Cleft lip and palate care in the United Kingdom - the Clinical Standards Advisory Group (CSAG) study. Part 4: Outcome comparisons, training, and conclusions

David Bearn, Sue Mildinhall, Terrie Murphy, John J. Murray, Debbie Sell, William C. Shaw, Alison C. Williams, Jonathan R. Sandy

    Research output: Contribution to journalArticle

    101 Citations (Scopus)

    Abstract

    Objective: A critical appraisal of cleft care in the United Kingdom. Design: Retrospective comparative study. Setting: All National Health Service cleft centers in the United Kingdom. Patients/Participants: Children born with unilateral complete clefts of the lip and palate between April 1, 1982, and March 31, 1984 (12-year-olds), and April 1, 1989, and March 31, 1991 (5-year-olds). Newly appointed and senior cleft clinicians. Main Outcome Measures: Skeletal pattern, dental arch relationship, success of alveolar bone grafting, dental health, facial appearance, oral health status, patient/parent satisfaction. Conclusions: This paper highlights the poor outcomes for the fragmented cleft care in the United Kingdom, compared with European centers. There is an urgent need for a review of structure, organization, and training.
    Original languageEnglish
    Pages (from-to)38-43
    Number of pages6
    JournalCleft Palate-Craniofacial Journal
    Volume38
    Issue number1
    DOIs
    Publication statusPublished - 2001

    Keywords

    • Cleft clinicians
    • Intercenter comparisons
    • Unilateral cleft lip and palate

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