Evidence map›Paper›PMID 38919736›Full record

ArticleJournal of dermatology and dermatitis2023

Decision Considerations and Strategies for Lip Surgery in Patients with Cleft lip/Palate: A Qualitative Study.

Carroll Ann Trotman, Julian Faraway, M Elizabeth Bennett, G David Garson, Ceib Phillips, Richard Bruun, Renie Daniel, Lisa Renee David, Ingrid Ganske, Lauren K Leeper and 4 more

Abstract read
In one paragraph

Article in Journal of dermatology and dermatitis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Carroll Ann TrotmanCollege of Dentistry, The Ohio State University, Ohio, United States of America.
Julian FarawayDepartment of Mathematical Sciences, University of Bath, Bath, United Kingdom.
M Elizabeth BennettDepartment of Orthodontics, UNC Adams School of Dentistry, Chapel Hill, North Carolina.
G David GarsonDepartment of Public Administration, School of Public and International Affairs, North Carolina State University, Raleigh, North Carolina.
Ceib PhillipsDepartment of Orthodontics, UNC Adams School of Dentistry, Chapel Hill, North Carolina.
Richard BruunDepartment of Developmental Biology, Harvard School of Dental Medicine.
Renie DanielDepartment of Oral and Maxillofacial Surgery, UNC Adams School of Dentistry, Chapel Hill, North Carolina.
Lisa Renee DavidDepartment of Plastic and Reconstructive Surgery, Wake Forest Baptist Health, Wake Forest, North Carolina.
Ingrid GanskeDepartment of Plastic & Oral Surgery, Boston Children's Hospital, Boston, Massachusetts.
Lauren K LeeperDepartment of Otolaryngology/Head and Neck Surgery, University of North Carolina Health, Chapel Hill, North Carolina.
Carolyn R Rogers-VizenaDepartment of Plastic & Oral Surgery Boston Children's Hospital, Boston, Massachusetts.
Christopher RunyanDepartment of Plastic Surgery, Wake Forest Baptist Health, Wake Forest, North Carolina.
Andrew R ScottDepartment of Otolaryngology, Tufts University School of Medicine, Boston, Massachusetts.
Jeyhan WoodDepartment of Plastic Surgery, University of North Carolina Health, Chapel Hill, North Carolina.

Funding

Targeting Surgeons Decision-Making for Lip SurgeryU01DE024503 · NIDCR · TUFTS UNIVERSITY BOSTON · PI TROTMAN, CARROLL ANN · 2015 to 2020
$2.3M
NIDCR NIH HHS U01 DE024503
6 · The paper itself

Abstract

Objective: To qualitatively assess surgeons' decision making for lip surgery in patients with cleft lip/palate (CL/P). Design: Prospective, non-randomized, clinical trial. Setting: Clinical data institutional laboratory setting. Patients Participants: The study included both patient and surgeon participants recruited from four craniofacial centers. The patient participants were babies with a CL/P requiring primary lip repair surgery (n=16) and adolescents with repaired CL/P who may require secondary lip revision surgery (n=32). The surgeon participants (n=8) were experienced in cleft care. Facial imaging data that included 2D images, 3D images, videos, and objective 3D visual modelling of facial movements were collected from each patient, and compiled as a collage termed the 'Standardized Assessment for Facial Surgery (SAFS)' for systematic viewing by the surgeons. Interventions: The SAFS served as the intervention. Each surgeon viewed the SAFS for six distinct patients (two babies and four adolescents) and provided a list of surgical problems and goals. Then an in-depth-interview (IDI) was conducted with each surgeon to explore their decision-making processes. IDIs were conducted either 'in person' or virtually, recorded, and then transcribed for qualitative statistical analyses using the Grounded Theory Method. Results: Rich narratives/themes emerged that included timing of the surgery; risks/limitations and benefits of surgery; patient/family goals; planning for muscle repair and scarring; multiplicity of surgeries and their impact; and availability of resources. In general, there was surgeon agreement for the diagnoses/treatments. Conclusions: The themes provided important information to populate a checklist of considerations to serve as a guide for clinicians.

Indexed as

cleft lip/palateclinical trialdecision-makinglip repairlip revisionqualitative

Identifiers

PMID38919736
PMCPMC11197461

What OpenQuestion holds

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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.