{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:35:14Z","timestamp":1777880114192,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,1,15]],"date-time":"2018-01-15T00:00:00Z","timestamp":1515974400000},"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":["Plast Surg (Oakv)"],"published-print":{"date-parts":[[2018,5]]},"abstract":"\n Objective:<\/jats:title>\n To characterize current Cleft Palate Program (CPP) practices and evaluate the timeliness of appointments with respect to patient age and diagnosis based on American Cleft Palate-Craniofacial Association (ACPA) population guidelines and CPP patient-specific recommendations.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n A retrospective review of CPP patient appointments from November 6, 2012, to March 31, 2015, was done. Data were analyzed using descriptive and inferential statistics.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n The study was conducted using data from the CPP at BC Children\u2019s Hospital.<\/jats:p>\n <\/jats:sec>\n \n Patients:<\/jats:title>\n A total of 1214 appointments were considered in the analysis, including syndromic and nonsyndromic patients of 0 to 27 years of age.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures:<\/jats:title>\n Percentage of patients meeting follow-up targets by ACPA standards and CPP team recommendations.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Our results showed patients 5 years and younger or nonsyndromic were more likely to be seen on time ( P < .001). No relationship between the timeliness of an appointment and specific patient diagnoses or distance to clinic was found. With the exception of nursing (97% of appointments were on time), all disciplines had less than 45% of appointments on time with 51% of appointments meeting ACPA guidelines for timeliness and 32% of all appointments meeting CPP recommendations.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Timely care for the cleft\/craniofacial patient populations represents a challenge for the CPP. Although half of patients may meet the general ACPA guidelines, only 32% of patients are meeting the CPP patient-specific recommendations. To provide better patient care, future adjustments are needed, which may include improved resource allotment and program support.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/2292550317747852","type":"journal-article","created":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T22:31:26Z","timestamp":1526941886000},"page":"85-90","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Multidisciplinary Cleft Palate Program at BC Children\u2019s Hospital: Are We Meeting the Standards of Care?"],"prefix":"10.1177","volume":"26","author":[{"given":"Anita","family":"Dahiya","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Courtemanche","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Division of Plastic Surgery, Department of Surgery, BC Children\u2019s Hospital, Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3720-9302","authenticated-orcid":false,"given":"Douglas J.","family":"Courtemanche","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada"},{"name":"Division of Plastic Surgery, Department of Surgery, BC Children\u2019s Hospital, Vancouver, British Columbia, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,15]]},"reference":[{"key":"bibr1-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cji004"},{"key":"bibr2-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/20.4.407"},{"issue":"1","key":"bibr3-2292550317747852","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1597\/1545-1569_1993_030_0001_aaafot_2.3.co_2","volume":"30","author":"American Cleft-Palate Craniofacial Association","year":"1993","journal-title":"Cleft Palate Craniofac J"},{"key":"bibr4-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569-35.6.473"},{"key":"bibr5-2292550317747852","unstructured":"Batsos C. An environmental scan of cleft lip and palate clinics and dental benefits in Canada. The Canadian Association of Public Health Dentistry. 2009. http:\/\/www.caphd.ca\/sites\/default\/files\/1008-CleftLipAndPalateScan.pdf"},{"key":"bibr6-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12113"},{"key":"bibr7-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-004-2296-3"},{"key":"bibr8-2292550317747852","volume-title":"Cleft Lip and Palate: Critical Elements of Care","author":"Seattle Children\u2019s Hospital, The Center for Children with Special Needs","edition":"5"},{"key":"bibr9-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1007\/BF03016629"},{"key":"bibr10-2292550317747852","unstructured":"Government of Canada. Audiologists and Speech-Language Pathologists. Government of Canada; 2015 http:\/\/occupations.esdc.gc.ca\/sppc-cops\/.4cc.5p.1t.3.4ns.5mm.1ryd.2t.1.3l@-eng.jsp?tid=111."},{"key":"bibr11-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfq244"},{"key":"bibr12-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000451"},{"key":"bibr13-2292550317747852","doi-asserted-by":"publisher","DOI":"10.1597\/15-292"}],"container-title":["Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2292550317747852","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2292550317747852","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2292550317747852","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:02:17Z","timestamp":1777593737000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2292550317747852"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,15]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1177\/2292550317747852"],"URL":"https:\/\/doi.org\/10.1177\/2292550317747852","relation":{},"ISSN":["2292-5503","2292-5511"],"issn-type":[{"value":"2292-5503","type":"print"},{"value":"2292-5511","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,15]]}}}