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

Cleft Palate Craniofac J. 2001 Jan;38(1):38-43. doi: 10.1597/1545-1569_2001_038_0038_clapci_2.0.co_2.

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.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alveoloplasty
  • Attitude of Health Personnel
  • Bone Transplantation
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Cleft Lip / surgery
  • Cleft Lip / therapy*
  • Cleft Palate / surgery
  • Cleft Palate / therapy*
  • Cohort Studies
  • Dental Arch / pathology
  • Esthetics
  • Europe
  • Health Status
  • Humans
  • Malocclusion / classification
  • Maxillofacial Development / physiology
  • Medical Audit
  • Oral Fistula / classification
  • Oral Health
  • Outcome Assessment, Health Care
  • Patient Satisfaction
  • Quality Assurance, Health Care
  • Retrospective Studies
  • Statistics, Nonparametric
  • Surgery, Oral / education
  • Surgery, Plastic / education
  • Treatment Outcome
  • United Kingdom