{"id":"https://openalex.org/W1994635690","doi":"https://doi.org/10.1186/1472-6963-12-148","title":"Centralisation of services for children with cleft lip or palate in England: a study of hospital episode statistics","display_name":"Centralisation of services for children with cleft lip or palate in England: a study of hospital episode statistics","publication_year":2012,"publication_date":"2012-06-10","ids":{"openalex":"https://openalex.org/W1994635690","doi":"https://doi.org/10.1186/1472-6963-12-148","mag":"1994635690","pmid":"https://pubmed.ncbi.nlm.nih.gov/22682355","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/3464162"},"language":"en","primary_location":{"id":"doi:10.1186/1472-6963-12-148","doi":"https://doi.org/10.1186/1472-6963-12-148","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6963-12-148","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-12-148","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-12-148","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059163560","display_name":"Kate J Fitzsimons","orcid":"https://orcid.org/0000-0003-2385-3172","observed_orcids":["https://orcid.org/0000-0003-2385-3172"]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Kate J Fitzsimons","raw_affiliation_strings":["Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln's Inn Fields, London WC2A 3PE, United Kingdom. kfitzsimons@rcseng.ac.uk","Clinical Effectiveness Unit Royal College of Surgeons of England London United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln's Inn Fields, London WC2A 3PE, United Kingdom. kfitzsimons@rcseng.ac.uk","institution_ids":["https://openalex.org/I14746517"]},{"raw_affiliation_string":"Clinical Effectiveness Unit Royal College of Surgeons of England London United Kingdom","institution_ids":["https://openalex.org/I14746517"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051296644","display_name":"Shumaila Mukarram","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Shumaila Mukarram","raw_affiliation_strings":["Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln\u2019s Inn Fields, London, WC2A 3PE, United Kingdom","Clinical Effectiveness Unit Royal College of Surgeons of England London United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln\u2019s Inn Fields, London, WC2A 3PE, United Kingdom","institution_ids":["https://openalex.org/I14746517"]},{"raw_affiliation_string":"Clinical Effectiveness Unit Royal College of Surgeons of England London United Kingdom","institution_ids":["https://openalex.org/I14746517"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111731237","display_name":"Lynn P. Copley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Lynn P Copley","raw_affiliation_strings":["Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln\u2019s Inn Fields, London, WC2A 3PE, United Kingdom","Clinical Effectiveness Unit Royal College of Surgeons of England London United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln\u2019s Inn Fields, London, WC2A 3PE, United Kingdom","institution_ids":["https://openalex.org/I14746517"]},{"raw_affiliation_string":"Clinical Effectiveness Unit Royal College of Surgeons of England London United Kingdom","institution_ids":["https://openalex.org/I14746517"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000618678","display_name":"Scott A. Deacon","orcid":"https://orcid.org/0000-0002-9333-7627","observed_orcids":["https://orcid.org/0000-0002-9333-7627"]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]},{"id":"https://openalex.org/I2800201669","display_name":"Frenchay Hospital","ror":"https://ror.org/03z8x2j90","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2800201669","https://openalex.org/I4405276282"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Scott A Deacon","raw_affiliation_strings":["Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln\u2019s Inn Fields, London, WC2A 3PE, United Kingdom","South West Cleft Unit, Frenchay Hospital, Bristol, UK","Clinical Effectiveness Unit, Royal College of Surgeons of England, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln\u2019s Inn Fields, London, WC2A 3PE, United Kingdom","institution_ids":["https://openalex.org/I14746517"]},{"raw_affiliation_string":"South West Cleft Unit, Frenchay Hospital, Bristol, UK","institution_ids":["https://openalex.org/I2800201669"]},{"raw_affiliation_string":"Clinical Effectiveness Unit, Royal College of Surgeons of England, London, United Kingdom","institution_ids":["https://openalex.org/I14746517"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017485109","display_name":"Jan van der Meulen","orcid":"https://orcid.org/0000-0002-9451-2335","observed_orcids":["https://orcid.org/0000-0002-9451-2335"]},"institutions":[{"id":"https://openalex.org/I14746517","display_name":"Royal College of Surgeons of England","ror":"https://ror.org/02qrg5a24","country_code":"GB","type":"funder","lineage":["https://openalex.org/I14746517"]},{"id":"https://openalex.org/I4210089966","display_name":"London School of Hygiene & Tropical Medicine","ror":"https://ror.org/00a0jsq62","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210089966"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jan H van der Meulen","raw_affiliation_strings":["Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln\u2019s Inn Fields, London, WC2A 3PE, United Kingdom","London School of Hygiene and Tropical Medicine, London, UK","Clinical Effectiveness Unit, Royal College of Surgeons of England, London, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Effectiveness Unit, Royal College of Surgeons of England, 35-43 Lincoln\u2019s Inn Fields, London, WC2A 3PE, United Kingdom","institution_ids":["https://openalex.org/I14746517"]},{"raw_affiliation_string":"London School of Hygiene and Tropical Medicine, London, UK","institution_ids":["https://openalex.org/I4210089966"]},{"raw_affiliation_string":"Clinical Effectiveness Unit, Royal College of Surgeons of England, London, United Kingdom","institution_ids":["https://openalex.org/I14746517"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5059163560"],"corresponding_institution_ids":["https://openalex.org/I14746517"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":2.301,"has_fulltext":true,"cited_by_count":69,"citation_normalized_percentile":{"value":0.87956443,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"12","issue":"1","first_page":"148","last_page":"148"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11374","display_name":"Cleft Lip and Palate Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11374","display_name":"Cleft Lip and Palate Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11679","display_name":"Craniofacial Disorders and Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cleft-lip-and-palate","display_name":"cleft lip and palate","score":0.9739999771118164},{"id":"https://openalex.org/keywords/primary-repair","display_name":"primary repair","score":0.7739999890327454},{"id":"https://openalex.org/keywords/hospitalization-trends","display_name":"hospitalization trends","score":0.31700000166893005},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8949999809265137},{"id":"https://openalex.org/keywords/geographic-variation-in-care","display_name":"regional variation in care","score":0.6359999775886536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8948148488998413},{"id":"https://openalex.org/C2778786385","wikidata":"https://www.wikidata.org/wiki/Q190632","display_name":"Centralisation","level":2,"score":0.6798056960105896},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.5415549278259277},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.47632700204849243},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.36932241916656494},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.36620032787323},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.09761160612106323},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002971","descriptor_name":"Cleft Lip","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":false},{"descriptor_ui":"D002971","descriptor_name":"Cleft Lip","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002971","descriptor_name":"Cleft Lip","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002972","descriptor_name":"Cleft Palate","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":false},{"descriptor_ui":"D002972","descriptor_name":"Cleft Palate","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002972","descriptor_name":"Cleft Palate","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D003376","descriptor_name":"Counseling","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006782","descriptor_name":"Hospitals, Special","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D006782","descriptor_name":"Hospitals, Special","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009313","descriptor_name":"National Health Programs","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010287","descriptor_name":"Parent-Child Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010290","descriptor_name":"Parents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012041","descriptor_name":"Regional Medical Programs","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013518","descriptor_name":"Surgery, Plastic","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D013518","descriptor_name":"Surgery, Plastic","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D019538","descriptor_name":"Health Care Surveys","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1186/1472-6963-12-148","doi":"https://doi.org/10.1186/1472-6963-12-148","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6963-12-148","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-12-148","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:3464162","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/3464162","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Serv Res","raw_type":"Text"},{"id":"pmid:22682355","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22682355","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC health services research","raw_type":"Comparative Study"},{"id":"pmh:oai:researchonline.lshtm.ac.uk:2869438","doi":null,"is_oa":false,"landing_page_url":"https://researchonline.lshtm.ac.uk/view/creators/phsrjvan.html>;","pdf_url":null,"source":{"id":"https://openalex.org/S4306402527","display_name":"LSHTM Research Online (London School of Hygiene and Tropical Medicine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210089966","host_organization_name":"London School of Hygiene & Tropical Medicine","host_organization_lineage":["https://openalex.org/I4210089966"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:doaj.org/article:673a99a2991d4f48934803355f50c8fc","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/673a99a2991d4f48934803355f50c8fc","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Services Research, Vol 12, Iss 1, p 148 (2012)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/1472-6963-12-148","doi":"https://doi.org/10.1186/1472-6963-12-148","is_oa":true,"landing_page_url":"https://doi.org/10.1186/1472-6963-12-148","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/1472-6963-12-148","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1994635690.pdf","grobid_xml":"https://content.openalex.org/works/W1994635690.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W1564103279","https://openalex.org/W1967785333","https://openalex.org/W1968384246","https://openalex.org/W1970196232","https://openalex.org/W1979342456","https://openalex.org/W1993925421","https://openalex.org/W2003315464","https://openalex.org/W2004237386","https://openalex.org/W2007841961","https://openalex.org/W2046133119","https://openalex.org/W2050225179","https://openalex.org/W2073485144","https://openalex.org/W2078656854","https://openalex.org/W2124689337","https://openalex.org/W2125344768","https://openalex.org/W2126663175","https://openalex.org/W2130902251","https://openalex.org/W2135187257","https://openalex.org/W2139074554","https://openalex.org/W2139943228","https://openalex.org/W2177038618","https://openalex.org/W2222522476","https://openalex.org/W2467049865","https://openalex.org/W4300707564"],"related_works":["https://openalex.org/W4413137419","https://openalex.org/W2129219488","https://openalex.org/W2982292689","https://openalex.org/W2180889332","https://openalex.org/W2072914207","https://openalex.org/W3008914763","https://openalex.org/W2794010752","https://openalex.org/W4380537093","https://openalex.org/W2751348945","https://openalex.org/W2034541335"],"abstract_inverted_index":{"BACKGROUND:":[0],"In":[1,225],"1998,":[2],"a":[3,15,54,91,99,134,152,158,165,266,306],"process":[4,29],"of":[5,27,39,74,140,172,189,203,231,274,280,313],"centralisation":[6,275],"was":[7],"initiated":[8],"for":[9,11,90,98,206,240,249,259,265],"services":[10,299],"children":[12,132,197,221],"born":[13,51,59,198,222],"with":[14,53,105,133,187,213,262,277,326],"cleft":[16,55,92,102,298,314],"lip":[17,56,154,166,242],"or":[18,111,143],"palate":[19,58,159,168,251],"in":[20,30,44,68,183,199,223,268,286,291,300,317],"the":[21,25,37,72,146,226,278,281,289,311,318,344],"UK.":[22],"We":[23,129],"studied":[24],"timing":[26],"this":[28],"England":[31,301],"according":[32],"to":[33,76,185,211,237,246,256,305],"its":[34],"impact":[35],"on":[36,193,217],"number":[38,171,202],"hospitals":[40,173],"and":[41,63,123,162,167,253,288,296,335],"surgeons":[42,204],"involved":[43],"primary":[45,100,178,241,250],"surgical":[46,101,153,346],"repairs.":[47],"METHODS:":[48],"All":[49],"live":[50],"patients":[52],"and/or":[57],"between":[60],"April":[61],"1997":[62,184],"December":[64],"2008":[65],"were":[66,83,113,126,137,302],"identified":[67,130],"Hospital":[69],"Episode":[70],"Statistics,":[71],"database":[73],"admissions":[75],"English":[77],"National":[78],"Health":[79],"Service":[80],"hospitals.":[81],"Children":[82,104],"included":[84],"if":[85],"they":[86,125],"had":[87,151],"diagnostic":[88],"codes":[89,97,106],"as":[93,95,115],"well":[94],"procedure":[96],"repair.":[103,169],"indicating":[107],"additional":[108,117,141],"congenital":[109],"anomalies":[110,142],"syndromes":[112],"excluded":[114,138],"their":[116],"problems":[118],"could":[119],"have":[120],"determined":[121],"when":[122],"where":[124],"treated.":[127],"RESULTS:":[128],"10,892":[131],"cleft.":[135],"21.0%":[136],"because":[139],"syndromes.":[144],"Of":[145],"remaining":[147],"8,606":[148],"patients,":[149],"30.4%":[150],"repair":[155,160],"only,":[156,161],"41.7%":[157],"28.0%":[163],"both":[164],"The":[170,201,272],"that":[174],"carried":[175],"out":[176],"these":[177,190],"repairs":[179,192,207,216,261],"reduced":[180,208,234],"from":[181,209,235,244,254],"49":[182],"13,":[186],"11":[188],"performing":[191,215],"at":[194,218],"least":[195,219],"40":[196],"2008.":[200,224],"responsible":[205],"98":[210],"26,":[212],"22":[214],"20":[220],"same":[227,319],"period,":[228],"average":[229],"length":[230],"hospital":[232],"stay":[233],"3.8":[236,245],"3.0":[238],"days":[239,248,258],"repairs,":[243,252],"3.3":[247],"4.6":[255],"2.6":[257],"combined":[260],"no":[263],"evidence":[264],"change":[267],"emergency":[269],"readmission":[270],"rates.":[271],"speed":[273],"varied":[276],"earliest":[279],"nine":[282],"regions":[283],"completing":[284],"it":[285],"2001":[287],"last":[290],"2007.":[292],"CONCLUSIONS:":[293],"Between":[294],"1998":[295],"2007,":[297],"centralised.":[303],"According":[304],"survey":[307],"among":[308],"patients'":[309],"parents,":[310],"quality":[312],"care":[315,322],"improved":[316],"period.":[320],"Surgical":[321],"became":[323],"more":[324],"consistent":[325],"current":[327],"recommendations.":[328],"However,":[329],"key":[330],"outcomes,":[331],"including":[332],"facial":[333],"appearance":[334],"speech,":[336],"can":[337],"only":[338],"be":[339],"assessed":[340],"many":[341],"years":[342],"after":[343],"initial":[345],"treatment.":[347]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":8},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}