{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T18:58:20Z","timestamp":1785351500535,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the relationship between neighborhood-level social disadvantage, as measured by Area Deprivation Index (ADI) and Childhood Opportunity Index (COI), and postoperative outcomes and follow-up care after primary or secondary cleft lip repair.<\/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 academic tertiary care center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>A total of 171 pediatric patients (&lt;18 years of age) with cleft lip with or without cleft palate (CL\u2009\u00b1\u2009P) who underwent primary or secondary cheiloplasty from 2013 to 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Neighborhood deprivation was assessed during treatment using two composite measures of relative socioeconomic disadvantage, the ADI and the COI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Postoperative outcomes and clinic follow-up adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 171 total patients, there was only a moderate correlation between patients\u2019 ADI and COI quintiles (\n                      <jats:italic toggle=\"yes\">\n                        R\n                        <jats:sup>2<\/jats:sup>\n                      <\/jats:italic>\n                      \u2009=\u20090.552,\n                      <jats:italic toggle=\"yes\">p\u2009&lt;\u2009.<\/jats:italic>\n                      001). Among all patients, ADI and COI were found to be associated with significant delay in follow-up and public insurance type was found to be associated with increased loss to follow-up. Patients with public insurance undergoing primary and secondary repair were more likely to have postoperative no-show appointments and have younger age at time of procedure. Neither ADI or COI correlated with surgical complications nor hospital readmission within 30 days for primary or secondary repair patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Neighborhood-level social disadvantage indices were associated with delays in postoperative follow-up but were not associated with short-term surgical complications or readmissions following cleft lip repair. These indices may help identify patients who could benefit from targeted outreach and care coordination to improve follow-up adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261470284","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:03:42Z","timestamp":1785161022000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Association of Neighborhood Disadvantage with Surgical Outcomes and Follow-Up Adherence in Patients with Cleft Lip"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9353-0915","authenticated-orcid":false,"given":"Myiah P.","family":"Quach","sequence":"first","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, University of Wisconsin School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6455-9514","authenticated-orcid":false,"given":"Daniel Y.","family":"Chu","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, University of Wisconsin School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5607-6911","authenticated-orcid":false,"given":"Jessieka T.","family":"Knazze","sequence":"additional","affiliation":[{"name":"Cooper University Health Care, Cooper University Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe S.","family":"Lam","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, University of Wisconsin School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra D.","family":"Center","sequence":"additional","affiliation":[{"name":"University of Colorado Anschutz School of Medicine, University of Colorado Anschutz School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8207-7727","authenticated-orcid":false,"given":"Manasa H.","family":"Kalluri","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, University of Wisconsin School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5733-9142","authenticated-orcid":false,"given":"Jessica D.","family":"Blum","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, University of Wisconsin School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catharine B.","family":"Garland","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, University of Wisconsin School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4719-8141","authenticated-orcid":false,"given":"Daniel Y.","family":"Cho","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, University of Wisconsin School of Medicine and Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.1589"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/odi.14213"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000005740"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-023-5998-z"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656221078488"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmp1802313"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656251381640"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/10556656251362777"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010984"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jposna.2025.100257"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.020466"},{"key":"e_1_3_2_13_2","unstructured":"Maps Diversity Data Kids. . 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