Satisfaction with treatment outcome in bilateral cleft lip and palate patients

Oosterkamp, B.C.M., Dijkstra, P.U., Remmelink, H.J., van Oort, S.P., Goorhuis-Brouwer, S.M., Sandham, A., and de Bont, L.G.M. (2007) Satisfaction with treatment outcome in bilateral cleft lip and palate patients. International Journal of Oral & Maxillofacial Surgery, 36 (10). pp. 890-895.

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Abstract

The aim of this case-controlled study was to assess satisfaction with facial appearance and function, and health-related quality of life (HRQL) in bilateral cleft lip and palate patients (BCLP). The study sample was composed of adult BCLP subjects and controls matched for age, gender and socioeconomic status. Outcome measures included a self-administered questionnaire evaluating satisfaction with facial appearance, function and HRQL. Bivariate statistics were computed to analyse the association between BCLP status and outcome measures. Forty-three treated adult BCLP patients (mean age 28.2 years, SD 7.8) were compared to 43 controls without clefts (mean age 28.5 years, SD 8.0). Quantitative and qualitative assessment revealed that BCLP patients were significantly less satisfied with the appearance of the upper lip, the nose and nasal breathing. Additionally, satisfaction with facial appearance correlated positively with HRQL. For speech, hearing and drinking, quantitative scores did not differ between BCLP and controls, while qualitative assessment revealed that BCLP patients had considerable problems and concerns with these functions. This study underlines the importance of qualitative assessment of patient satisfaction with treatment outcome to identify individual problems and concerns not revealed by quantitative measures alone.

Item ID: 9498
Item Type: Article (Refereed Research - C1)
Keywords: bilateral cleft lip and palate; patient satisfaction; quality of life
ISSN: 1399-0020
Date Deposited: 27 Apr 2010 23:12
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1105 Dentistry > 110504 Oral and Maxillofacial Surgery @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920113 Oro-Dental Disorders @ 100%
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