Silvestre Jason, Basta Marten N, Fischer John P, Lowe Kristen M, Mayro Rosario, Jackson Oksana
Cleft Palate Craniofac J. 2017 Jan;54(1):e1-e6. doi: 10.1597/15-173. Epub 2015 Nov 17.
This study sought to determine the timing of alveolar bone grafting (ABG) surgery among children with cleft lip with or without cleft palate (CL±P) with regard to race and insurance status.
A retrospective chart review of consecutive patients receiving ABG surgery was conducted. A multivariate regression model was constructed using predetermined clinical and demographic variables.
A large, urban cleft referral center.
PATIENTS, PARTICIPANTS: Nonsyndromic patients with CL±P were eligible for study inclusion.
ABG surgery using autogenous bone harvested from the anterior iliac crest.
The primary outcome of interest was age at ABG surgery.
A total of 233 patients underwent ABG surgery at 8.1 ± 2.3 years of age. African American and Hispanic patients received delayed ABG surgery compared with Caucasian patients by approximately 1 year (P < .05). There was no difference in ABG surgery timing by insurance status (P > .05).
The timing of ABG surgery varied by race but not by insurance status. Greater resources may be needed to ensure timely delivery of cleft care to African American and Hispanic children.
本研究旨在确定唇裂伴或不伴腭裂（CL±P）患儿牙槽骨植骨（ABG）手术的时机与种族和保险状况之间的关系。
对接受ABG手术的连续患者进行回顾性病历审查。使用预先确定的临床和人口统计学变量构建多元回归模型。
一个大型城市腭裂转诊中心。
患者、参与者：非综合征性CL±P患者符合纳入研究标准。
使用取自髂前嵴的自体骨进行ABG手术。
感兴趣的主要结局是ABG手术时的年龄。
共有233例患者在8.1±2.3岁时接受了ABG手术。与白人患者相比，非裔美国人和西班牙裔患者接受ABG手术的时间延迟约1年（P<.05）。ABG手术时机在保险状况方面没有差异（P>.05）。
ABG手术的时机因种族而异，但不因保险状况而异。可能需要更多资源以确保为非裔美国人和西班牙裔儿童及时提供腭裂治疗。
