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Inter-centre compar...
Inter-centre comparison of data on surgery and speech outcomes at 5 years of age based on the Swedish quality registry for patients born with cleft palate with or without cleft lip
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- Klintö, Kristina (författare)
- Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Lund Univ, Sweden
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- Eriksson, Marie, Professor (författare)
- Umeå universitet,Umeå University,Statistik,Umea Univ, Sweden
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- Abdiu, Avni (författare)
- Linköpings universitet,Linköping University,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US
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- Brunnegård, Karin (författare)
- Umeå universitet,Umeå University,Logopedi,Umea Univ, Sweden
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- Cajander, Jenny (författare)
- Umeå universitet,Umeå University,Handkirurgi,Umea Univ, Sweden
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- Hagberg, Emilie (författare)
- Karolinska University Hospital,Karolinska Univ Hosp, Sweden; Karolinska Univ Hosp, Sweden
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- Hakelius, Malin (författare)
- Uppsala University Hospital,Uppsala Univ Hosp, Sweden
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- Havstam, Christina (författare)
- Sahlgrenska University Hospital,Sahlgrens Univ Hosp, Sweden
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- Mark, Hans (författare)
- Sahlgrenska University Hospital,Sahlgrens Univ Hosp, Sweden
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- Okhiria, Åsa (författare)
- Uppsala University Hospital,Uppsala Univ Hosp, Sweden
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- Peterson, Petra (författare)
- Karolinska University Hospital,Karolinska Univ Hosp, Sweden
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- Svensson, Kristina (författare)
- Linköping University Hospital,Region Östergötland, Öron- näsa- och halskliniken
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- Becker, Magnus (författare)
- Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Lund Univ, Sweden
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(creator_code:org_t)
- 2022-05-23
- 2022
- Engelska.
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Ingår i: BMC Pediatrics. - : Springer Science and Business Media LLC. - 1471-2431. ; 22:1
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BACKGROUND: The objective of the Swedish cleft lip and palate registry (CLP registry) is to promote quality control, research and improvement of treatment, by the comparison of long-term results. The aim was to compare data from the CLP registry among the six treatment centres, regarding data on surgery and speech outcomes at 5 years of age.METHODS: The participants were 430 children born in Sweden from 2009 to 2014, with cleft palate with or without cleft lip and without known syndromes and/or additional malformations. The number of primary and secondary palatal surgeries up to 5 years of age, timing of the last primary palatal surgery, percentage consonants correct, percentage non-oral speech errors and perceived velopharyngeal competence at 5 years were assessed. Multivariable binary logistic regression adjusted for sex and cleft type was used to compare results between the six centres.RESULTS: At one centre (centre 4), the palate was closed in one to three stages, and at the remaining centres in one or two stages. At centre 4, more children underwent a higher number of palatal surgeries, and the last primary palatal surgery was performed at a higher age. Children in centre 4 were also less likely to achieve ≥86% correct consonants (OR = 0.169, P = < 0.001), have no non-oral speech errors (OR = 0.347, P = < 0.001), or have competent or marginally incompetent velopharyngeal competence (OR = 0.244, P = < 0.001), compared to the average results of the other centres. No clear association between patient volume and speech outcome was observed.CONCLUSIONS: The results indicated the risk of a negative speech result if the last primary palatal surgery was performed after 25 months of age. Whether the cleft in the palate was closed in one or two stages did not affect speech outcome. The Swedish CLP registry can be used for open comparisons of treatment results to provide the basis for improvements of treatment methods. If deviating negative results are seen consistently at one centre, this information should be acted upon by further investigation and analysis, making changes to the treatment protocol as needed.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- Child
- Child, Preschool
- Cleft Lip/complications
- Cleft Palate/complications
- Humans
- Registries
- Speech
- Sweden
- Treatment Outcome
- Cleft lip and palate
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Klintö, Kristina
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Eriksson, Marie, ...
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Abdiu, Avni
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Brunnegård, Kari ...
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Cajander, Jenny
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Hagberg, Emilie
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visa fler...
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Hakelius, Malin
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Havstam, Christi ...
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Mark, Hans
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Okhiria, Åsa
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Peterson, Petra
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Svensson, Kristi ...
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Becker, Magnus
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Pediatrik
- Artiklar i publikationen
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BMC Pediatrics
- Av lärosätet
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Lunds universitet
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Umeå universitet
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Linköpings universitet