Evidence map›Paper›PMID 33016110›Full record

ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2021

Management of Velopharyngeal Insufficiency in Cleft Patients With and Without Multidisciplinary Team Care.

Vanessa Torrecillas, Sarah Hatch Pollard, Hilary McCrary, Helene M Taylor, Alexandra Palmer, Jeremy Meier, Harlan Muntz, Jonathan R Skirko

Open access · greenAbstract read
In one paragraph

Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Dutch Workflow for Diagnosis and Treatment of Velopharyngeal Insufficiency in Patients with Cleft Palate-A Survey Study.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  4. Observational
  5. Review
  6. Does Palatoplasty Technique Impact Resolution of Eustachian Tube Dysfunction?The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2025
    Article
  7. How Early Can We Predict the Need for VPI Surgery?Plastic and reconstructive surgery. Global open · 2022
    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

8 authors at 2 institutions in 1 country.

Vanessa TorrecillasDivision of Otolaryngology, University of Utah, 7060The University of Utah School of Medicine, Salt Lake City, UT, USA.ORCID 0000-0003-3430-9877
Sarah Hatch PollardDivision of Otolaryngology, University of Utah, 7060The University of Utah School of Medicine, Salt Lake City, UT, USA.ORCID 0000-0003-3359-1591
Hilary McCraryDivision of Otolaryngology, University of Utah, 7060The University of Utah School of Medicine, Salt Lake City, UT, USA.ORCID 0000-0002-9523-0727
Helene M TaylorIntermountain Primary Children's Hospital, 7060The University of Utah School of Medicine, Salt Lake City, UT, USA.
Alexandra PalmerDivision of Otolaryngology, University of Utah, 7060The University of Utah School of Medicine, Salt Lake City, UT, USA.
Jeremy MeierDivision of Otolaryngology, University of Utah, 7060The University of Utah School of Medicine, Salt Lake City, UT, USA.
Harlan MuntzDivision of Otolaryngology, University of Utah, 7060The University of Utah School of Medicine, Salt Lake City, UT, USA.
Jonathan R SkirkoDivision of Otolaryngology, University of Utah, 7060The University of Utah School of Medicine, Salt Lake City, UT, USA.ORCID 0000-0001-6034-2764
University of Utah · USPrimary Children's Hospital · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
NCATS NIH HHS UL1 TR002538
6 · The paper itself

Abstract

objectiveTo evaluate the effect of an American Cleft Palate-Craniofacial Association (ACPA)-approved multidisciplinary team on velopharyngeal insufficiency (VPI) diagnosis and treatment.

designRetrospective cohort setting; tertiary children's hospital patients; children with cleft palate repair identified through procedure codes.

main outcome measuresVelopharyngeal insufficiency diagnosis was assigned based on surgeon or team assessment. Age at diagnosis and surgery was recorded. Difference in age and rate of VPI diagnosis and surgery was analyzed with

resultsNine hundred forty patients were included with 71.5% cared for by an ACPA-approved multidisciplinary team. More (38.8% ) team care patients were found to have a diagnosis of VPI in comparison to 10% in independent care ( DISCUSSION: Team care was associated with more accurate detection of VPI, resulting in more VPI speech therapy visits and surgical management. A higher number of team visits were similarly associated.

conclusionFurther studies of the clinical implication of timely and accurate VPI diagnosis, including quality of life assessments, are recommended to provide stronger guidance on team visit and evaluation planning.

Indexed as

Cleft PalateVelopharyngeal InsufficiencyChildHumansPatient Care TeamQuality of LifeRetrospective StudiesSpeech DisordersTreatment Outcomequality of lifespeech developmentspeech disordersvelopharyngeal function

Identifiers

PMID33016110
PMCPMC8631281
OpenAlexW3090656109

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.