The Influence of Race and Socioeconomic Status on Growth in Children Who Undergo Palatoplasty
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View abstract on PubMed
Summary
This summary is machine-generated.Racial identity impacts growth after palatoplasty, with Black, Indigenous, and People of Color (BIPOC) experiencing significant disparities. Socioeconomic status also affects growth, but race is a stronger predictor of negative outcomes.
Area Of Science
- Pediatric surgery
- Growth and development
- Health disparities
Background
- Palatoplasty is a surgical procedure to repair cleft palate.
- Growth trajectory is a critical indicator of health in children undergoing palatoplasty.
- Racial identity and socioeconomic status (SES) are potential factors influencing post-surgical outcomes.
Purpose Of The Study
- To investigate the association between racial identity and SES with growth trajectories before and after palatoplasty.
- To identify potential disparities in growth outcomes based on patient demographics.
Main Methods
- Retrospective chart review of children undergoing palatoplasty at a tertiary pediatric hospital.
- Analysis of growth trajectories (weight gain, growth percentile) stratified by race and median neighborhood income (MNI) as a measure of SES.
- Inclusion criteria met by 187 patients for racial identity analysis and 149 for MNI analysis.
Main Results
- Black, Indigenous, and People of Color (BIPOC) patients showed significantly different pre- and post-surgical weight gain compared to White patients.
- Growth percentile changes post-palatoplasty were significant for White patients but not for BIPOC patients.
- Median neighborhood income (MNI) showed a significant relationship with weekly weight gain and growth percentile changes.
Conclusions
- Patient racial identity is linked to clinically significant differences in growth trajectory post-palatoplasty.
- While SES (MNI) influences growth, higher SES does not guarantee improved outcomes.
- Interventions should prioritize supporting racial minorities due to the most significant disparities observed.
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