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Minority and Public Insurance Status: Is there a Delay to Alveolar Bone Grafting Surgery?

Objective 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. Design A retrospective chart review of consecutive patients receiving ABG surgery was conducted. A multivariate regression model was constructed using predetermined clinical and demographic variables. Setting A large, urban cleft referral center. Patients, Participants Nonsyndromic patients with CL ± P were eligible for study inclusion. Interventions ABG surgery using autogenous bone harvested from the anterior iliac crest. Main Outcome Measure The primary outcome of interest was age at ABG surgery. Results 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). Conclusions 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.