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Sökning: onr:"swepub:oai:DiVA.org:hkr-19512" > Centralization of c...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003695naa a2200565 4500
001oai:DiVA.org:hkr-19512
003SwePub
008190625s2015 | |||||||||||000 ||eng|
0247 a urn:nbn:se:hkr:diva-195122 urn
0247 a 10.1111/ocr.12111.2 DOI
040 a (SwePub)hkr
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Ness, A. R.u England4 aut
2451 0a Centralization of cleft care in the UK. Part 6 :b a tale of two studies
264 1c 2015
338 a print2 rdacarrier
500 a Ness, A R Wills, A K Waylen, A Al-Ghatam, R Jones, T E M Preston, R Ireland, A J Persson, M Smallridge, J Hall, A J Sell, D Sandy, J R eng RP-PG-0707-10034/Department of Health/United Kingdom Research Support, Non-U.S. Gov't England Orthod Craniofac Res. 2015 Nov;18 Suppl 2:56-62. doi: 10.1111/ocr.12111.
520 a OBJECTIVES: We summarize and critique the methodology and outcomes from a substantial study which has investigated the impact of reconfigured cleft care in the United Kingdom (UK) 15 years after the UK government started to implement the centralization of cleft care in response to an earlier survey in 1998, the Clinical Standards Advisory Group (CSAG). SETTING AND SAMPLE POPULATION: A UK multicentre cross-sectional study of 5-year-olds born with non-syndromic unilateral cleft lip and palate. Data were collected from children born in the UK with a unilateral cleft lip and palate between 1 April 2005 and 31 March 2007. MATERIALS AND METHODS: We discuss and contextualize the outcomes from speech recordings, hearing, photographs, models, oral health and psychosocial factors in the current study. We refer to the earlier survey and other relevant studies. RESULTS: We present arguments for centralization of cleft care in healthcare systems, and we evidence this with improvements seen over a period of 15 years in the UK. We also make recommendations on how future audit and research may configure. CONCLUSIONS: Outcomes for children with a unilateral cleft lip and palate have improved after the introduction of a centralized multidisciplinary service, and other countries may benefit from this model. Predictors of early outcomes are still needed, and repeated cross-sectional studies, larger longitudinal studies and adequately powered trials are required to create a research-led evidence-based (centralized) service.
653 a Child
653 a Preschool
653 a Cleft Lip/*surgery
653 a Cleft Palate/*surgery
653 a Cross-Sectional Studies
653 a *Delivery of Health Care
653 a Female
653 a Humans
653 a Male
653 a Speech
653 a United Kingdom
653 a Cleft Lip
653 a Cleft Palate
7001 a Wills, A. K.u England4 aut
7001 a Waylen, A.u England4 aut
7001 a Al-Ghatam, R.u England4 aut
7001 a Jones, T. E.u England4 aut
7001 a Preston, R.u England4 aut
7001 a Ireland, A. J.u England4 aut
7001 a Persson, Martin,d 1971-u England4 aut0 (Swepub:hkr)permar
7001 a Smallridge, J.u England4 aut
7001 a Hall, A. J.u England4 aut
7001 a Sell, D.u England4 aut
7001 a Sandy, J. R.u England4 aut
7102 a England4 org
7730 t Orthod Craniofac Resg 18 Suppl 2, s. 56-62q 18 Suppl 2<56-62z 1601-6343 (Electronic) 1601-6335 (Linking)
8564 u https://www.ncbi.nlm.nih.gov/pubmed/26567856
8564 8u http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-19512x lärosäteslänky Till lärosätets (hkr) databas
8564 8u https://doi.org/10.1111/ocr.12111.

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