Evidence map›Paper›PMID 30349785›Full record

ArticlePlastic and reconstructive surgery. Global open2018

Geospatial Analysis of Risk Factors Contributing to Loss to Follow-up in Cleft Lip/Palate Care.

Banafsheh Sharif-Askary, Peter G Bittar, Alfredo E Farjat, Beiyu Liu, Joao Ricardo Nickenig Vissoci, Alexander C Allori

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Burden of Travel is not Associated with Adherence to Follow-up Appointments - A Call for Centralization of Cleft Care in Germany.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  3. Article
  4. Loss to Follow-up After Tendon Repair: Impact on Functional Recovery.Plastic and reconstructive surgery. Global open · 2026
    Article
  5. Article
  6. Social Capital and Pediatric Tracheostomy Outcomes.Laryngoscope investigative otolaryngology · 2025
    Article
  7. The Burden of Plastic Surgery in Rural Kenya: The Kapsowar Hospital Experience.Plastic and reconstructive surgery. Global open · 2024
    Article
  8. Article
  9. Follow-Up Care Barriers for Patients with Orofacial Clefts.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2022
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Banafsheh Sharif-AskaryDepartment of Surgery, Division of Plastic, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, N.C.
Peter G BittarDepartment of Surgery, Division of Plastic, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, N.C.
Alfredo E FarjatThrombosis Research Institute, London, United Kingdom.
Beiyu LiuDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, N.C.
Joao Ricardo Nickenig VissociDuke Global Health Institute, Duke University, Durham, N.C.
Alexander C AlloriDepartment of Surgery, Division of Plastic, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, N.C.
Thrombosis Research Institute · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultidisciplinary cleft care depends on follow-up at specified time points to monitor and address functional or aesthetic concerns that may arise during a child's development. However, loss to follow-up (LTFU) is common and can lead to missed opportunities for therapeutic and surgical intervention. This study explores clinical, demographic, and geographic determinants of LTFU in cleft care.

methodsMedical records were retrospectively evaluated for 558 pediatric patients of a single mid-volume cleft team. The primary outcome was LTFU. Spatial dependency was evaluated using variograms. The probability of LTFU was assessed using a generalized linear geostatistical model within a Bayesian framework. Risk maps were plotted to identify vulnerable communities within our state at higher risk of LTFU.

resultsYounger age at last encounter was a strong predictor of LTFU (

conclusionsGeostatistical methods are able to identify risk factors missed by traditional statistical analysis. Knowledge of vulnerable populations allow a cleft team to allocate more resources toward high-risk areas to rectify or prevent deficiencies in care.

Identifiers

PMID30349785
PMCPMC6191231
OpenAlexW2897556159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.