THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors. / Willadsen, Elisabeth; Persson , Christina; Lohmander, Anette; Lundeborg, Inger ; Alaluusua, Suvi ; Aukner, Ragnhild ; Bau, Anja; Boers, Maria; Bowden, Melanie ; Davies, Julie; Emborg, Berit; Havstam, Christina; Henningsson, Gunilla; Holmefjord, Anders; Hölttä, Elina ; Kisling-Møller, Mia; Kjøll, Lillian; Lundberg, Maria; McAleer, Eilish ; Nyberg, Jill; Paaso, Marjukka; Pedersen, Nina Helen; Rasmussen, Therese; Reisæter, Sigvor; Søgaard Andersen, Helene; Schöps, Antje; Tørdal, Inger-Beate; Semb, Gunvor.

In: Journal of Plastic Surgery and Hand Surgery, Vol. 1, No. 51, 20.02.2017, p. 38-51.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Willadsen, E, Persson , C, Lohmander, A, Lundeborg, I, Alaluusua, S, Aukner, R, Bau, A, Boers, M, Bowden, M, Davies, J, Emborg, B, Havstam, C, Henningsson, G, Holmefjord, A, Hölttä, E, Kisling-Møller, M, Kjøll, L, Lundberg, M, McAleer, E, Nyberg, J, Paaso, M, Pedersen, NH, Rasmussen, T, Reisæter, S, Søgaard Andersen, H, Schöps, A, Tørdal, I-B & Semb, G 2017, 'THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors', Journal of Plastic Surgery and Hand Surgery, vol. 1, no. 51, pp. 38-51.

APA

Willadsen, E., Persson , C., Lohmander, A., Lundeborg, I., Alaluusua, S., Aukner, R., ... Semb, G. (2017). THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors. Journal of Plastic Surgery and Hand Surgery, 1(51), 38-51.

Vancouver

Willadsen E, Persson C, Lohmander A, Lundeborg I, Alaluusua S, Aukner R et al. THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors. Journal of Plastic Surgery and Hand Surgery. 2017 Feb 20;1(51):38-51.

Author

Willadsen, Elisabeth ; Persson , Christina ; Lohmander, Anette ; Lundeborg, Inger ; Alaluusua, Suvi ; Aukner, Ragnhild ; Bau, Anja ; Boers, Maria ; Bowden, Melanie ; Davies, Julie ; Emborg, Berit ; Havstam, Christina ; Henningsson, Gunilla ; Holmefjord, Anders ; Hölttä, Elina ; Kisling-Møller, Mia ; Kjøll, Lillian ; Lundberg, Maria ; McAleer, Eilish ; Nyberg, Jill ; Paaso, Marjukka ; Pedersen, Nina Helen ; Rasmussen, Therese ; Reisæter, Sigvor ; Søgaard Andersen, Helene ; Schöps, Antje ; Tørdal, Inger-Beate ; Semb, Gunvor. / THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors. In: Journal of Plastic Surgery and Hand Surgery. 2017 ; Vol. 1, No. 51. pp. 38-51.

Bibtex

@article{fcf28e3a853743998e5da45a82be1da7,
title = "THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors",
abstract = "Background and aim: Normal articulation before school start is a main objective in cleft palate treatment. The aim was to investigate if differences exist in consonant proficiency at age 5 years between children with unilateral cleft lip and palate (UCLP) randomised to different surgical protocols for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy.Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Norway, Sweden, and the UK.Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with non-syndromic UCLP. Speech audio- and video-recordings of 391 children (136 girls and 255 boys) were available and transcribed phonetically. The main outcome measure was Percent Consonants Correct (PCC) from blinded assessments.Results: In Trial 1, arm A showed statistically significant higher PCC scores (82{\%}) than arm B (78{\%}) (p = .045). No significant differences were found between prevalences in Trial 2, A: 79{\%}, C: 82{\%}; or Trial 3, A: 80{\%}, D: 85{\%}. Across all trials, girls achieved better PCC scores, excluding s-errors, than boys (91.0{\%} and 87.5{\%}, respectively) (p = .01).Conclusions: PCC scores were higher in arm A than B in Trial 1, whereas no differences were found between arms in Trials 2 or 3. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.Trial registration: ISRCTN29932826.Keywords: Primary palatal repair, unilateral cleft lip and palate, consonant proficiency, cleft speech characteristics, randomised clinical trial",
author = "Elisabeth Willadsen and Christina Persson and Anette Lohmander and Inger Lundeborg and Suvi Alaluusua and Ragnhild Aukner and Anja Bau and Maria Boers and Melanie Bowden and Julie Davies and Berit Emborg and Christina Havstam and Gunilla Henningsson and Anders Holmefjord and Elina H{\"o}ltt{\"a} and Mia Kisling-M{\o}ller and Lillian Kj{\o}ll and Maria Lundberg and Eilish McAleer and Jill Nyberg and Marjukka Paaso and Pedersen, {Nina Helen} and Therese Rasmussen and Sigvor Reis{\ae}ter and {S{\o}gaard Andersen}, Helene and Antje Sch{\"o}ps and Inger-Beate T{\o}rdal and Gunvor Semb",
year = "2017",
month = "2",
day = "20",
language = "English",
volume = "1",
pages = "38--51",
journal = "Journal of Plastic Surgery and Hand Surgery",
issn = "2000-656X",
publisher = "Taylor & Francis",
number = "51",

}

RIS

TY - JOUR

T1 - THE SCANDCLEFT RANDOMISED CONTROLLED TRIALS: SPEECH OUTCOMES IN 5-YEAR-OLDS WITH UCLP – consonant proficiency and errors

AU - Willadsen, Elisabeth

AU - Persson , Christina

AU - Lohmander, Anette

AU - Lundeborg, Inger

AU - Alaluusua, Suvi

AU - Aukner, Ragnhild

AU - Bau, Anja

AU - Boers, Maria

AU - Bowden, Melanie

AU - Davies, Julie

AU - Emborg, Berit

AU - Havstam, Christina

AU - Henningsson, Gunilla

AU - Holmefjord, Anders

AU - Hölttä, Elina

AU - Kisling-Møller, Mia

AU - Kjøll, Lillian

AU - Lundberg, Maria

AU - McAleer, Eilish

AU - Nyberg, Jill

AU - Paaso, Marjukka

AU - Pedersen, Nina Helen

AU - Rasmussen, Therese

AU - Reisæter, Sigvor

AU - Søgaard Andersen, Helene

AU - Schöps, Antje

AU - Tørdal, Inger-Beate

AU - Semb, Gunvor

PY - 2017/2/20

Y1 - 2017/2/20

N2 - Background and aim: Normal articulation before school start is a main objective in cleft palate treatment. The aim was to investigate if differences exist in consonant proficiency at age 5 years between children with unilateral cleft lip and palate (UCLP) randomised to different surgical protocols for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy.Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Norway, Sweden, and the UK.Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with non-syndromic UCLP. Speech audio- and video-recordings of 391 children (136 girls and 255 boys) were available and transcribed phonetically. The main outcome measure was Percent Consonants Correct (PCC) from blinded assessments.Results: In Trial 1, arm A showed statistically significant higher PCC scores (82%) than arm B (78%) (p = .045). No significant differences were found between prevalences in Trial 2, A: 79%, C: 82%; or Trial 3, A: 80%, D: 85%. Across all trials, girls achieved better PCC scores, excluding s-errors, than boys (91.0% and 87.5%, respectively) (p = .01).Conclusions: PCC scores were higher in arm A than B in Trial 1, whereas no differences were found between arms in Trials 2 or 3. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.Trial registration: ISRCTN29932826.Keywords: Primary palatal repair, unilateral cleft lip and palate, consonant proficiency, cleft speech characteristics, randomised clinical trial

AB - Background and aim: Normal articulation before school start is a main objective in cleft palate treatment. The aim was to investigate if differences exist in consonant proficiency at age 5 years between children with unilateral cleft lip and palate (UCLP) randomised to different surgical protocols for primary palatal repair. A secondary aim was to estimate burden of care in terms of received additional secondary surgeries and speech therapy.Design: Three parallel group, randomised clinical trials were undertaken as an international multicentre study by 10 cleft teams in five countries: Denmark, Finland, Norway, Sweden, and the UK.Methods: Three different surgical protocols for primary palatal repair were tested against a common procedure in the total cohort of 448 children born with non-syndromic UCLP. Speech audio- and video-recordings of 391 children (136 girls and 255 boys) were available and transcribed phonetically. The main outcome measure was Percent Consonants Correct (PCC) from blinded assessments.Results: In Trial 1, arm A showed statistically significant higher PCC scores (82%) than arm B (78%) (p = .045). No significant differences were found between prevalences in Trial 2, A: 79%, C: 82%; or Trial 3, A: 80%, D: 85%. Across all trials, girls achieved better PCC scores, excluding s-errors, than boys (91.0% and 87.5%, respectively) (p = .01).Conclusions: PCC scores were higher in arm A than B in Trial 1, whereas no differences were found between arms in Trials 2 or 3. The burden of care in terms of secondary pharyngeal surgeries, number of fistulae, and speech therapy visits differed.Trial registration: ISRCTN29932826.Keywords: Primary palatal repair, unilateral cleft lip and palate, consonant proficiency, cleft speech characteristics, randomised clinical trial

M3 - Journal article

VL - 1

SP - 38

EP - 51

JO - Journal of Plastic Surgery and Hand Surgery

JF - Journal of Plastic Surgery and Hand Surgery

SN - 2000-656X

IS - 51

ER -

ID: 168257921