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英国唇腭裂护理——临床标准咨询小组（CSAG）研究。第4部分：结果比较、培训与结论。

Cleft lip and palate care in the United Kingdom--the Clinical Standards Advisory Group (CSAG) Study. Part 4: outcome comparisons, training, and conclusions.

作者信息

Bearn D, Mildinhall S, Murphy T, Murray J J, Sell D, Shaw W C, Williams A C, Sandy J R

机构信息

Unit of Orthodontics, University Dental Hospital of Manchester, England.

出版信息

Cleft Palate Craniofac J. 2001 Jan;38(1):38-43. doi: 10.1597/1545-1569_2001_038_0038_clapci_2.0.co_2.

DOI:10.1597/1545-1569_2001_038_0038_clapci_2.0.co_2
PMID:11204680
Abstract

OBJECTIVE

A critical appraisal of cleft care in the United Kingdom.

DESIGN

Retrospective comparative study.

SETTING

All National Health Service cleft centers in the United Kingdom.

PATIENTS/PARTICIPANTS: Children born with unilateral complete clefts of the lip and palate between April 1, 1982, and March 31, 1984 (12-year-olds), and April 1, 1989, and March 31, 1991 (5-year-olds). Newly appointed and senior cleft clinicians.

MAIN OUTCOME MEASURES

Skeletal pattern, dental arch relationship, success of alveolar bone grafting, dental health, facial appearance, oral health status, patient/parent satisfaction.

CONCLUSIONS

This paper highlights the poor outcomes for the fragmented cleft care in the United Kingdom, compared with European centers. There is an urgent need for a review of structure, organization, and training.

摘要

目的

对英国唇腭裂治疗进行批判性评估。

设计

回顾性比较研究。

地点

英国所有国民保健服务唇腭裂治疗中心。

患者/参与者：1982年4月1日至1984年3月31日出生的单侧完全性唇腭裂儿童（12岁），以及1989年4月1日至1991年3月31日出生的单侧完全性唇腭裂儿童（5岁）。新任命的和资深的唇腭裂临床医生。

主要观察指标

骨骼形态、牙弓关系、牙槽骨植骨成功率、牙齿健康状况、面部外观、口腔健康状况、患者/家长满意度。

结论

本文强调了与欧洲治疗中心相比，英国唇腭裂治疗分散导致的不良治疗效果。迫切需要对结构、组织和培训进行审查。

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