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The Americleft Project: A Proposed Expanded Nasolabial Appearance Yardstick for 5- to 7-Year-Old Patients With Complete Unilateral Cleft Lip and Palate (CUCLP).
Cleft Palate Craniofac J. 2016 01; 53(1):30-7.CP

Abstract

OBJECTIVE

To develop a yardstick of reference photographs for nasolabial appearance assessments of 5- to 7-year-old patients with complete unilateral cleft lip and palate (CUCLP).

DESIGN

Blind retrospective analysis of clinical records and comparison to historical controls.

PATIENTS

Subjects were two groups of 6- to 12-year-olds (n = 124 and n = 135) and one group of 5- to 7-year-olds (n = 149) with nonsyndromic CUCLP from three previous Americleft studies, including cohorts from seven different cleft/craniofacial centers.

INTERVENTIONS

All patients received the infant management protocols of their respective centers. Eleven trained and calibrated judges (five participated in all three studies) did blind ratings of nasolabial appearance using the Asher-McDade method.

MAIN OUTCOME MEASURES

Patients receiving the most consistent ratings between judges, selected first from the groups of 6- to 12-year-olds, were used to create a pilot yardstick for eventual use in the third study of 5- to 7-year-olds. For each of the Asher-McDade categories, 8 of the 5- to 7-year-old patients receiving the most consistent scores between raters were ranked by 10 judges for a final elimination to leave three per category.

RESULTS

Using this method of successive changes in rating methods, a new reference yardstick for nasolabial appearance rating was established and linked to the original Asher-McDade method as well as the single examples in a previously published yardstick for patients with CUCLP. Pilot testing using the yardstick improved reliabilities.

CONCLUSIONS

Use of an expanded nasolabial yardstick of reference photographs representative of the range of possibilities of each of the five Asher-McDade categories is now available to see if reliability of these ratings can be improved.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25844562

Citation

Mercado, A M., et al. "The Americleft Project: a Proposed Expanded Nasolabial Appearance Yardstick for 5- to 7-Year-Old Patients With Complete Unilateral Cleft Lip and Palate (CUCLP)." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 53, no. 1, 2016, pp. 30-7.
Mercado AM, Russell KA, Daskalogiannakis J, et al. The Americleft Project: A Proposed Expanded Nasolabial Appearance Yardstick for 5- to 7-Year-Old Patients With Complete Unilateral Cleft Lip and Palate (CUCLP). Cleft Palate Craniofac J. 2016;53(1):30-7.
Mercado, A. M., Russell, K. A., Daskalogiannakis, J., Hathaway, R. R., Semb, G., Ozawa, T., Smith, A., Lin, A. Y., & Long, R. E. (2016). The Americleft Project: A Proposed Expanded Nasolabial Appearance Yardstick for 5- to 7-Year-Old Patients With Complete Unilateral Cleft Lip and Palate (CUCLP). The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 53(1), 30-7. https://doi.org/10.1597/14-017
Mercado AM, et al. The Americleft Project: a Proposed Expanded Nasolabial Appearance Yardstick for 5- to 7-Year-Old Patients With Complete Unilateral Cleft Lip and Palate (CUCLP). Cleft Palate Craniofac J. 2016;53(1):30-7. PubMed PMID: 25844562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Americleft Project: A Proposed Expanded Nasolabial Appearance Yardstick for 5- to 7-Year-Old Patients With Complete Unilateral Cleft Lip and Palate (CUCLP). AU - Mercado,A M, AU - Russell,K A, AU - Daskalogiannakis,J, AU - Hathaway,R R, AU - Semb,G, AU - Ozawa,T, AU - Smith,A, AU - Lin,A Y, AU - Long,R E,Jr Y1 - 2015/04/06/ PY - 2015/4/7/entrez PY - 2015/4/7/pubmed PY - 2018/1/25/medline KW - CUCLP KW - nasolabial appearance KW - yardstick SP - 30 EP - 7 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 53 IS - 1 N2 - OBJECTIVE: To develop a yardstick of reference photographs for nasolabial appearance assessments of 5- to 7-year-old patients with complete unilateral cleft lip and palate (CUCLP). DESIGN: Blind retrospective analysis of clinical records and comparison to historical controls. PATIENTS: Subjects were two groups of 6- to 12-year-olds (n = 124 and n = 135) and one group of 5- to 7-year-olds (n = 149) with nonsyndromic CUCLP from three previous Americleft studies, including cohorts from seven different cleft/craniofacial centers. INTERVENTIONS: All patients received the infant management protocols of their respective centers. Eleven trained and calibrated judges (five participated in all three studies) did blind ratings of nasolabial appearance using the Asher-McDade method. MAIN OUTCOME MEASURES: Patients receiving the most consistent ratings between judges, selected first from the groups of 6- to 12-year-olds, were used to create a pilot yardstick for eventual use in the third study of 5- to 7-year-olds. For each of the Asher-McDade categories, 8 of the 5- to 7-year-old patients receiving the most consistent scores between raters were ranked by 10 judges for a final elimination to leave three per category. RESULTS: Using this method of successive changes in rating methods, a new reference yardstick for nasolabial appearance rating was established and linked to the original Asher-McDade method as well as the single examples in a previously published yardstick for patients with CUCLP. Pilot testing using the yardstick improved reliabilities. CONCLUSIONS: Use of an expanded nasolabial yardstick of reference photographs representative of the range of possibilities of each of the five Asher-McDade categories is now available to see if reliability of these ratings can be improved. SN - 1545-1569 UR - https://www.unboundmedicine.com/medline/citation/25844562/The_Americleft_Project:_A_Proposed_Expanded_Nasolabial_Appearance_Yardstick_for_5__to_7_Year_Old_Patients_With_Complete_Unilateral_Cleft_Lip_and_Palate__CUCLP__ L2 - https://journals.sagepub.com/doi/10.1597/14-017?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -