Multidisciplinary Cleft Palate Program at BC Children's Hospital: Are We Meeting the Standards of Care?

Plastic Surgery
Anita DahiyaDouglas J Courtemanche

Abstract

To characterize current Cleft Palate Program (CPP) practices and evaluate the timeliness of appointments with respect to patient age and diagnosis based on American Cleft Palate-Craniofacial Association (ACPA) population guidelines and CPP patient-specific recommendations. A retrospective review of CPP patient appointments from November 6, 2012, to March 31, 2015, was done. Data were analyzed using descriptive and inferential statistics. The study was conducted using data from the CPP at BC Children's Hospital. A total of 1214 appointments were considered in the analysis, including syndromic and nonsyndromic patients of 0 to 27 years of age. Percentage of patients meeting follow-up targets by ACPA standards and CPP team recommendations. Our results showed patients 5 years and younger or nonsyndromic were more likely to be seen on time (P < .001). No relationship between the timeliness of an appointment and specific patient diagnoses or distance to clinic was found. With the exception of nursing (97% of appointments were on time), all disciplines had less than 45% of appointments on time with 51% of appointments meeting ACPA guidelines for timeliness and 32% of all appointments meeting CPP recommendations. Timely care for the cl...Continue Reading

References

Jan 1, 1993·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·L G FarkasJ C Posnick
Oct 1, 1998·European Journal of Orthodontics·S R TurnerJ R Sandy
Jun 11, 2005·European Journal of Orthodontics·Orlagh HuntChris Johnston
Dec 7, 2007·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Patricia K Morley-Forster
May 15, 2010·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·David CollisterPaul Komenda
Nov 17, 2015·Orthodontics & Craniofacial Research·A WaylenJ R Sandy
May 26, 2016·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Alexander C AlloriKaren W Wong

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Citations

Nov 26, 2019·Plastic Surgery·Leslie Tze Fung LeungDouglas J Courtemanche
Dec 4, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Eleonore E BreuningDouglas J Courtemanche
Mar 3, 2021·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Jacqueline StoneburnerWilliam P Magee

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