Evidence map›Paper›PMID 29097368›Full record

ArticleArchives of disease in childhood2018

Early academic achievement in children with isolated clefts: a population-based study in England.

Kate Jane Fitzsimons, Lynn P Copley, Efrosini Setakis, Susan C Charman, Scott A Deacon, Lorraine Dearden, Jan H van der Meulen

Erratum issuedAbstract read
In one paragraph

Article in Archives of disease in childhood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. A Review and Meta-Analysis on Altered Brain Structure in Patients Born with Non-Syndromic Cleft Lip and/or Palate.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Pooled it
  2. Pooled it
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  4. Article
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  6. Prevalence and Factors Associated with Behavioral Problems in 5-Year-Old Children Born with Cleft Lip and/or Palate from the Cleft Collective.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2024
    Observational
  7. Observational
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  10. Review
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  13. Educational Attainment of Children Born with Unilateral Cleft Lip and Palate in the United Kingdom.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2021
    Article
  14. Article
  15. Word Reading in Boys With Isolated Oral Clefts: Comparison to Unaffected Average and Dyslexic Readers Using the Dual-Route Model.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2020
    Article
  16. Data Resource: the National Pupil Database (NPD).International journal of population data science · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Kate Jane FitzsimonsClinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
Lynn P CopleyClinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
Efrosini SetakisUCL Institute of Education, University College London, London, UK.
Susan C CharmanClinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.ORCID 0000-0002-1887-9311
Scott A DeaconUniversity Hospitals Bristol NHS Foundation Trust, London, UK.
Lorraine DeardenUCL Institute of Education, University College London, London, UK.
Jan H van der MeulenClinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe used national data to study differences in academic achievement between 5-year-old children with an isolated oral cleft and the general population. We also assessed differences by cleft type.

methodsChildren born in England with an oral cleft were identified in a national cleft registry. Their records were linked to databases of hospital admissions (to identify additional anomalies) and educational outcomes. Z-scores (signed number of SD actual score is above national average) were calculated to make outcome scores comparable across school years and across six assessed areas (

results2802 children without additional anomalies, 5 years old between 2006 and 2012, were included. Academic achievement was significantly below national average for all six assessed areas with z-scores ranging from -0.24 (95% CI -0.32 to -0.16) for

conclusionsCompared with national average, 5-year-old children with an isolated oral cleft, especially those involving the palate, have significantly poorer academic achievement across all areas of learning. These outcomes reflect results of modern surgical techniques and multidisciplinary approach. Children with a cleft may benefit from extra academic support when starting school.

Indexed as

Academic SuccessCase-Control StudiesChild, PreschoolCleft LipCleft PalateDatabases, FactualEnglandFemaleHumansMalecongenital abnormeducational outcomesisolated oral cleft

Identifiers

PMID29097368
PMCPMC5890634

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Registered trials

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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.