Cross-Cultural Validation and Application of the Thai CLEFT-Q in Assessing Patient-Reported Outcomes for Cleft Lip and Palate
View abstract on PubMed
Summary
This summary is machine-generated.The CLEFT-Q is a valid tool for assessing patient satisfaction after cleft lip and/or palate surgery in Thailand. While functional outcomes are good, aesthetic satisfaction, especially with nasal and dental appearance, needs improvement.
Area Of Science
- Plastic Surgery
- Health Outcomes Research
- Patient-Reported Outcomes
Background
- Cleft lip and/or palate (CLP) surgery aims to improve function and aesthetics.
- Patient-reported outcome measures (PROMs) are crucial for evaluating surgical success.
- Cross-cultural validation of PROMs like the CLEFT-Q is essential for global application.
Purpose Of The Study
- To evaluate the cross-cultural validity and comprehensibility of the CLEFT-Q in a Thai population.
- To measure patient satisfaction with surgical outcomes after CLP repair.
- To identify specific areas of aesthetic concern for patients undergoing CLP surgery.
Main Methods
- A Phase 2 study involving 93 Thai patients (aged 8-29) who underwent CLP surgery.
- Administration of the CLEFT-Q to assess satisfaction with appearance, quality of life, and facial function.
- Rasch analysis of CLEFT-Q scores to determine validity and comprehensibility.
Main Results
- The CLEFT-Q demonstrated high comprehensibility and validity in the Thai cohort.
- Moderate patient satisfaction with appearance (mean=53.8), with lowest scores for nostrils, teeth, and scars.
- Higher satisfaction with facial function (mean=70.9), psychosocial, and speech outcomes.
Conclusions
- The CLEFT-Q is a valid and reliable PROM for assessing CLP surgical outcomes in Thailand.
- While functional results are favorable, aesthetic outcomes, particularly nasal and dental appearance, require targeted improvements.
- Enhancing focus on aesthetic aspects of cleft care is vital for meeting patient expectations and improving overall satisfaction.
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