Evidence map›Paper›PMID 39359238›Full record

ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2025

Reliability of Variables of Consonant Production and Velopharyngeal Competence in 10-year-olds with Cleft Palate Using Multiple Raters.

Kristina Klintö, Malin Schaar Johansson, Magdalena Andersson, Caroline Gällstedt, Cecilia Lindberg, Cecilia Nelli, Åsa Okhiria

Abstract read
In one paragraph

Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2025. 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. Longitudinal Speech Outcomes in Foreign-Born and Native-Born Children in Sweden with Cleft Palate, and Influence of Palatal Surgery Timing.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  2. Velopharyngeal Competence in Children With Cleft Palate: Related Factors and Longitudinal Development.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    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

7 authors.

Kristina KlintöDivision of Speech Language Pathology, Phoniatrics and Audiology, Department of Clinical Sciences in Lund, Lund University, Lund, Sweden.ORCID 0000-0002-7044-9386
Malin Schaar JohanssonDivision of Speech Language Pathology, Phoniatrics and Audiology, Department of Clinical Sciences in Lund, Lund University, Lund, Sweden.
Magdalena AnderssonDivision of Speech and Language Pathology, Department of Head-, Neck- and Plastic Surgery, Örebro University Hospital, Örebro, Sweden.
Caroline GällstedtSpeech and Language Pathology, Department of Clinical Sciences, Umeå University, Umeå, Sweden.
Cecilia LindbergSpeech and Language Pathology, Department of Otorhinolaryngology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Cecilia NelliSpeech and Language Pathology Unit, Otorhinolaryngology Clinic, University Hospital Linköping, Linköping, Sweden.
Åsa OkhiriaMedical Unit Speech and Language Pathology and Department of Plastic Surgery and Craniofacial Surgery, Karolinska University Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveTo assess the reliability of speech data and speech-related quality indicators in the Swedish quality registry for cleft lip and palate (CLP) at 10 years of age.DesignRetrospective study.SettingUniversity hospitals.ParticipantsOne hundred twenty-one 10-year-olds with unilateral or bilateral CLP.Main outcome measuresSix independent raters reassessed audio recordings for comparison with registry data. For calculation of agreement, the single measures intraclass correlation coefficient (ICC) was used for percentage of consonants correct (PCC) and non-oral speech errors, quadratic weighted kappa for velopharyngeal competence (VPC), and percentage agreement and kappa for quality indicators. The results of the three to four raters with the highest intra-rater and inter-rater reliability were used for comparison with registry data.ResultsThere was excellent agreement between registry data and reassessments for PCC (ICC, 0.93) and percentage of non-oral errors (ICC, 0.80). For VPC, one rater and registry data had good agreement (k, 0.704); the remaining cases had fair agreement (k, 0.476-0.554). The percentage agreement between registry data and reassessments for quality indicators ranged from fair to excellent. When calculated with kappa, agreement was good to excellent (mean of all k values, 0.67-0.70).ConclusionsThe CLP registry variables PCC and percentage of non-oral errors and the quality indicators

Indexed as

Cleft PalateSpeech Production MeasurementVelopharyngeal InsufficiencyChildFemaleHumansMaleObserver VariationRegistriesReproducibility of ResultsSwedencleft lip and palatequality indicatorsquality registryreliabilityspeech variables

Identifiers

PMID39359238
PMCPMC12589675

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.