Evidence map›Paper›PMID 40686756›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Treatment Outcomes of Cleft Lip and Cleft Palate Healthcare Network in Northern Thailand.

Wachiranun Sirikul, Nida Buawangpong, Natthanaphop Isaradech, Wimon Sirimaharaj, Chirakan Charoenvicha, Laura H Gomez, Caroline Yao, Natalie Torres, Krit Khwanngern

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Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

9 authors.

Wachiranun SirikulFrom the Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Thailand.
Nida BuawangpongDepartment of Family Medicine, Faculty of Medicine, Chiang Mai University, Thailand.
Natthanaphop IsaradechFrom the Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Thailand.
Wimon SirimaharajPlastic and Reconstructive Surgery Unit, Department of Surgery, Faculty of Medicine, Chiangmai University, Chiang Mai, Thailand.
Chirakan CharoenvichaPlastic and Reconstructive Surgery Unit, Department of Surgery, Faculty of Medicine, Chiangmai University, Chiang Mai, Thailand.
Laura H GomezKeck Hospital of the University of Southern California, Los Angeles, CA.
Caroline YaoShriners Hospitals for Children - Los Angeles, Pasadena, CA.
Natalie TorresPrinceton University, Princeton, NJ.
Krit KhwanngernPlastic and Reconstructive Surgery Unit, Department of Surgery, Faculty of Medicine, Chiangmai University, Chiang Mai, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cleft lip and palate have a significant impact on individuals' lives, and timely evaluation and treatment are crucial for long-term outcomes and quality of life. Methods: Northern Thailand's Cleft Lip and Cleft Palate Healthcare Network provides comprehensive and timely evaluation and care. A retrospective cohort study conducted between 2015 and 2023 used secondary data from the network to analyze time-to-evaluation and treatment and factors associated with these outcomes before (before 2016), during (2016-2018), and after (2019-2023) the network's establishment. Results: The median time to the first evaluation decreased from 107 months (95% confidence interval 101-116) before the network's establishment to 4 months (95% confidence interval 3-5) in the recent birth cohort. Despite these reductions, the timeframes for the first evaluation and cleft lip repair did not meet the desired standards of less than 1 and 3-5 months, respectively. The recent birth cohort had a much shorter time to cleft palate repair, 9-18 months. However, only 23.2% of patients underwent cleft palate repair. Evaluation times for otitis media did not improve across birth cohorts, and dental care and access to speech therapy remained inadequate at 52.0% and 16.9%, respectively. Conclusions: Integrative healthcare, informatics, and knowledge management have improved treatment outcomes at the Northern Thailand Cleft Lip and Cleft Palate Healthcare Network. However, the low number of treated patients shows the need to improve access and long-term outcomes. Focusing on these areas is crucial to maintaining and expanding the network's positive impact on patient care and quality of life.

Identifiers

PMID40686756
PMCPMC12273646

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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.