Geospatial and Socioeconomic Factors Interact to Predict Management and Outcomes in Cleft Lip and Palate Surgery: A Single Institution Study of 740 Patients.
Dillan F VillavisanisConnor S WagnerCarrie Z MoralesTony E SmithJessica D BlumDaniel Y ChoScott P BartlettJesse A TaylorJordan W SwansonPublished in: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association (2023)
Distance from the care center and lower median income by block group interacted to significantly predict prenatal evaluation by plastic surgery and nasoalveolar molding for patients with CL/P at a large, urban, tertiary care center. Patients living farthest from the care center who received prenatal evaluation by plastic surgery or who underwent nasoalveolar molding had higher median block group income. Future work will determine mechanisms perpetuating these barriers to care.
Keyphrases
- healthcare
- palliative care
- tertiary care
- quality improvement
- pregnant women
- end stage renal disease
- newly diagnosed
- mental health
- ejection fraction
- minimally invasive
- physical activity
- affordable care act
- pain management
- chronic kidney disease
- type diabetes
- prognostic factors
- peritoneal dialysis
- coronary artery bypass
- adipose tissue
- current status
- chronic pain
- patient reported outcomes