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Sökning: onr:"swepub:oai:lup.lub.lu.se:b379afa5-e31b-4f26-b643-85618efd6669" > Inter-centre compar...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006394naa a2200685 4500
001oai:lup.lub.lu.se:b379afa5-e31b-4f26-b643-85618efd6669
003SwePub
008220727s2022 | |||||||||||000 ||eng|
009oai:DiVA.org:umu-195998
009oai:DiVA.org:liu-185836
0247 a https://lup.lub.lu.se/record/b379afa5-e31b-4f26-b643-85618efd66692 URI
0247 a https://doi.org/10.1186/s12887-022-03367-22 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1959982 URI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1858362 URI
040 a (SwePub)lud (SwePub)umud (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Klintö, Kristinau Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Lund Univ, Sweden4 aut0 (Swepub:lu)med-kkl
2451 0a 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
264 c 2022-05-23
264 1b Springer Science and Business Media LLC,c 2022
500 a Funding Agencies|Lund University
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
653 a Child
653 a Child, Preschool
653 a Cleft Lip/complications
653 a Cleft Palate/complications
653 a Humans
653 a Registries
653 a Speech
653 a Sweden
653 a Treatment Outcome
653 a Cleft lip and palate
7001 a Eriksson, Marie,c Professoru Umeå universitet,Umeå University,Statistik,Umea Univ, Sweden4 aut0 (Swepub:umu)maer0004
7001 a Abdiu, Avniu Linköpings universitet,Linköping University,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US4 aut0 (Swepub:liu)avnab26
7001 a Brunnegård, Karinu Umeå universitet,Umeå University,Logopedi,Umea Univ, Sweden4 aut0 (Swepub:umu)kabr0001
7001 a Cajander, Jennyu Umeå universitet,Umeå University,Handkirurgi,Umea Univ, Sweden4 aut0 (Swepub:umu)jeca0040
7001 a Hagberg, Emilieu Karolinska University Hospital,Karolinska Univ Hosp, Sweden; Karolinska Univ Hosp, Sweden4 aut
7001 a Hakelius, Malinu Uppsala University Hospital,Uppsala Univ Hosp, Sweden4 aut
7001 a Havstam, Christinau Sahlgrenska University Hospital,Sahlgrens Univ Hosp, Sweden4 aut
7001 a Mark, Hansu Sahlgrenska University Hospital,Sahlgrens Univ Hosp, Sweden4 aut
7001 a Okhiria, Åsau Uppsala University Hospital,Uppsala Univ Hosp, Sweden4 aut
7001 a Peterson, Petrau Karolinska University Hospital,Karolinska Univ Hosp, Sweden4 aut
7001 a Svensson, Kristinau Linköping University Hospital,Region Östergötland, Öron- näsa- och halskliniken4 aut0 (Swepub:liu)n/a
7001 a Becker, Magnusu Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Lund Univ, Sweden4 aut0 (Swepub:lu)plas-abe
7102 a Kirurgib Forskargrupper vid Lunds universitet4 org
7730 t BMC Pediatricsd : Springer Science and Business Media LLCg 22:1q 22:1x 1471-2431
8564 u http://dx.doi.org/10.1186/s12887-022-03367-2x freey FULLTEXT
8564 u https://doi.org/10.1186/s12887-022-03367-2y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1665884/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://lup.lub.lu.se/record/b379afa5-e31b-4f26-b643-85618efd6669
8564 8u https://doi.org/10.1186/s12887-022-03367-2
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-195998
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-185836

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