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

TY - JOUR

T1 - Cleft lip and palate care in the United Kingdom - the Clinical Standards Advisory Group (CSAG) study. Part 4: Outcome comparisons, training, and conclusions

AU - Bearn, David

AU - Mildinhall, Sue

AU - Murphy, Terrie

AU - Murray, John J.

AU - Sell, Debbie

AU - Shaw, William C.

AU - Williams, Alison C.

AU - Sandy, Jonathan R.

N1 - dc.publisher: ACPA Data in this study demonstrated the poor dentofacial outcomes for children with cleft lip and palate treated in the UK. This CSAG study was the catalyst for government legislation leading to major changes in the configuration of cleft services in the UK.

PY - 2001

Y1 - 2001

N2 - 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.

AB - 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.

KW - Cleft clinicians

KW - Intercenter comparisons

KW - Unilateral cleft lip and palate

U2 - 10.1597/1545-1569(2001)038<0038:CLAPCI>2.0.CO;2

DO - 10.1597/1545-1569(2001)038<0038:CLAPCI>2.0.CO;2

M3 - Article

SN - 1055-6656

VL - 38

SP - 38

EP - 43

JO - Cleft Palate-Craniofacial Journal

JF - Cleft Palate-Craniofacial Journal

IS - 1

ER -