Evidence map›Paper›PMID 42253035›Full record

ArticleThe Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association2026

Positive Longitudinal Caregiver Behavioral Ratings and Self-Reported Quality of Life in Youth With Cleft Lip and Palate in Treatment for Class III Malocclusion.

Alexis L Johns, Julia Zukin, Leia Yen, Amarjit Dass, Barbara Sheller, Hitesh P Kapadia, Stephen L-K Yen

Abstract read
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In one paragraph

Article in The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2026. 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

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.

Alexis L JohnsDivision of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles and Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0003-2029-5873
Julia ZukinDivision of Plastic and Maxillofacial Surgery, Children's Hospital Los Angeles and Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Leia YenRossier School of Education, University of Southern California, Los Angeles, CA, USA.
Amarjit DassDivision of Dentistry, Children's Hospital Los Angeles, and Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Barbara ShellerDepartment of Dentistry, Seattle Children's Hospital and School of Dentistry, University of Washington, Seattle, WA, USA.
Hitesh P KapadiaDepartment of Dentistry, Seattle Children's Hospital and School of Dentistry, University of Washington, Seattle, WA, USA.
Stephen L-K YenDivision of Dentistry, Children's Hospital Los Angeles, and Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Funding

CLINICAL EFFECTIVENESS OF LATE MAXILLARY PROTRACTION FOR CLEFT LIP AND PALATEU01DE022937 · NIDCR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI YEN, STEPHEN L-K · 2013 to 2017
$3.4M
NIDCR NIH HHS U01 DE022937
6 · The paper itself

Abstract

ObjectiveThis study describes behavior and quality of life (QoL) in youth with cleft lip and palate (CLP) during treatment for class III malocclusion.DesignProspective cohorts followed at baseline, maximal correction, treatment completion with debanding, and 1-year follow-up.ParticipantsYouth with CLP (n = 64-114) undergoing protraction (58%) or orthognathic surgery (42%) and their caregivers (n = 47-97).Main Outcome Measure(s)Child/Adult Behavior Checklists (C/ABCL) and Youth Quality of Life-Facial Differences (YQOL-FD).ResultsC/ABCL Externalizing, Internalizing, and Total Problems and YQOL-FD Negative Consequences, Negative Self-Image, and Stigma were significantly lower than norms across time points (Cohen's d = -0.22 to -0.93). Highest proportions above clinical cutoffs were for Internalizing (10%-17%) and Negative Self-Image (13%-15%). There were a few changes over time, and no differences based on treatment outcome.ConclusionsYouth with CLP had overall positive adjustment during treatment for class III malocclusion. Supports may target internalizing and self-image concerns.

Indexed as

behavioral functioningclass III malocclusioncleft lip and palatequality of life

Identifiers

PMID42253035
PMCPMC13390662

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.