A national registry-based study of surgery and demography comparing internationally adopted and children born in Sweden with cleft lip and/or palate

This national registry-based study compares surgical procedures, demography, and concurrent medical conditions, in internationally adopted and Swedish-born children with cleft lip and/or palate until the age of five years. Data on the cleft type and gender for 331 internationally adopted children an...

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Veröffentlicht in:Journal of plastic surgery and hand surgery 2023-02, Vol.57 (1-6), p.354-359
Hauptverfasser: Schölin, Johnna Sahlsten, Rizell, Sara, Paganini, Anna, Mark, Hans
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container_issue 1-6
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container_title Journal of plastic surgery and hand surgery
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creator Schölin, Johnna Sahlsten
Rizell, Sara
Paganini, Anna
Mark, Hans
description This national registry-based study compares surgical procedures, demography, and concurrent medical conditions, in internationally adopted and Swedish-born children with cleft lip and/or palate until the age of five years. Data on the cleft type and gender for 331 internationally adopted children and 2064 Swedish-born children born from 2007 to 2018, were extracted from the registry and analyzed. Data on surgical procedures performed in Sweden and concurrent medical conditions and were collected for internationally adopted children and Swedish-born children with unilateral or bilateral cleft, born 2007-2013. A higher prevalence of unilateral and bilateral clefts (p 
doi_str_mv 10.1080/2000656X.2022.2097252
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Data on the cleft type and gender for 331 internationally adopted children and 2064 Swedish-born children born from 2007 to 2018, were extracted from the registry and analyzed. Data on surgical procedures performed in Sweden and concurrent medical conditions and were collected for internationally adopted children and Swedish-born children with unilateral or bilateral cleft, born 2007-2013. A higher prevalence of unilateral and bilateral clefts (p &lt; 0.0001), as well as a predominance of male patients with unilateral clefts (p = 0.0025), were identified among the internationally adopted children compared with children born in Sweden. Differences in the concurrence of other medical conditions in internationally adopted children versus Swedish-born infants were non-significant. Primary palatal surgeries performed in Sweden were significantly delayed for the adopted group. More secondary palatal surgeries such as speech improving surgery and palatal re-repair were needed for internationally adopted children (p &lt; 0.0001) until age five. Conclusions: The Swedish CLP Registry provided national coverage of the CL/P cohort. Internationally adopted children exhibited a predominance of more severe cleft types, a predominance of males, delayed primary palatal surgery and increased need for secondary surgeries before age five.</description><identifier>ISSN: 2000-656X</identifier><identifier>ISSN: 2000-6764</identifier><identifier>EISSN: 2000-6764</identifier><identifier>DOI: 10.1080/2000656X.2022.2097252</identifier><identifier>PMID: 35801393</identifier><language>eng</language><publisher>Sweden: Taylor &amp; Francis</publisher><subject>Child ; Child, Preschool ; Cleft Lip ; Cleft Lip - complications ; Cleft Lip - epidemiology ; Cleft Lip - surgery ; Cleft Palate ; Cleft Palate - complications ; Cleft Palate - epidemiology ; Cleft Palate - surgery ; Clinical Medicine ; complications ; Demography ; epidemiology ; Female ; Humans ; Infant ; International adoption ; Klinisk medicin ; Male ; national registry ; palatal surgery ; Preschool ; prevalence ; Registries ; surgery ; surgical procedures ; Sweden ; Sweden - epidemiology</subject><ispartof>Journal of plastic surgery and hand surgery, 2023-02, Vol.57 (1-6), p.354-359</ispartof><rights>2022 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-c6c687e3c0edec5c18c3863e96ec0635fd56ceb7be626fba70b244125a3c6b533</citedby><cites>FETCH-LOGICAL-c451t-c6c687e3c0edec5c18c3863e96ec0635fd56ceb7be626fba70b244125a3c6b533</cites><orcidid>0000-0001-5472-175X ; 0000-0001-7043-0063 ; 0000-0003-3089-2110 ; 0000-0001-5156-9692</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35801393$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/336557$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Schölin, Johnna Sahlsten</creatorcontrib><creatorcontrib>Rizell, Sara</creatorcontrib><creatorcontrib>Paganini, Anna</creatorcontrib><creatorcontrib>Mark, Hans</creatorcontrib><title>A national registry-based study of surgery and demography comparing internationally adopted and children born in Sweden with cleft lip and/or palate</title><title>Journal of plastic surgery and hand surgery</title><addtitle>J Plast Surg Hand Surg</addtitle><description>This national registry-based study compares surgical procedures, demography, and concurrent medical conditions, in internationally adopted and Swedish-born children with cleft lip and/or palate until the age of five years. Data on the cleft type and gender for 331 internationally adopted children and 2064 Swedish-born children born from 2007 to 2018, were extracted from the registry and analyzed. Data on surgical procedures performed in Sweden and concurrent medical conditions and were collected for internationally adopted children and Swedish-born children with unilateral or bilateral cleft, born 2007-2013. A higher prevalence of unilateral and bilateral clefts (p &lt; 0.0001), as well as a predominance of male patients with unilateral clefts (p = 0.0025), were identified among the internationally adopted children compared with children born in Sweden. Differences in the concurrence of other medical conditions in internationally adopted children versus Swedish-born infants were non-significant. Primary palatal surgeries performed in Sweden were significantly delayed for the adopted group. More secondary palatal surgeries such as speech improving surgery and palatal re-repair were needed for internationally adopted children (p &lt; 0.0001) until age five. Conclusions: The Swedish CLP Registry provided national coverage of the CL/P cohort. Internationally adopted children exhibited a predominance of more severe cleft types, a predominance of males, delayed primary palatal surgery and increased need for secondary surgeries before age five.</description><subject>Child</subject><subject>Child, Preschool</subject><subject>Cleft Lip</subject><subject>Cleft Lip - complications</subject><subject>Cleft Lip - epidemiology</subject><subject>Cleft Lip - surgery</subject><subject>Cleft Palate</subject><subject>Cleft Palate - complications</subject><subject>Cleft Palate - epidemiology</subject><subject>Cleft Palate - surgery</subject><subject>Clinical Medicine</subject><subject>complications</subject><subject>Demography</subject><subject>epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>International adoption</subject><subject>Klinisk medicin</subject><subject>Male</subject><subject>national registry</subject><subject>palatal surgery</subject><subject>Preschool</subject><subject>prevalence</subject><subject>Registries</subject><subject>surgery</subject><subject>surgical procedures</subject><subject>Sweden</subject><subject>Sweden - epidemiology</subject><issn>2000-656X</issn><issn>2000-6764</issn><issn>2000-6764</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU-L3SAUxaW0dIbpfIQWl91kxmg0ya7D0H8w0EVb6E6M3uRZjKZqeOR79APX8N6bZTfqufzOucJB6G1N7mrSkXtKCBFc_LqjhNJy9C3l9AW63ueVaEXz8vIu0BW6Tel3UYT1rCHiNbpivCN1Udfo7wP2KtvglcMRJpty3KpBJTA45dVsOIw4rXGCuGHlDTYwhymq5bBhHeZFResnbH2GeIlxBTRhySVhN-iDdSaCx0OIvpD4-xFMkUebD1g7GDN2dtnR-xDxopzK8Aa9GpVLcHu-b9DPTx9_PH6pnr59_vr48FTphte50kKLrgWmSUnUXNedZp1g0AvQRDA-Gi40DO0AgopxUC0ZaNPUlCumxcAZu0HVKTcdYVkHuUQ7q7jJoKyc1kWW0bTKBJIxwXlb-Pcnfonhzwopy9kmDc4pD2FNkpbvtHXPelFQfkJ1DClFGJ_DayL3DuWlQ7l3KM8dFt-784p1mME8uy6NFeDDCbB-DHFWxxCdkVltLsQxKq9tkuz_O_4B4RSvHA</recordid><startdate>20230228</startdate><enddate>20230228</enddate><creator>Schölin, Johnna Sahlsten</creator><creator>Rizell, Sara</creator><creator>Paganini, Anna</creator><creator>Mark, Hans</creator><general>Taylor &amp; Francis</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>F1U</scope><orcidid>https://orcid.org/0000-0001-5472-175X</orcidid><orcidid>https://orcid.org/0000-0001-7043-0063</orcidid><orcidid>https://orcid.org/0000-0003-3089-2110</orcidid><orcidid>https://orcid.org/0000-0001-5156-9692</orcidid></search><sort><creationdate>20230228</creationdate><title>A national registry-based study of surgery and demography comparing internationally adopted and children born in Sweden with cleft lip and/or palate</title><author>Schölin, Johnna Sahlsten ; Rizell, Sara ; Paganini, Anna ; Mark, Hans</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-c6c687e3c0edec5c18c3863e96ec0635fd56ceb7be626fba70b244125a3c6b533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Child</topic><topic>Child, Preschool</topic><topic>Cleft Lip</topic><topic>Cleft Lip - complications</topic><topic>Cleft Lip - epidemiology</topic><topic>Cleft Lip - surgery</topic><topic>Cleft Palate</topic><topic>Cleft Palate - complications</topic><topic>Cleft Palate - epidemiology</topic><topic>Cleft Palate - surgery</topic><topic>Clinical Medicine</topic><topic>complications</topic><topic>Demography</topic><topic>epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>International adoption</topic><topic>Klinisk medicin</topic><topic>Male</topic><topic>national registry</topic><topic>palatal surgery</topic><topic>Preschool</topic><topic>prevalence</topic><topic>Registries</topic><topic>surgery</topic><topic>surgical procedures</topic><topic>Sweden</topic><topic>Sweden - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schölin, Johnna Sahlsten</creatorcontrib><creatorcontrib>Rizell, Sara</creatorcontrib><creatorcontrib>Paganini, Anna</creatorcontrib><creatorcontrib>Mark, Hans</creatorcontrib><collection>Taylor &amp; Francis Open Access Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><jtitle>Journal of plastic surgery and hand surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schölin, Johnna Sahlsten</au><au>Rizell, Sara</au><au>Paganini, Anna</au><au>Mark, Hans</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A national registry-based study of surgery and demography comparing internationally adopted and children born in Sweden with cleft lip and/or palate</atitle><jtitle>Journal of plastic surgery and hand surgery</jtitle><addtitle>J Plast Surg Hand Surg</addtitle><date>2023-02-28</date><risdate>2023</risdate><volume>57</volume><issue>1-6</issue><spage>354</spage><epage>359</epage><pages>354-359</pages><issn>2000-656X</issn><issn>2000-6764</issn><eissn>2000-6764</eissn><abstract>This national registry-based study compares surgical procedures, demography, and concurrent medical conditions, in internationally adopted and Swedish-born children with cleft lip and/or palate until the age of five years. Data on the cleft type and gender for 331 internationally adopted children and 2064 Swedish-born children born from 2007 to 2018, were extracted from the registry and analyzed. Data on surgical procedures performed in Sweden and concurrent medical conditions and were collected for internationally adopted children and Swedish-born children with unilateral or bilateral cleft, born 2007-2013. A higher prevalence of unilateral and bilateral clefts (p &lt; 0.0001), as well as a predominance of male patients with unilateral clefts (p = 0.0025), were identified among the internationally adopted children compared with children born in Sweden. Differences in the concurrence of other medical conditions in internationally adopted children versus Swedish-born infants were non-significant. Primary palatal surgeries performed in Sweden were significantly delayed for the adopted group. More secondary palatal surgeries such as speech improving surgery and palatal re-repair were needed for internationally adopted children (p &lt; 0.0001) until age five. Conclusions: The Swedish CLP Registry provided national coverage of the CL/P cohort. Internationally adopted children exhibited a predominance of more severe cleft types, a predominance of males, delayed primary palatal surgery and increased need for secondary surgeries before age five.</abstract><cop>Sweden</cop><pub>Taylor &amp; Francis</pub><pmid>35801393</pmid><doi>10.1080/2000656X.2022.2097252</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-5472-175X</orcidid><orcidid>https://orcid.org/0000-0001-7043-0063</orcidid><orcidid>https://orcid.org/0000-0003-3089-2110</orcidid><orcidid>https://orcid.org/0000-0001-5156-9692</orcidid><oa>free_for_read</oa></addata></record>
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ispartof Journal of plastic surgery and hand surgery, 2023-02, Vol.57 (1-6), p.354-359
issn 2000-656X
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subjects Child
Child, Preschool
Cleft Lip
Cleft Lip - complications
Cleft Lip - epidemiology
Cleft Lip - surgery
Cleft Palate
Cleft Palate - complications
Cleft Palate - epidemiology
Cleft Palate - surgery
Clinical Medicine
complications
Demography
epidemiology
Female
Humans
Infant
International adoption
Klinisk medicin
Male
national registry
palatal surgery
Preschool
prevalence
Registries
surgery
surgical procedures
Sweden
Sweden - epidemiology
title A national registry-based study of surgery and demography comparing internationally adopted and children born in Sweden with cleft lip and/or palate
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