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Using U.S. natality and global health datasets (2014-2021), cleft incidence, prevalence, and disability-adjusted life years (DALYs) were compared with trends in ACPA accreditation. While births and cleft incidence declined nationally, accreditation expanded substantially. Conversely, prevalence and DALYs rose regionally without corresponding increases in accredited centers. Several states demonstrated discordant trends between burden and access. These findings suggest misalignment between accredited cleft care availability and evolving geographic disease burden, underscoring the need for data-driven resource planning.<\/jats:p>","DOI":"10.1177\/10556656261461715","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T14:14:48Z","timestamp":1782310488000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Does American Cleft Palate Craniofacial Association Cleft Team Accreditation Address Cleft Burden? 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Standards for approval of cleft palate and craniofacial teams. ACPAcares.org. 2025. Accessed November 5 2025. https:\/\/acpacares.org\/standards-of-approval-for-team-care\/."},{"key":"e_1_3_2_7_2","unstructured":"American Cleft Palate\u2013Craniofacial Association. Find an ACPA approved team. ACPAcares.org. 2025. 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