A Standard Set of Outcome Measures for the Comprehensive Appraisal of Cleft Care

被引:138
作者
Allori, Alexander C. [1 ]
Kelley, Thomas [2 ]
Meara, John G. [3 ]
Albert, Asteria [4 ]
Bonanthaya, Krishnamurthy [5 ]
Chapman, Kathy [6 ]
Cunningham, Michael [7 ]
Daskalogiannakis, John [8 ]
de Gier, Henriette [9 ]
Heggie, Andrew A. [10 ]
Hernandez, Cristina [11 ]
Jackson, Oksana [12 ]
Jones, Yin [13 ]
Kangesu, Loshan [14 ,15 ]
Koudstaal, Maarten J. [16 ]
Kuchhal, Rajiv
Lohmander, Anette [17 ,18 ]
Long, Ross E., Jr. [19 ,20 ,21 ]
Magee, Leanne [22 ,23 ]
Monson, Laura [24 ]
Rose, Elizabeth [25 ]
Sitzman, Thomas J. [26 ]
Taylor, Jesse A. [27 ]
Thorburn, Guy [14 ]
van Eeden, Simon [28 ]
Williams, Chris [29 ]
Wirthlin, John O. [24 ]
Wong, Karen W. [30 ]
机构
[1] Duke Childrens Hosp & Hlth Ctr, Div Plast Maxillofacial & Oral Surg, Durham, NC USA
[2] Int Consortium Hlth Outcomes Measurement, Business Dev & Partnerships, Boston, MA USA
[3] Harvard Med Sch, Boston Childrens Hosp, Dept Plast & Oral Surg, Boston, MA USA
[4] Hosp San Juan Dios, Dept Pediat Surg, Barcelona, Spain
[5] Mahaveer Jain Hosp, Oral & Maxillofacial Surg, Bangalore, Karnataka, India
[6] Univ Utah, Dept Commun Sci & Disorders, Salt Lake City, UT USA
[7] Univ Washington, Seattle Childrens Hosp, Div Craniofacial Med, Seattle, WA 98195 USA
[8] Univ Toronto, Hosp Sick Children, Dept Orthodont, Toronto, ON, Canada
[9] Clin Fac Otolaryngologist, Dept Otolaryngol, Erasmus Med Ctr, Rotterdam, Netherlands
[10] Univ Melbourne, Royal Childrens Hosp Melbourne, Dept Plast Maxillofacial Surg, Melbourne, Vic, Australia
[11] Texas Childrens Hosp, Outcomes & Impact Serv, Houston, TX 77030 USA
[12] Childrens Hosp Philadelphia, Div Plast & Reconstruct Surg, Philadelphia, PA 19104 USA
[13] Cleft Lip & Palate Assoc, London, England
[14] North Thames Cleft Ctr, London, England
[15] Broomfield Hosp Chelmsford, St Andrews Ctr Plast Surg, Chelmsford, Essex, England
[16] Sophias Childrens Hosp, Dept Oral Maxillofacial Surg, Dutch Craniofacial Ctr, Erasmus Med Ctr, Rotterdam, Netherlands
[17] Karolinska Inst, Div Speech & Language Pathol, Dept Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden
[18] Karolinska Univ Hosp, Dept Speech & Language Pathol, Stockholm, Sweden
[19] Lancaster Cleft Craniofacial Program, Lancaster, PA USA
[20] Albert Einstein Med Ctr, Dept Orthodont, Philadelphia, PA 19141 USA
[21] Amer Cleft Palate Craniofacial Assoc, Task Force Americleft, Lancaster, PA USA
[22] Childrens Hosp Philadelphia, Dept Child & Adolescent Psychiat, Philadelphia, PA 19104 USA
[23] Childrens Hosp Philadelphia, Dept Behav Sci, Philadelphia, PA 19104 USA
[24] Texas Childrens Hosp, Baylor Coll Med, Dept Plast Surg, Houston, TX 77030 USA
[25] Univ Melbourne, Royal Childrens Hosp Melbourne, Dept Otolaryngol, Melbourne, Vic, Australia
[26] Cincinnati Childrens Hosp, Dept Plast Surg, Cincinnati, OH USA
[27] Childrens Hosp Philadelphia, Div Plast & Reconstruct Surg, Philadelphia, PA 19104 USA
[28] Northwest Norhtwales & Isle Man Cleft Network, Liverpool, Merseyside, England
[29] Cleft Lip Palate Assoc, London, England
[30] Univ Toronto, Hosp Sick Children, Div Plast Reconstruct Surg, Toronto, ON, Canada
关键词
cleft lip; cleft palate; continuous quality improvement; learning health care; outcomes; patient-reported outcomes; value-based health care; PATIENT-REPORTED OUTCOMES; ADVISORY GROUP CSAG; QUALITY-OF-LIFE; DENTAL ARCH RELATIONSHIPS; SOFT-TISSUE PROFILE; LIP AND/OR PALATE; UNITED-KINGDOM; HEALTH IMPACT; 30-DAY COMPLICATIONS; CRANIOFACIAL FORM;
D O I
10.1597/15-292
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Care of the patient with cleft lip and/or palate remains complex. Prior attempts at aggregating data to study the effectiveness of specific interventions or overall treatment protocols have been hindered by a lack of data standards. There exists a critical need to better define the outcomes-particularly those that matter most to patients and their families- and to standardize the methods by which these outcomes will be measured. This report summarizes the recommendations of an international, multidisciplinary working group with regard to which outcomes a typical cleft team could track, how those outcomes could be measured and recorded, and what strategies may be employed to sustainably implement a system for prospective data collection. It is only by agreeing on a common, standard set of outcome measures for the comprehensive appraisal of cleft care that intercenter comparisons can become possible. This is important for quality-improvement endeavors, comparative effectiveness research, and value-based health-care reform.
引用
收藏
页码:540 / 554
页数:15
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