{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T14:12:52Z","timestamp":1789827172689,"version":"4.0.1"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"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 compare documentation completeness between preoperative records for children with orofacial cleft treated at a high-resource U.S. pediatric center and an itinerant surgical mission program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional analysis of a previously published, harmonized 2-cohort orofacial cleft dataset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A U.S. tertiary pediatric craniofacial center (Children's Hospital of Philadelphia [CHOP]) and a CHOP-affiliated surgical mission program serving patients in Guatemala City.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients, Participants<\/jats:title>\n                    <jats:p>All 817 preoperative records in the deposited dataset (684 CHOP, 2012-2019; 133 mission, 2017-2020); none were excluded. The deposit carries no patient identifier, and the source publication reports 514 CHOP and 115 mission patients, so records, not patients, are the unit of analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>None (observational).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Documentation completeness of weight, syndromic status, comorbidity, family history, and prior-repair history, and a calculated per-record composite completeness score (0-1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Documentation was less complete in the mission cohort for every field, with risk differences for documentation completeness ranging from \u22120.29 (95% CI, \u22120.37 to \u22120.22) for family history to \u22120.80 (95% CI, \u22120.86 to \u22120.73) for weight (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Mean composite completeness was 0.986 at CHOP versus 0.421 in the mission cohort (bootstrap mean difference, \u22120.56; 95% CI, \u22120.61 to \u22120.52). Gaps persisted after adjustment for age and cleft type.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Documentation completeness differed markedly by care setting within 1 shared instrument. The 5 affected fields are the only universally applicable history-dependent items in a 35-variable instrument; making them mandatory is a small change that would let mission cohorts support the same analyses as high-resource cohorts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261488487","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:24:10Z","timestamp":1789557850000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Documentation Completeness in Orofacial Cleft Care Across High-Resource and Surgical Mission Settings: A Cross-Sectional Study"],"prefix":"10.1177","author":[{"given":"Bailey","family":"Nelson","sequence":"first","affiliation":[{"name":"Kansas City University School of Medicine"},{"name":"Department of Reconstructive Surgery, Wake Forest University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farzad","family":"Haji-Boloori","sequence":"additional","affiliation":[{"name":"Kansas City University School of Medicine"},{"name":"Department of Reconstructive Surgery, Wake Forest University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5097-4044","authenticated-orcid":false,"given":"Alex","family":"Kubiak","sequence":"additional","affiliation":[{"name":"Kansas City University School of Medicine"},{"name":"Department of Reconstructive Surgery, Wake Forest University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuoyan","family":"Wu","sequence":"additional","affiliation":[{"name":"Kansas City University School of Medicine"},{"name":"Department of Reconstructive Surgery, Wake Forest University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000337464"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008334"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001025"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001176"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06342-6"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000009539"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19980430)17:8<873::AID-SIM779>3.0.CO;2-I"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1047"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/wjs.12240"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656261488487","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656261488487","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656261488487","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T13:59:03Z","timestamp":1789826343000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656261488487"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":11,"alternative-id":["10.1177\/10556656261488487"],"URL":"https:\/\/doi.org\/10.1177\/10556656261488487","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"article-number":"10556656261488487"}}