Sociodemographic Disparities in Craniosynostosis: A Systematic Review.
Cleft Palate Craniofac J
; : 10556656231199832, 2023 Sep 10.
Article
em En
| MEDLINE
| ID: mdl-37691284
ABSTRACT
OBJECTIVE:
Given the consequences of delayed treatment and diagnosis of craniosynostosis, this study reviews the literature on sociodemographic risk factors and disparities associated with delayed craniosynostosis treatment.DESIGN:
A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A literature search of PubMed/Medline and Embase was performed by two independent reviewers. Included studies discussed craniosynostosis health disparities. Demographic characteristics and outcomes were analyzed.SETTING:
Not applicable. PATIENTS Patients with craniosynostosis.INTERVENTIONS:
Standard surgical intervention for craniosynostosis.RESULTS:
Our literature search yielded 273 studies, of which 18 were included for analysis. Included studies represented data from 31â 256 U.S. patients with craniosynostosis. Sixty percent of patients (n = 16â 510) were White, 13.8% were Hispanic/Latino, 6.2% were Black/African American, 1.3% were Asian, 0.3% were American Indian or Alaska Native, and 0.1% were Native Hawaiian or Pacific Islander. Average age at surgery was 6.36 months for White patients, 10.63 months for Black patients, and 9.18 months for Hispanic patients. Minority racial and/or ethnic status was a risk factor for delayed presentation, and increased incidence of open surgery, complication rates, hospital charges, operative time, anesthesia duration, and hospital length of stay. Government-funded health insurance was associated with delayed intervention and increased complications.CONCLUSIONS:
Minority craniosynostosis patients experience delays in intervention and increased complication rates. Our findings highlight the importance of expedited and equitable referrals, screenings, and treatment, and the need for a standardized approach to investigating longitudinal demographic and outcomes data in this population.
Texto completo:
1
Base de dados:
MEDLINE
Tipo de estudo:
Guideline
/
Risk_factors_studies
/
Systematic_reviews
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article