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Cleft lip and palate care in the United Kingdom--the Clinical Standards Advisory Group (CSAG) Study. Part 1:
J R Sandy1, A C Williams, D Bearn
1Division of Child Dental Health, University of Bristol Dental School, England. jonathan.sandy@bris.ac.uk
Insights
This study reviews UK cleft care history and outlines a national assessment methodology. It details methods for evaluating outcomes in children with cleft lip and palate.
Area of Science:
- Craniofacial surgery
- Pediatric healthcare
- Public health outcomes
Background:
- Cleft lip and palate care requires standardized assessment.
- Historical context of cleft care in the UK is essential for progress.
Purpose of the Study:
- To review the history of cleft care in the United Kingdom.
- To establish the rationale and methodology for a national cleft care study.
- To survey training for recently appointed clinicians in cleft care.
Main Methods:
- Descriptive overview of a national study.
- Involved 50 National Health Service cleft teams.
- Included two age cohorts (5 and 12-year-olds) with nonsyndromic complete unilateral cleft lip and palate and their parents.
Main Results:
- Facial development and appearance were assessed.
- Quality of bone grafts, speech, and oral health were evaluated.
- Patient and parent satisfaction levels were measured.
Conclusions:
- A national assessment of cleft care is justified.
- The methodology for a cross-sectional outcome study was described.
- Training for clinicians in cleft care was surveyed.
Objective:
To review the history of cleft care in the United Kingdom and the rationale and methodology of a national study.
Design:
Descriptive overview to introduce this series of papers.
Setting:
Fifty National Health Service cleft teams.
Patients/Participants:
Two age cohorts, 5-year-olds and 12-year-olds, with nonsyndromic complete unilateral cleft lip and palate and their parents.
Main Outcome Measures:
Facial development and appearance, quality of bone grafts, speech, oral health and patient/parent satisfaction.
Conclusions:
The case for a national assessment of cleft care is made. The methodology of the cross-sectional outcome study is described, together with a survey of training for recently appointed clinicians.
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