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Title: Cleft Care UK (CCUK) : analysis of photographs
Author: Al-Ghatam , Rana
ISNI:       0000 0004 5921 4046
Awarding Body: University of Bristol
Current Institution: University of Bristol
Date of Award: 2014
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Design: Prospective retrolective study. Setting: 11 National Health Service cleft centres. Participants: The frontal facial photographs of239 five year old children with nonsyndromic UCLP from the 1998 CSAG survey were collected, along with the frontal and worm's eye view (WEV) photographs of252 five year old children with nonsyndromic UCLP from the current CCUK survey. The children in the CSAG group having been treated pre-centralisation and those in the CCUK cohort treated post centralisation. Main Outcome Measures: The main outcome measure was an aesthetic rating using a categorical five point Likert scale rating of the frontal and the WEV photographs. Methods: All photographs were cropped to include the nasolabial region only. The photographs were arranged randomly within a web-based aesthetic scoring tool. The aesthetic appearance of 742 photographs (239 CSAG frontals, 252 CCUK frontals and 251 CCUK WEVs) were assessed by 6 raters using a categorical 5-point Likert type scale over a 3 week period. Each rater repeated the scoring of 10% of the photographs 4 weeks after the initial assessment stage to allow analysis of inter- and intra-rater reliability . Results: The overall level of agreement between the members of the assessment panel when rating the frontal views in both the CSAG group and the CCUK group was fair. Assessment of facial appearance of the CCUK group using WEV s showed a poor agreement between the examiners. The results showed a good overall agreement within the examiners assessing both the pooled frontal views (CSAG and CCUK) and WEVs (CCUK). There was a poor agreement within the examiners assessing the same subjects using 2 different views i. e. frontal and WEV s in the CCUK group. Overall the odds ratio shows that there was evidence that outcomes had improved in CCUK group relative to the CSAG group. Conclusion: The impact of the new centralised cleft care showed a better facial appearance outcome compared to the original CSAG survey.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.D.S.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available