Evidence map›Paper›PMID 28661082›Full record

ArticleOrthodontics & craniofacial research2017

Centre-level variation of treatment and outcome in 5-year-old children with non-syndromic unilateral cleft lip and palate: The Cleft Care UK study. Part 1: Methodology and results for dento-facial outcomes.

A K Wills, O Mahmoud, A Hall, D Sell, J Smallridge, L Southby, S Toms, A Waylen, Y Wren, A R Ness and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthodontics & craniofacial research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Exploring the Needs of Young People Born With Cleft Lip and/or Palate Approaching End of Routine Care, in the UK.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

A K WillsNational Institute for Health Research (NIHR) Biomedical Research Unit in Nutrition, Diet and Lifestyle, The University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Bristol, UK.
O MahmoudSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
A HallLife and Health Sciences, Aston University, Birmingham, UK.
D SellNorth Thames Regional Cleft Service, Speech and Language Therapy Department, Centre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), Great Ormond Street Hospital NHS Foundation Trust, London, UK.
J SmallridgeCleft Net East Cleft Network, Addenbrooke's Hospital, Cambridge, UK.
L SouthbyBristol Speech Language Therapy Research Unit, North Bristol NHS Trust, Bristol, UK.
S TomsNational Institute for Health Research (NIHR) Biomedical Research Unit in Nutrition, Diet and Lifestyle, The University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Bristol, UK.
A WaylenBristol Dental School, University of Bristol, Bristol, UK.
Y WrenBristol Dental School, University of Bristol, Bristol, UK.
A R NessNational Institute for Health Research (NIHR) Biomedical Research Unit in Nutrition, Diet and Lifestyle, The University Hospitals Bristol NHS Foundation Trust and the University of Bristol, Bristol, UK.
J R SandyBristol Dental School, University of Bristol, Bristol, UK.

Funding

Department of Health RP-PG-0707-10034
6 · The paper itself

Abstract

objectivesOutline methods used to describe centre-level variation in treatment and outcome in children in the Cleft Care UK (CCUK) study. Report centre-level variation in dento-facial outcomes. SETTING AND SAMPLE POPULATION: Two hundred and sixty-eight five-year-old British children with non-syndromic unilateral cleft lip and palate (UCLP). MATERIALS AND

methodsBetween January 2011 and December 2012, data were collected on a comprehensive range of outcomes. Child facial appearance and symmetry were assessed using photographic pictures. Dental arch relationships were assessed from standardized dental study models. Hierarchical statistical models were used to predict overall means and the variance partition coefficient (VPC)-a measure of amount of variation in treatment or outcome explained by the centre.

resultsData on dento-alveolar arch relationships and facial appearance were available on 197 and 252 children, respectively. The median age of the children was 5.5 years, and 68% were boys. Variation was described across 13 centres. There was no evidence of centre-level variation in good or poor dento-alveolar arch relationships with a VPC of 4% and 3%, respectively. Similarly, there was no evidence of centre-level variation in good or poor facial appearance with a VPC of 2% and 5%, respectively.

conclusionsThere was no evidence of centre-level variation for dento-facial outcomes although this study only had the power to detect large variation between sites.

Indexed as

Patient Outcome AssessmentChildCleft LipCleft PalateClinical AuditCross-Sectional StudiesEstheticsFemaleHumansMaleModels, StatisticalUnited Kingdomcentralizationcleft lip and palatetreatment outcomesvariation

Identifiers

PMID28661082
PMCPMC5836895

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.