Scholar Project Database
Geospatial and Socioeconomic Factors Interact to Predict Management and Outcomes of Cleft Lip and Palate Surgery: A Single Institution Study of 740 Patients
Project Location/Site: Children’s Hospital of Philadelphia, Philadelphia Pennsylvania
Prenatal evaluation by plastic surgery was predicted by the interaction between patient median block group income and patient distance from the care center (p= 0.022). Nasoalveolar molding was also predicted by the interaction between patient median block group income and distance from the care center (p= 0.016), whereas cleft lip adhesion was predicted by patient median block group income alone (p< 0.001). Lower patient median block group income predicted later age at cleft lip (p= 0.011) and cleft palate (p= 0.050) repair surgery. 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.