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Clin Plast Surg. 2014 Apr;41(2):311-9. doi: 10.1016/j.cps.2013.12.001. Epub 2014 Feb 18.

Measuring outcomes in cleft lip and palate treatment.

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Division of Plastic Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2020, Cincinnati, OH 45229, USA. Electronic address:
Division of Plastic, Maxillofacial, and Oral Surgery, Children's Health Center, Duke University Hospital, Durham, NC, USA.
Department of Plastic Surgery, North Thames Cleft Centre, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.


Measuring meaningful outcomes in cleft lip and palate surgery is difficult. Many methods of measurement lack validity or reliability, are impractical to implement, or are not consistently used. Yet the power of measuring outcomes is so great, and the potential to improve patients' lives so strong, that these hurdles are worth overcoming. This chapter reviews previous efforts at outcome measurement from cleft centers around the world. It also suggests a framework for adopting outcome measurement within your practice. Challenges of measurement are discussed, along with the role outcome reporting will take in accreditation and quality management.


Cleft lip; Cleft palate; Cleft surgery; Evidence base; Outcome data; Outcomes measurement

[Indexed for MEDLINE]

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