Packard Children's Hospital Stanford"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2018.11.010"},{"key":"e_1_3_3_3_2","unstructured":"Baxter D Shanks AL. Pierre Robin Syndrome. In: StatPearls. StatPearls Publishing; 2026. Accessed March 24 2026. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562213\/."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109842"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199404001-00006"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2292550318767922"},{"issue":"3","key":"e_1_3_3_7_2","first-page":"207","article-title":"Tracheostomy versus mandibular distraction osteogenesis in Canadian children with Pierre Robin sequence: A comparative cost analysis","volume":"41","author":"Hong P","year":"2012","unstructured":"Hong P, Bezuhly M, Mark Taylor S, Hart RD, Kearns DB, Corsten G. Tracheostomy versus mandibular distraction osteogenesis in Canadian children with Pierre Robin sequence: A comparative cost analysis. J Otolaryngol - Head Neck Surg J Oto-Rhino-Laryngol Chir Cervico-Faciale. 2012;41(3):207\u2013214.","journal-title":"J Otolaryngol - Head Neck Surg J Oto-Rhino-Laryngol Chir Cervico-Faciale"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-199803000-00007"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000003949"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1390173"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.11516"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221076980"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.11282"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4041\/kjod21.238"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241306531"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181c91501"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(98)70252-1"},{"issue":"2","key":"e_1_3_3_18_2","first-page":"113","article-title":"Drivers of health care costs. A physicians foundation white paper - second of a three-part series","volume":"110","author":"Norbeck TB","year":"2013","unstructured":"Norbeck TB. Drivers of health care costs. A physicians foundation white paper - second of a three-part series. Mo Med. 2013;110(2):113\u2013118.","journal-title":"Mo Med"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0879-3"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(77)90128-3"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006622"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656251414397"},{"key":"e_1_3_3_23_2","unstructured":"SAS Institute Inc. Published online 2025."},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/11786329231169604"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2025.01683"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2019-317640"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/oto2.108"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25972"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1485544"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2013.11.017"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.3390\/children10101591"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000008611"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010587"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2022.07.010"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7670"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/229255031202000319"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24782"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000006550"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000018339"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003167"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.09.001"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.59249\/WMGE9032"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina61050922"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2021.04.024"},{"issue":"3","key":"e_1_3_3_45_2","first-page":"209","article-title":"Impact of hospitalization on the sleep patterns of newborns, infants and toddlers admitted to a pediatric ward: A cross-sectional study","volume":"67","author":"Bisogni S","year":"2015","unstructured":"Bisogni S, Chiarini I, Giusti F, Ciofi D, Poggi GM, Festini F. Impact of hospitalization on the sleep patterns of newborns, infants and toddlers admitted to a pediatric ward: A cross-sectional study. Minerva Pediatr. 2015;67(3):209\u2013217.","journal-title":"Minerva Pediatr"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2022.08.005"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2018-99-117316"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1767830"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241261846"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656241233239"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656261450712","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656261450712","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656261450712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T14:17:14Z","timestamp":1793715434000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656261450712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":49,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["10.1177\/10556656261450712"],"URL":"https:\/\/doi.org\/10.1177\/10556656261450712","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]}}}