{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:21:38Z","timestamp":1777522898723,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"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":[[2016,9]]},"abstract":"<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>Major international tertiary care referral center for cleft palate repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>One hundred thirty-eight patients at the Children's Hospital of Philadelphia who had palate repair performed between 2010 and 2013, excluding syndromic patients, patients undergoing palate revision, and patients with incomplete payment information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>None.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>Fees and charges for procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Surgeon payment was significantly higher for international adoptees (\u0394 = $2047.51 [$128.35 to $3966.66], P = .038). Medicaid-adjusted surgeon payments averaged $1006 more for adoptees ([-$394.19 to $2406.98], P = .158).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hospital and anesthesiology costs for adoptee palate repair were highly variable but did not differ significantly from those for nonadoptees. Partly due to payer mix, surgeon reimbursement was somewhat higher for international adoptees. No difference in total payment was found.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/14-227","type":"journal-article","created":{"date-parts":[[2015,6,19]],"date-time":"2015-06-19T15:53:06Z","timestamp":1434729186000},"page":"503-507","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Economic Analysis of Cleft Palate Repair in International Adoptees"],"prefix":"10.1177","volume":"53","author":[{"given":"Sandra","family":"Tomlinson-Hansen","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Thomas","family":"Paliga","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, the Perelman School of Medicine at the University of Pennsylvania, the Children's Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef","family":"Tahiri","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, the Perelman School of Medicine at the University of Pennsylvania, the Children's Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlyn M.","family":"Paine","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, the Perelman School of Medicine at the University of Pennsylvania, the Children's Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott P.","family":"Bartlett","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, the Perelman School of Medicine at the University of Pennsylvania, the Children's Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse A.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, the Perelman School of Medicine at the University of Pennsylvania, the Children's Hospital of Philadelphia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,9,1]]},"reference":[{"key":"bibr1-14-227","unstructured":"China Center of Adoption Affairs. Current Information on Waiting Children Program from official Chinese adoption organization. Available at http:\/\/www.china-ccaa.org\/frames\/index_unlogin_en.jsp. Accessed January 3, 2014."},{"key":"bibr2-14-227","doi-asserted-by":"publisher","DOI":"10.2307\/2808152"},{"key":"bibr3-14-227","unstructured":"La Vida International. Current information on China Waiting Children program from authorized Pennsylvania adoption agency. Available at http:\/\/www.lavida.org\/ChinaMain.htm. Accessed January 3, 2014."},{"key":"bibr4-14-227","unstructured":"Living Hope Adoption Agency. Current information on China Waiting Children program from authorized Pennsylvania adoption agency. Available at http:\/\/www.livinghopeadoption.org\/WaitingChildren.asp. Accessed January 3, 2014."},{"key":"bibr5-14-227","doi-asserted-by":"publisher","DOI":"10.1597\/12-150"},{"key":"bibr6-14-227","unstructured":"Pearl S. Buck International. Current information on China Waiting Children program from authorized Pennsylvania adoption agency. Available at http:\/\/www.pearl-s-buck.org\/page.aspx?pid=411. Accessed January 3, 2014."},{"key":"bibr7-14-227","unstructured":"US Department of State. Intercountry Adoption. Data from 2009-2012. Available at http:\/\/adoption.state.gov\/about_us\/statistics.php. Accessed January 3, 2014."},{"key":"bibr8-14-227","unstructured":"US Department of State. FY 2012 Annual Report on Intercountry Adoption January 2013. Available at http:\/\/adoption.state.gov\/content\/pdf\/fy2012_annual_report.pdf. Accessed January 3, 2014."}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/14-227","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1597\/14-227","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/14-227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:18:59Z","timestamp":1777393139000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1597\/14-227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1597\/14-227"],"URL":"https:\/\/doi.org\/10.1597\/14-227","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9]]}}}