英国唇腭裂护理集中化的闭环管理
Closing the Loop on Centralization of Cleft Care in the United Kingdom.
作者信息
Ness Andrew R, Wills Andrew R, Waylen Andrea, Smallridge Jackie, Hall Amanda J, Sell Debbie, Sandy Jonathan R
机构信息
1 Biomedical Research Unit in Nutrition, Diet and Lifestyle, National Institute for Health Research, University Hospitals Bristol NHS Foundation Trust, Bristol, United Kingdom.
2 Bristol Dental School, University of Bristol, Bristol, United Kingdom.
出版信息
Cleft Palate Craniofac J. 2018 Feb;55(2):248-251. doi: 10.1177/1055665617736779. Epub 2017 Dec 14.
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 post-centralization. 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.
目的
我们重点介绍一项主要研究，该研究调查了在英国集中化约15年后重新配置的腭裂护理的影响。我们认为，作为一种干预措施，集中化对治疗结果有重大影响。
背景
在英国腭裂中心举行的审计诊所。
患者、参与者：2005年4月1日至2007年3月31日出生的患有非综合征性单侧唇腭裂的5岁儿童。
干预措施
腭裂护理的集中化。
主要观察指标
我们以与之前一项调查非常相似的方式收集常规临床指标（语音记录、听力、照片、模型、口腔健康、心理社会因素）。
结果
我们确定了359名符合条件的儿童，并招募了268名（74.7%）参与研究。总体而言，集中化后他们的治疗结果更好。牙槽弓关系和语音有显著改善，而龋齿和听力损失的患病率没有变化。
结论
集中化的腭裂护理极大地改变了英国的治疗结果，没有理由再回到分散的治疗模式。
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