{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:00:13Z","timestamp":1790391613052,"version":"4.1.0"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,24]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Early referral of patients with suspected sagittal suture synostosis is important as it enables minimally invasive surgery. To encourage early referrals, the authors\u2019 craniofacial center has increased its efforts to educate referring healthcare providers. This study evaluated the developments of timely referral and age at referral of patients with sagittal suture synostosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Nonsyndromic patients born between 2000 and 2020 were included in this cohort study. The type of surgery was mainly based on age at referral: frontobiparietal remodeling was done if the patient was older than 6 months of age, and a minimally invasive procedure was done if the patient was younger. Logistic regression was performed to assess the relationship between the year of birth and the probability of a timely first visit (i.e., before 5.5 months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 698 patients were included, with a median age at first visit of 3.6 months. Of the patients born in 2000, 60% had their first visit before the age of 5.5 months, compared to 77% of those born in 2020. Since 2010, there has been a statistically significant positive association between the year of birth and the probability of having the first visit on time (OR 1.10, 95% CI 1.03\u20131.18). Overall, pediatricians were the most frequent referrers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The proportion of timely referred patients with nonsyndromic sagittal suture synostosis has increased over the past 20 years, and since 2010, there has been a statistically significant increase in the probability of timely referral, allowing for more patients to be treated with minimally invasive spring-assisted correction. Further efforts are needed to increase timely referrals and raise awareness among parents and healthcare providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2026.3.peds25569","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:01:31Z","timestamp":1784678491000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Age at referral for sagittal suture synostosis: a decreasing trend in 20 years"],"prefix":"10.3171","author":[{"given":"Idilay","family":"Kaymaz","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Centre Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor L.","family":"van Roey","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Centre Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene M. J.","family":"Mathijssen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Centre Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elin L.","family":"Weissbach","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Centre Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacoba","family":"Kats","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Centre Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Lise C.","family":"Van Veelen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Erasmus MC, University Medical Centre Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn J.","family":"Cornelissen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Centre Rotterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"9","key":"b1","series-title":"J Craniomaxillofac Surg","first-page":"1273","article-title":"Increase of prevalence of craniosynostosis","volume":"44","author":"Cornelissen M","year":"2016","unstructured":"Cornelissen M, Ottelander B D, Rizopoulos D,  Increase of prevalence of craniosynostosis. J Craniomaxillofac Surg. 2016;44(9):1273\u20131279. doi:10.1016\/j.jcms.2016.07.007"},{"issue":"1","key":"b2","series-title":"J Craniofac Surg","first-page":"371","article-title":"Updated guideline on treatment and management of craniosynostosis","volume":"32","author":"Mathijssen IMJ","year":"2021","unstructured":"Mathijssen IMJ. Updated guideline on treatment and management of craniosynostosis. J Craniofac Surg. 2021;32(1):371\u2013450. doi:10.1097\/SCS.0000000000007035"},{"key":"b3","series-title":"StatPearls","article-title":"Scaphocephaly","author":"Sandoval JI","year":"2024","unstructured":"Sandoval JI, Ramirez F, De Jesus O. Scaphocephaly. In: StatPearls, StatPearls Publishing LLC; 2024. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK567753\/"},{"issue":"4","key":"b4","series-title":"Crit Care Nurse","first-page":"39","article-title":"Craniosynostosis: caring for infants and their families","volume":"33","author":"Burokas L","year":"2013","unstructured":"Burokas L. Craniosynostosis: caring for infants and their families. Crit Care Nurse. 2013;33(4):39\u201350; quiz 51. doi:10.4037\/ccn2013678"},{"issue":"6","key":"b5","series-title":"Neurocirugia (Astur)","first-page":"509","article-title":"Surgical treatment of isolated and syndromic craniosynostosis. Results and complications in 283 consecutive cases","volume":"19","author":"Esparza J","year":"2008","unstructured":"Esparza J, Hinojosa J, Garc\u00eda-Recuero I, Romance A, Pascual B, Mart\u00ednez de Arag\u00f3n A. Surgical treatment of isolated and syndromic craniosynostosis. Results and complications in 283 consecutive cases. Neurocirugia (Astur). 2008;19(6):509\u2013529. doi:10.1016\/s1130-1473(08)70201-x"},{"issue":"4","key":"b6","series-title":"Plast Reconstr Surg","first-page":"675e","article-title":"Sagittal craniosynostosis: comparing surgical techniques using 3D photogrammetry","volume":"152","author":"Abdel-Alim T","year":"2023","unstructured":"Abdel-Alim T, Kurniawan M, Mathijssen I,  Sagittal craniosynostosis: comparing surgical techniques using 3D photogrammetry. Plast Reconstr Surg. 2023;152(4):675e\u2013688e. doi:10.1097\/PRS.0000000000010441"},{"issue":"6","key":"b7","series-title":"Childs Nerv Syst","first-page":"997","article-title":"Results of early surgery for sagittal suture synostosis: long-term follow-up and the occurrence of raised intracranial pressure","volume":"29","author":"van Veelen ML","year":"2013","unstructured":"van Veelen ML, Eelkman Rooda OH, de Jong T, Dammers R, van Adrichem LN, Mathijssen IM. 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A review of referral patterns for sagittal synostosis in Ireland: 2008-2013. Ir Med J. 2018;111(1):671."},{"issue":"2","key":"b10","series-title":"J Plast Reconstr Aesthet Surg","first-page":"211","article-title":"Referral pattern and surgical outcome of sagittal synostosis","volume":"62","author":"Chatterjee JS","year":"2009","unstructured":"Chatterjee JS, Mahmoud M, Karthikeyan S, Duncan C, Dover MS, Nishikawa H. Referral pattern and surgical outcome of sagittal synostosis. J Plast Reconstr Aesthet Surg. 2009;62(2):211\u2013215. doi:10.1016\/j.bjps.2007.10.042"},{"issue":"1","key":"b11","series-title":"J Craniofac Surg","first-page":"147","article-title":"Deformational plagiocephaly and craniosynostosis: trends in diagnosis and treatment after the \"back to sleep\" campaign","volume":"26","author":"Branch LG","year":"2015","unstructured":"Branch LG, Kesty K, Krebs E, Wright L, Leger S, David LR. Deformational plagiocephaly and craniosynostosis: trends in diagnosis and treatment after the \"back to sleep\" campaign. J Craniofac Surg. 2015;26(1):147\u2013150. doi:10.1097\/SCS.0000000000001401"},{"issue":"6","key":"b12","series-title":"J Plast Reconstr Aesthet Surg","first-page":"921","article-title":"Changing referral patterns to a designated craniofacial centre over a four-year period","volume":"63","author":"White N","year":"2010","unstructured":"White N, Warner RM, Noons P,  Changing referral patterns to a designated craniofacial centre over a four-year period. J Plast Reconstr Aesthet Surg. 2010;63(6):921\u2013925. doi:10.1016\/j.bjps.2009.05.007"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/aop\/article-10.3171-2026.3.PEDS25569\/article-10.3171-2026.3.PEDS25569.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/aop\/article-10.3171-2026.3.PEDS25569\/article-10.3171-2026.3.PEDS25569.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T02:19:13Z","timestamp":1790389153000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/aop\/article-10.3171-2026.3.PEDS25569\/article-10.3171-2026.3.PEDS25569.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,24]]},"references-count":12,"URL":"https:\/\/doi.org\/10.3171\/2026.3.peds25569","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,24]]}}}