Literature DB >> 16854196

Centralization of services: standard setting and outcomes.

I S Hathorn1, N E Atack, G Butcher, J Dickson, P Durning, M Hammond, H Knight, N Mitchell, F Nixon, D Shinn, J R Sandy.   

Abstract

OBJECTIVE: To test specific standards set in the newly established cleft lip and palate service in three regions of the U.K. The standards relate to record collection and outcomes.
DESIGN: Retrospective analysis. PATIENTS: Records of 31 children, 5 years of age, who were born in 1997 with complete unilateral clefts of lip and palate and were treated by surgeons in three regions. MAIN OUTCOME MEASURES: Record collection standards were measured by collecting dental study models. Outcomes were measured with the 5-Year-Old Index.
RESULTS: Of the 31 subjects, 52% had excellent and good outcomes. The 31 cases represented 62% of the total records collected.
CONCLUSIONS: The three regions examined fell short of the standards set, but the outcomes were improved compared with previous national outcomes. The failings in record collection need to be rectified. This study provides baseline data for further development of cleft services within three regions.

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Mesh:

Year:  2006        PMID: 16854196     DOI: 10.1597/04-198.1

Source DB:  PubMed          Journal:  Cleft Palate Craniofac J        ISSN: 1055-6656


  5 in total

1.  An overview of indices used to measure treatment effectiveness in patients with cleft lip and palate.

Authors:  Sanjida Haque; Mohammad Khursheed Alam; Anas Imran Arshad
Journal:  Malays J Med Sci       Date:  2015 Jan-Feb

2.  Surgical outcomes auditing systems in humanitarian organizations.

Authors:  Luis Bermudez; Victoria Carter; William Magee; Randy Sherman; Ruben Ayala
Journal:  World J Surg       Date:  2010-03       Impact factor: 3.352

3.  Occlusal disorders among patients with total clefts of lip, alveolar bone, and palate.

Authors:  Anna Paradowska-Stolarz; Beata Kawala
Journal:  Biomed Res Int       Date:  2014-05-27       Impact factor: 3.411

4.  Centralization of cleft care in the UK. Part 6: a tale of two studies.

Authors:  A R Ness; A K Wills; A Waylen; R Al-Ghatam; T E M Jones; R Preston; A J Ireland; M Persson; J Smallridge; A J Hall; D Sell; J R Sandy
Journal:  Orthod Craniofac Res       Date:  2015-11       Impact factor: 1.826

5.  A cross-sectional survey of 5-year-old children with non-syndromic unilateral cleft lip and palate: the Cleft Care UK study. Part 1: background and methodology.

Authors:  M Persson; J R Sandy; A Waylen; A K Wills; R Al-Ghatam; A J Ireland; A J Hall; W Hollingworth; T Jones; T J Peters; R Preston; D Sell; J Smallridge; H Worthington; A R Ness
Journal:  Orthod Craniofac Res       Date:  2015-11       Impact factor: 1.826

  5 in total

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