Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate: the Cleft Care UK study. Part 2

A. Hall, A.K. Wills, O. Mahmoud, D. Sell, A. Waylen, S. Grewal, J.R. Sandy, A.R. Ness

Research output: Contribution to journalSpecial issue

Abstract

Objectives: To explore centre-level variation in otitis media with effusion (OME), hearing loss and treatments in children in Cleft Care UK (CCUK) and to examine the association between OME, hearing loss and developmental outcomes at 5 and 7 years. Setting and Sample Population: Two hundred and sixty-eight 5-year-old British children with non-syndromic unilateral cleft lip and palate (UCLP) recruited to CCUK. Materials and Methods: Children had air and bone conduction audiometry at age 5. Information on grommet and hearing aid treatment was obtained from parental questionnaire and medical notes. Hearing loss at age 5 was defined as >20 dB in the better ear and history of OME and hearing loss was determined from past treatment. Children with sensorineural hearing loss were excluded. Associations were examined with speech, behaviour and self-confidence at age 5 and educational attainment at age 7. Centre variation was examined using hierarchical models and associations between hearing variables and developmental outcomes were examined using logistic regression. Results: There was centre-level variation in early grommet placement (variance partition coefficient (VPC) 18%, P=.001) and fitting of hearing aids (VPC 8%, P=.03). A history of OME and hearing loss was associated with poor intelligibility of speech (adjusted odds ratio=2.87, 95% CI 1.42-5.77) and aspects of educational attainment. Conclusions: Hearing loss is an important determinant of poor speech and treatment variation across centres suggest management of OME and hearing loss could be improved.

Original languageEnglish
Pages (from-to)8-18
Number of pages11
JournalOrthodontics & craniofacial research
Volume20
Issue numberSuppl.S2
Early online date29 Jun 2017
DOIs
Publication statusPublished - Jun 2017

Fingerprint

Otitis Media with Effusion
Cleft Lip
Cleft Palate
Hearing Loss
Hearing Aids
Bone Conduction
Speech Intelligibility
Audiometry
Sensorineural Hearing Loss
Therapeutics
Hearing
Ear
Logistic Models
Odds Ratio
Air
Population

Bibliographical note

© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Keywords

  • centralization
  • developmental outcomes
  • hearing loss
  • unilateral cleft lip and palate

Cite this

@article{000e854891984e3bae38c59aa2daccbf,
title = "Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate: the Cleft Care UK study. Part 2",
abstract = "Objectives: To explore centre-level variation in otitis media with effusion (OME), hearing loss and treatments in children in Cleft Care UK (CCUK) and to examine the association between OME, hearing loss and developmental outcomes at 5 and 7 years. Setting and Sample Population: Two hundred and sixty-eight 5-year-old British children with non-syndromic unilateral cleft lip and palate (UCLP) recruited to CCUK. Materials and Methods: Children had air and bone conduction audiometry at age 5. Information on grommet and hearing aid treatment was obtained from parental questionnaire and medical notes. Hearing loss at age 5 was defined as >20 dB in the better ear and history of OME and hearing loss was determined from past treatment. Children with sensorineural hearing loss were excluded. Associations were examined with speech, behaviour and self-confidence at age 5 and educational attainment at age 7. Centre variation was examined using hierarchical models and associations between hearing variables and developmental outcomes were examined using logistic regression. Results: There was centre-level variation in early grommet placement (variance partition coefficient (VPC) 18{\%}, P=.001) and fitting of hearing aids (VPC 8{\%}, P=.03). A history of OME and hearing loss was associated with poor intelligibility of speech (adjusted odds ratio=2.87, 95{\%} CI 1.42-5.77) and aspects of educational attainment. Conclusions: Hearing loss is an important determinant of poor speech and treatment variation across centres suggest management of OME and hearing loss could be improved.",
keywords = "centralization, developmental outcomes, hearing loss, unilateral cleft lip and palate",
author = "A. Hall and A.K. Wills and O. Mahmoud and D. Sell and A. Waylen and S. Grewal and J.R. Sandy and A.R. Ness",
note = "{\circledC} 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.",
year = "2017",
month = "6",
doi = "10.1111/ocr.12184",
language = "English",
volume = "20",
pages = "8--18",
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}

Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate : the Cleft Care UK study. Part 2. / Hall, A.; Wills, A.K.; Mahmoud, O.; Sell, D.; Waylen, A.; Grewal, S.; Sandy, J.R.; Ness, A.R.

In: Orthodontics & craniofacial research, Vol. 20, No. Suppl.S2, 06.2017, p. 8-18.

Research output: Contribution to journalSpecial issue

TY - JOUR

T1 - Centre-level variation in outcomes and treatment for otitis media with effusion and hearing loss and the association of hearing loss with developmental outcomes at ages 5 and 7 years in children with non-syndromic unilateral cleft lip and palate

T2 - the Cleft Care UK study. Part 2

AU - Hall, A.

AU - Wills, A.K.

AU - Mahmoud, O.

AU - Sell, D.

AU - Waylen, A.

AU - Grewal, S.

AU - Sandy, J.R.

AU - Ness, A.R.

N1 - © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

PY - 2017/6

Y1 - 2017/6

N2 - Objectives: To explore centre-level variation in otitis media with effusion (OME), hearing loss and treatments in children in Cleft Care UK (CCUK) and to examine the association between OME, hearing loss and developmental outcomes at 5 and 7 years. Setting and Sample Population: Two hundred and sixty-eight 5-year-old British children with non-syndromic unilateral cleft lip and palate (UCLP) recruited to CCUK. Materials and Methods: Children had air and bone conduction audiometry at age 5. Information on grommet and hearing aid treatment was obtained from parental questionnaire and medical notes. Hearing loss at age 5 was defined as >20 dB in the better ear and history of OME and hearing loss was determined from past treatment. Children with sensorineural hearing loss were excluded. Associations were examined with speech, behaviour and self-confidence at age 5 and educational attainment at age 7. Centre variation was examined using hierarchical models and associations between hearing variables and developmental outcomes were examined using logistic regression. Results: There was centre-level variation in early grommet placement (variance partition coefficient (VPC) 18%, P=.001) and fitting of hearing aids (VPC 8%, P=.03). A history of OME and hearing loss was associated with poor intelligibility of speech (adjusted odds ratio=2.87, 95% CI 1.42-5.77) and aspects of educational attainment. Conclusions: Hearing loss is an important determinant of poor speech and treatment variation across centres suggest management of OME and hearing loss could be improved.

AB - Objectives: To explore centre-level variation in otitis media with effusion (OME), hearing loss and treatments in children in Cleft Care UK (CCUK) and to examine the association between OME, hearing loss and developmental outcomes at 5 and 7 years. Setting and Sample Population: Two hundred and sixty-eight 5-year-old British children with non-syndromic unilateral cleft lip and palate (UCLP) recruited to CCUK. Materials and Methods: Children had air and bone conduction audiometry at age 5. Information on grommet and hearing aid treatment was obtained from parental questionnaire and medical notes. Hearing loss at age 5 was defined as >20 dB in the better ear and history of OME and hearing loss was determined from past treatment. Children with sensorineural hearing loss were excluded. Associations were examined with speech, behaviour and self-confidence at age 5 and educational attainment at age 7. Centre variation was examined using hierarchical models and associations between hearing variables and developmental outcomes were examined using logistic regression. Results: There was centre-level variation in early grommet placement (variance partition coefficient (VPC) 18%, P=.001) and fitting of hearing aids (VPC 8%, P=.03). A history of OME and hearing loss was associated with poor intelligibility of speech (adjusted odds ratio=2.87, 95% CI 1.42-5.77) and aspects of educational attainment. Conclusions: Hearing loss is an important determinant of poor speech and treatment variation across centres suggest management of OME and hearing loss could be improved.

KW - centralization

KW - developmental outcomes

KW - hearing loss

KW - unilateral cleft lip and palate

UR - http://onlinelibrary.wiley.com/doi/10.1111/ocr.12184/abstract

UR - http://www.scopus.com/inward/record.url?scp=85021436527&partnerID=8YFLogxK

U2 - 10.1111/ocr.12184

DO - 10.1111/ocr.12184

M3 - Special issue

AN - SCOPUS:85021436527

VL - 20

SP - 8

EP - 18

IS - Suppl.S2

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