Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes
Structured Objectives Outline methods used to describe centre‐level variation in treatment and outcome in children in the Cleft Care UK (CCUK) study. Report centre‐level variation in dento‐facial outcomes. Setting and Sample Population Two hundred and sixty‐eight five‐year‐old British children with...
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| Veröffentlicht in: | Orthodontics & craniofacial research 2017-06, Vol.20 (S2), p.1-7 |
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| creator | Wills, A. K. Mahmoud, O. Hall, A. Sell, D. Smallridge, J. Southby, L. Toms, S. Waylen, A. Wren, Y. Ness, A. R. Sandy, J. R. |
| description | Structured
Objectives
Outline methods used to describe centre‐level variation in treatment and outcome in children in the Cleft Care UK (CCUK) study. Report centre‐level variation in dento‐facial outcomes.
Setting and Sample Population
Two hundred and sixty‐eight five‐year‐old British children with non‐syndromic unilateral cleft lip and palate (UCLP).
Materials and Methods
Between January 2011 and December 2012, data were collected on a comprehensive range of outcomes. Child facial appearance and symmetry were assessed using photographic pictures. Dental arch relationships were assessed from standardized dental study models. Hierarchical statistical models were used to predict overall means and the variance partition coefficient (VPC)—a measure of amount of variation in treatment or outcome explained by the centre.
Results
Data on dento‐alveolar arch relationships and facial appearance were available on 197 and 252 children, respectively. The median age of the children was 5.5 years, and 68% were boys. Variation was described across 13 centres. There was no evidence of centre‐level variation in good or poor dento‐alveolar arch relationships with a VPC of 4% and 3%, respectively. Similarly, there was no evidence of centre‐level variation in good or poor facial appearance with a VPC of 2% and 5%, respectively.
Conclusions
There was no evidence of centre‐level variation for dento‐facial outcomes although this study only had the power to detect large variation between sites. |
| doi_str_mv | 10.1111/ocr.12183 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5836895</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1914849213</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3303-45de07f2fed55c775f5d1830f4ee215e23ecd40bfd3770dc1fbe264dff30d1ff3</originalsourceid><addsrcrecordid>eNp1kktuFDEQhlsIRB6w4AKolrCYid3u7unJAilq8RJBQShZWx67nDFy24Ptnqh3HCFH4CycgjUnwfNgBAu8cFlVX_1VKldRPKNkSvM58zJMaUlb9qA4pg2hk4ZV7OHhzeqj4iTGL4SUpCybx8VR2TYNJW15XPzs0KWAv77dW1yjhbUIRiTjHXgNOSBSnwEQToEfkvQ9gnFQZ35EEbLxVoFcGqsCOrgzaQnOu-yPo1PB90bC4IwVCYOwIC3qBNastoIrsfGfw_USodtGOhEQbj5ATIMap_BJhAT0HD5iWnrlrb8dN4k_vgeMg00RtA-gcn8-F9RCmlxi32V8UjzSwkZ8urenxc2b19fdu8nl1dv33cXlRDJG2KSqFZKZLjWqupazWa1rlQdJdIVY0hpLhlJVZKEVm82IklQvsGwqpTUjiub7tHi1010Nix6V3IxTWL4Kphdh5F4Y_m_EmSW_9Wtet6xp53UWeLEXCP7rgDHx3kSJ1gqHfoiczmnVVvOSsoy-3KEy-BgD6kMZSvhmE3jeBL7dhMw-_7uvA_nn6zNwtgPujMXx_0r8qvu8k_wNd7fJhg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1914849213</pqid></control><display><type>article</type><title>Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><creator>Wills, A. K. ; Mahmoud, O. ; Hall, A. ; Sell, D. ; Smallridge, J. ; Southby, L. ; Toms, S. ; Waylen, A. ; Wren, Y. ; Ness, A. R. ; Sandy, J. R.</creator><creatorcontrib>Wills, A. K. ; Mahmoud, O. ; Hall, A. ; Sell, D. ; Smallridge, J. ; Southby, L. ; Toms, S. ; Waylen, A. ; Wren, Y. ; Ness, A. R. ; Sandy, J. R.</creatorcontrib><description>Structured
Objectives
Outline methods used to describe centre‐level variation in treatment and outcome in children in the Cleft Care UK (CCUK) study. Report centre‐level variation in dento‐facial outcomes.
Setting and Sample Population
Two hundred and sixty‐eight five‐year‐old British children with non‐syndromic unilateral cleft lip and palate (UCLP).
Materials and Methods
Between January 2011 and December 2012, data were collected on a comprehensive range of outcomes. Child facial appearance and symmetry were assessed using photographic pictures. Dental arch relationships were assessed from standardized dental study models. Hierarchical statistical models were used to predict overall means and the variance partition coefficient (VPC)—a measure of amount of variation in treatment or outcome explained by the centre.
Results
Data on dento‐alveolar arch relationships and facial appearance were available on 197 and 252 children, respectively. The median age of the children was 5.5 years, and 68% were boys. Variation was described across 13 centres. There was no evidence of centre‐level variation in good or poor dento‐alveolar arch relationships with a VPC of 4% and 3%, respectively. Similarly, there was no evidence of centre‐level variation in good or poor facial appearance with a VPC of 2% and 5%, respectively.
Conclusions
There was no evidence of centre‐level variation for dento‐facial outcomes although this study only had the power to detect large variation between sites.</description><identifier>ISSN: 1601-6335</identifier><identifier>EISSN: 1601-6343</identifier><identifier>DOI: 10.1111/ocr.12183</identifier><identifier>PMID: 28661082</identifier><language>eng</language><publisher>England: John Wiley and Sons Inc</publisher><subject>centralization ; Child ; Cleft Lip - epidemiology ; Cleft Lip - surgery ; cleft lip and palate ; Cleft Palate - epidemiology ; Cleft Palate - surgery ; Clinical Audit ; Cross-Sectional Studies ; Determinants of outcomes in a centralised service: the Cleft Care UK study ; Esthetics ; Female ; Humans ; Male ; Models, Statistical ; Original ; Patient Outcome Assessment ; treatment outcomes ; United Kingdom - epidemiology ; variation</subject><ispartof>Orthodontics & craniofacial research, 2017-06, Vol.20 (S2), p.1-7</ispartof><rights>2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3303-45de07f2fed55c775f5d1830f4ee215e23ecd40bfd3770dc1fbe264dff30d1ff3</citedby><cites>FETCH-LOGICAL-c3303-45de07f2fed55c775f5d1830f4ee215e23ecd40bfd3770dc1fbe264dff30d1ff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Focr.12183$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Focr.12183$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28661082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wills, A. K.</creatorcontrib><creatorcontrib>Mahmoud, O.</creatorcontrib><creatorcontrib>Hall, A.</creatorcontrib><creatorcontrib>Sell, D.</creatorcontrib><creatorcontrib>Smallridge, J.</creatorcontrib><creatorcontrib>Southby, L.</creatorcontrib><creatorcontrib>Toms, S.</creatorcontrib><creatorcontrib>Waylen, A.</creatorcontrib><creatorcontrib>Wren, Y.</creatorcontrib><creatorcontrib>Ness, A. R.</creatorcontrib><creatorcontrib>Sandy, J. R.</creatorcontrib><title>Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes</title><title>Orthodontics & craniofacial research</title><addtitle>Orthod Craniofac Res</addtitle><description>Structured
Objectives
Outline methods used to describe centre‐level variation in treatment and outcome in children in the Cleft Care UK (CCUK) study. Report centre‐level variation in dento‐facial outcomes.
Setting and Sample Population
Two hundred and sixty‐eight five‐year‐old British children with non‐syndromic unilateral cleft lip and palate (UCLP).
Materials and Methods
Between January 2011 and December 2012, data were collected on a comprehensive range of outcomes. Child facial appearance and symmetry were assessed using photographic pictures. Dental arch relationships were assessed from standardized dental study models. Hierarchical statistical models were used to predict overall means and the variance partition coefficient (VPC)—a measure of amount of variation in treatment or outcome explained by the centre.
Results
Data on dento‐alveolar arch relationships and facial appearance were available on 197 and 252 children, respectively. The median age of the children was 5.5 years, and 68% were boys. Variation was described across 13 centres. There was no evidence of centre‐level variation in good or poor dento‐alveolar arch relationships with a VPC of 4% and 3%, respectively. Similarly, there was no evidence of centre‐level variation in good or poor facial appearance with a VPC of 2% and 5%, respectively.
Conclusions
There was no evidence of centre‐level variation for dento‐facial outcomes although this study only had the power to detect large variation between sites.</description><subject>centralization</subject><subject>Child</subject><subject>Cleft Lip - epidemiology</subject><subject>Cleft Lip - surgery</subject><subject>cleft lip and palate</subject><subject>Cleft Palate - epidemiology</subject><subject>Cleft Palate - surgery</subject><subject>Clinical Audit</subject><subject>Cross-Sectional Studies</subject><subject>Determinants of outcomes in a centralised service: the Cleft Care UK study</subject><subject>Esthetics</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Models, Statistical</subject><subject>Original</subject><subject>Patient Outcome Assessment</subject><subject>treatment outcomes</subject><subject>United Kingdom - epidemiology</subject><subject>variation</subject><issn>1601-6335</issn><issn>1601-6343</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kktuFDEQhlsIRB6w4AKolrCYid3u7unJAilq8RJBQShZWx67nDFy24Ptnqh3HCFH4CycgjUnwfNgBAu8cFlVX_1VKldRPKNkSvM58zJMaUlb9qA4pg2hk4ZV7OHhzeqj4iTGL4SUpCybx8VR2TYNJW15XPzs0KWAv77dW1yjhbUIRiTjHXgNOSBSnwEQToEfkvQ9gnFQZ35EEbLxVoFcGqsCOrgzaQnOu-yPo1PB90bC4IwVCYOwIC3qBNastoIrsfGfw_USodtGOhEQbj5ATIMap_BJhAT0HD5iWnrlrb8dN4k_vgeMg00RtA-gcn8-F9RCmlxi32V8UjzSwkZ8urenxc2b19fdu8nl1dv33cXlRDJG2KSqFZKZLjWqupazWa1rlQdJdIVY0hpLhlJVZKEVm82IklQvsGwqpTUjiub7tHi1010Nix6V3IxTWL4Kphdh5F4Y_m_EmSW_9Wtet6xp53UWeLEXCP7rgDHx3kSJ1gqHfoiczmnVVvOSsoy-3KEy-BgD6kMZSvhmE3jeBL7dhMw-_7uvA_nn6zNwtgPujMXx_0r8qvu8k_wNd7fJhg</recordid><startdate>201706</startdate><enddate>201706</enddate><creator>Wills, A. K.</creator><creator>Mahmoud, O.</creator><creator>Hall, A.</creator><creator>Sell, D.</creator><creator>Smallridge, J.</creator><creator>Southby, L.</creator><creator>Toms, S.</creator><creator>Waylen, A.</creator><creator>Wren, Y.</creator><creator>Ness, A. R.</creator><creator>Sandy, J. R.</creator><general>John Wiley and Sons Inc</general><scope>24P</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>5PM</scope></search><sort><creationdate>201706</creationdate><title>Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes</title><author>Wills, A. K. ; Mahmoud, O. ; Hall, A. ; Sell, D. ; Smallridge, J. ; Southby, L. ; Toms, S. ; Waylen, A. ; Wren, Y. ; Ness, A. R. ; Sandy, J. R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3303-45de07f2fed55c775f5d1830f4ee215e23ecd40bfd3770dc1fbe264dff30d1ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>centralization</topic><topic>Child</topic><topic>Cleft Lip - epidemiology</topic><topic>Cleft Lip - surgery</topic><topic>cleft lip and palate</topic><topic>Cleft Palate - epidemiology</topic><topic>Cleft Palate - surgery</topic><topic>Clinical Audit</topic><topic>Cross-Sectional Studies</topic><topic>Determinants of outcomes in a centralised service: the Cleft Care UK study</topic><topic>Esthetics</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Models, Statistical</topic><topic>Original</topic><topic>Patient Outcome Assessment</topic><topic>treatment outcomes</topic><topic>United Kingdom - epidemiology</topic><topic>variation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wills, A. K.</creatorcontrib><creatorcontrib>Mahmoud, O.</creatorcontrib><creatorcontrib>Hall, A.</creatorcontrib><creatorcontrib>Sell, D.</creatorcontrib><creatorcontrib>Smallridge, J.</creatorcontrib><creatorcontrib>Southby, L.</creatorcontrib><creatorcontrib>Toms, S.</creatorcontrib><creatorcontrib>Waylen, A.</creatorcontrib><creatorcontrib>Wren, Y.</creatorcontrib><creatorcontrib>Ness, A. R.</creatorcontrib><creatorcontrib>Sandy, J. R.</creatorcontrib><collection>Wiley Online Library Open Access</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>PubMed Central (Full Participant titles)</collection><jtitle>Orthodontics & craniofacial research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wills, A. K.</au><au>Mahmoud, O.</au><au>Hall, A.</au><au>Sell, D.</au><au>Smallridge, J.</au><au>Southby, L.</au><au>Toms, S.</au><au>Waylen, A.</au><au>Wren, Y.</au><au>Ness, A. R.</au><au>Sandy, J. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes</atitle><jtitle>Orthodontics & craniofacial research</jtitle><addtitle>Orthod Craniofac Res</addtitle><date>2017-06</date><risdate>2017</risdate><volume>20</volume><issue>S2</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>1601-6335</issn><eissn>1601-6343</eissn><abstract>Structured
Objectives
Outline methods used to describe centre‐level variation in treatment and outcome in children in the Cleft Care UK (CCUK) study. Report centre‐level variation in dento‐facial outcomes.
Setting and Sample Population
Two hundred and sixty‐eight five‐year‐old British children with non‐syndromic unilateral cleft lip and palate (UCLP).
Materials and Methods
Between January 2011 and December 2012, data were collected on a comprehensive range of outcomes. Child facial appearance and symmetry were assessed using photographic pictures. Dental arch relationships were assessed from standardized dental study models. Hierarchical statistical models were used to predict overall means and the variance partition coefficient (VPC)—a measure of amount of variation in treatment or outcome explained by the centre.
Results
Data on dento‐alveolar arch relationships and facial appearance were available on 197 and 252 children, respectively. The median age of the children was 5.5 years, and 68% were boys. Variation was described across 13 centres. There was no evidence of centre‐level variation in good or poor dento‐alveolar arch relationships with a VPC of 4% and 3%, respectively. Similarly, there was no evidence of centre‐level variation in good or poor facial appearance with a VPC of 2% and 5%, respectively.
Conclusions
There was no evidence of centre‐level variation for dento‐facial outcomes although this study only had the power to detect large variation between sites.</abstract><cop>England</cop><pub>John Wiley and Sons Inc</pub><pmid>28661082</pmid><doi>10.1111/ocr.12183</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1601-6335 |
| ispartof | Orthodontics & craniofacial research, 2017-06, Vol.20 (S2), p.1-7 |
| issn | 1601-6335 1601-6343 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5836895 |
| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | centralization Child Cleft Lip - epidemiology Cleft Lip - surgery cleft lip and palate Cleft Palate - epidemiology Cleft Palate - surgery Clinical Audit Cross-Sectional Studies Determinants of outcomes in a centralised service: the Cleft Care UK study Esthetics Female Humans Male Models, Statistical Original Patient Outcome Assessment treatment outcomes United Kingdom - epidemiology variation |
| title | Centre‐level variation of treatment and outcome in 5‐year‐old children with non‐syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento‐facial outcomes |
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