Objective: We highlight a major study that investigated the impact of reconfigured cleft care in the United Kingdom some 15 years after centralization. We argue that centralization as an intervention has a major impact on outcomes. Setting: Audit clinics held in Cleft Centers in the United Kingdom. Patients, Participants: Five-year-olds born between April 1, 2005, and March 31, 2007, with nonsyndromic unilateral cleft lip and palate. Interventions: Centralization of cleft care. Main Outcome Measure(s): We collected routine clinical measures (speech recordings, hearing, photographs, models, oral health, psychosocial factors) in a very similar way to a previous survey. Results: We identified 359 eligible children and recruited 268 (74.7%) to the study. Overall, their outcomes were better postcentralization. There have been marked improvements in dentoalveolar arch relationships and in speech whereas the prevalence of dental caries and hearing loss are unchanged. Conclusions: Centralized cleft care has changed UK outcomes considerably and there is no argument for returning to a dispersed model of treatment.
|Number of pages||4|
|Journal||Cleft Palate-Craniofacial Journal|
|Early online date||14 Dec 2017|
|Publication status||Published - Feb 2018|
Bibliographical noteFunding Information:
This publication presents independent research commissioned by the UK National Institute for Health Research (NIHR) under its Programme Grants for Applied Research scheme (RPPG-0707-10034).
- Cleft care
- Unilateral cleft lip and palate outcomes
- United Kingdom