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Educational Attainment of Children Born with Unilateral Cleft Lip and Palate in the United Kingdom
Objective: This study evaluated association between functional outcomes in children born with unilateral cleft lip and palate (UCLP) and educational attainment. Design: Cleft Care UK (CCUK) was a United Kingdom (UK) wide cross-sectional study. Setting: UK Cleft Teams (data collected from all UK site...
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| Published in: | The Cleft palate-craniofacial journal 2021-05, Vol.58 (5), p.587-596 |
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| Main Authors: | , , , , , , , |
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| Language: | English |
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| container_title | The Cleft palate-craniofacial journal |
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| creator | Grewal, Sukhraj S. Ponduri, Sirisha Leary, Sam D. Wren, Yvonne Thompson, John M. D. Ireland, Anthony J. Ness, Andy R. Sandy, Jonathan R. |
| description | Objective:
This study evaluated association between functional outcomes in children born with unilateral cleft lip and palate (UCLP) and educational attainment.
Design:
Cleft Care UK (CCUK) was a United Kingdom (UK) wide cross-sectional study.
Setting:
UK Cleft Teams (data collected from all UK sites providing centralized cleft services).
Patients, Participants:
Five-year olds born with nonsyndromic UCLP (n = 268).
Main Outcome Measure(s):
National tests for educational attainment Key Stage 1 (KS1) undertaken by children at age 7 were linked to CCUK data to describe differences in educational attainment. Associations between functional outcomes and KS1 results were evaluated using regression analysis. We adjusted for birth month, gender, and an area-based measure of socioeconomic status.
Results:
Data were available for 205 children with UCLP. These children scored lower than national average (NA) scores across all subject areas, with a 0.62 lower score observed in the Average Point Score (APS; P = .01). There was association between being in a lower category for a cleft related outcomes and poorer KS1 results, with a trend for poorer attainment with higher numbers of poor functional outcomes. Those with 3 or more poor outcomes had a −2.26 (−3.55 to −0.97) lower APS compared to those with 0 to 1 poor outcomes.
Conclusions:
Children born with UCLP have poorer educational attainment at age 7 across all subject areas though differences were modest. Children with poor functional outcomes at age 5 had worse educational outcomes age 7. Improvements in functional outcomes could enhance educational outcomes. |
| doi_str_mv | 10.1177/1055665620959989 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8044616</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1055665620959989</sage_id><sourcerecordid>2447308601</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-1c707363ea2b2db18c7eb6fa3fa78d1b2b5cc176372e471b5a7341ebfad5d1713</originalsourceid><addsrcrecordid>eNp1kc1v1DAQxS0EoqVw54QsceES8Dj-SC5I7aoFxEpwoGfLjp1dV4m92A6I_76OthSoxMmW32_ezPgh9BLIWwAp3wHhXAguKOl533f9I3QKnPEGuOgf13uVm1U_Qc9yviGEcqDdU3TS0r4npKWnyFzaZdDFx6AnfF6K9mF2oeA44s3eTza5gC9iCvinL3t8Hfyki0uV3UxuLHjrD1gHi7_q9R37gMverVhxFn_2YWfj_Bw9GfWU3Yu78wxdX11-23xstl8-fNqcb5uBCVoaGCSRrWidpoZaA90gnRGjbkctOwuGGj4MIEUrqWMSDNeyZeDMqC23IKE9Q--PvofFzM4OdY06qDokP-v0S0Xt1b9K8Hu1iz9URxgTIKrBmzuDFL8vLhc1-zy4adLBxSUryphsSSfI2uv1A_QmLqn-YaU4QMdYB6RS5EgNKeac3Hg_DBC1BqgeBlhLXv29xH3B78Qq0ByBrHfuT9f_Gt4CLF6jNA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2511844810</pqid></control><display><type>article</type><title>Educational Attainment of Children Born with Unilateral Cleft Lip and Palate in the United Kingdom</title><source>Sage Journals Online</source><creator>Grewal, Sukhraj S. ; Ponduri, Sirisha ; Leary, Sam D. ; Wren, Yvonne ; Thompson, John M. D. ; Ireland, Anthony J. ; Ness, Andy R. ; Sandy, Jonathan R.</creator><creatorcontrib>Grewal, Sukhraj S. ; Ponduri, Sirisha ; Leary, Sam D. ; Wren, Yvonne ; Thompson, John M. D. ; Ireland, Anthony J. ; Ness, Andy R. ; Sandy, Jonathan R.</creatorcontrib><description>Objective:
This study evaluated association between functional outcomes in children born with unilateral cleft lip and palate (UCLP) and educational attainment.
Design:
Cleft Care UK (CCUK) was a United Kingdom (UK) wide cross-sectional study.
Setting:
UK Cleft Teams (data collected from all UK sites providing centralized cleft services).
Patients, Participants:
Five-year olds born with nonsyndromic UCLP (n = 268).
Main Outcome Measure(s):
National tests for educational attainment Key Stage 1 (KS1) undertaken by children at age 7 were linked to CCUK data to describe differences in educational attainment. Associations between functional outcomes and KS1 results were evaluated using regression analysis. We adjusted for birth month, gender, and an area-based measure of socioeconomic status.
Results:
Data were available for 205 children with UCLP. These children scored lower than national average (NA) scores across all subject areas, with a 0.62 lower score observed in the Average Point Score (APS; P = .01). There was association between being in a lower category for a cleft related outcomes and poorer KS1 results, with a trend for poorer attainment with higher numbers of poor functional outcomes. Those with 3 or more poor outcomes had a −2.26 (−3.55 to −0.97) lower APS compared to those with 0 to 1 poor outcomes.
Conclusions:
Children born with UCLP have poorer educational attainment at age 7 across all subject areas though differences were modest. Children with poor functional outcomes at age 5 had worse educational outcomes age 7. Improvements in functional outcomes could enhance educational outcomes.</description><identifier>ISSN: 1055-6656</identifier><identifier>EISSN: 1545-1569</identifier><identifier>DOI: 10.1177/1055665620959989</identifier><identifier>PMID: 32990032</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Age ; Birth defects ; Child ; Child, Preschool ; Children & youth ; Cleft Lip ; Cleft Palate ; Cross-Sectional Studies ; Dentistry ; Educational attainment ; Humans ; Original ; Regression analysis ; United Kingdom</subject><ispartof>The Cleft palate-craniofacial journal, 2021-05, Vol.58 (5), p.587-596</ispartof><rights>American Cleft Palate-Craniofacial Association. All rights reserved 2020</rights><rights>American Cleft Palate-Craniofacial Association. All rights reserved 2020 2020 American Cleft Palate-Craniofacial Association. All rights reserved</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-1c707363ea2b2db18c7eb6fa3fa78d1b2b5cc176372e471b5a7341ebfad5d1713</citedby><cites>FETCH-LOGICAL-c462t-1c707363ea2b2db18c7eb6fa3fa78d1b2b5cc176372e471b5a7341ebfad5d1713</cites><orcidid>0000-0002-1575-453X ; 0000-0001-6944-381X ; 0000-0001-7144-9700</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32990032$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grewal, Sukhraj S.</creatorcontrib><creatorcontrib>Ponduri, Sirisha</creatorcontrib><creatorcontrib>Leary, Sam D.</creatorcontrib><creatorcontrib>Wren, Yvonne</creatorcontrib><creatorcontrib>Thompson, John M. D.</creatorcontrib><creatorcontrib>Ireland, Anthony J.</creatorcontrib><creatorcontrib>Ness, Andy R.</creatorcontrib><creatorcontrib>Sandy, Jonathan R.</creatorcontrib><title>Educational Attainment of Children Born with Unilateral Cleft Lip and Palate in the United Kingdom</title><title>The Cleft palate-craniofacial journal</title><addtitle>Cleft Palate Craniofac J</addtitle><description>Objective:
This study evaluated association between functional outcomes in children born with unilateral cleft lip and palate (UCLP) and educational attainment.
Design:
Cleft Care UK (CCUK) was a United Kingdom (UK) wide cross-sectional study.
Setting:
UK Cleft Teams (data collected from all UK sites providing centralized cleft services).
Patients, Participants:
Five-year olds born with nonsyndromic UCLP (n = 268).
Main Outcome Measure(s):
National tests for educational attainment Key Stage 1 (KS1) undertaken by children at age 7 were linked to CCUK data to describe differences in educational attainment. Associations between functional outcomes and KS1 results were evaluated using regression analysis. We adjusted for birth month, gender, and an area-based measure of socioeconomic status.
Results:
Data were available for 205 children with UCLP. These children scored lower than national average (NA) scores across all subject areas, with a 0.62 lower score observed in the Average Point Score (APS; P = .01). There was association between being in a lower category for a cleft related outcomes and poorer KS1 results, with a trend for poorer attainment with higher numbers of poor functional outcomes. Those with 3 or more poor outcomes had a −2.26 (−3.55 to −0.97) lower APS compared to those with 0 to 1 poor outcomes.
Conclusions:
Children born with UCLP have poorer educational attainment at age 7 across all subject areas though differences were modest. Children with poor functional outcomes at age 5 had worse educational outcomes age 7. Improvements in functional outcomes could enhance educational outcomes.</description><subject>Age</subject><subject>Birth defects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Cleft Lip</subject><subject>Cleft Palate</subject><subject>Cross-Sectional Studies</subject><subject>Dentistry</subject><subject>Educational attainment</subject><subject>Humans</subject><subject>Original</subject><subject>Regression analysis</subject><subject>United Kingdom</subject><issn>1055-6656</issn><issn>1545-1569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><recordid>eNp1kc1v1DAQxS0EoqVw54QsceES8Dj-SC5I7aoFxEpwoGfLjp1dV4m92A6I_76OthSoxMmW32_ezPgh9BLIWwAp3wHhXAguKOl533f9I3QKnPEGuOgf13uVm1U_Qc9yviGEcqDdU3TS0r4npKWnyFzaZdDFx6AnfF6K9mF2oeA44s3eTza5gC9iCvinL3t8Hfyki0uV3UxuLHjrD1gHi7_q9R37gMverVhxFn_2YWfj_Bw9GfWU3Yu78wxdX11-23xstl8-fNqcb5uBCVoaGCSRrWidpoZaA90gnRGjbkctOwuGGj4MIEUrqWMSDNeyZeDMqC23IKE9Q--PvofFzM4OdY06qDokP-v0S0Xt1b9K8Hu1iz9URxgTIKrBmzuDFL8vLhc1-zy4adLBxSUryphsSSfI2uv1A_QmLqn-YaU4QMdYB6RS5EgNKeac3Hg_DBC1BqgeBlhLXv29xH3B78Qq0ByBrHfuT9f_Gt4CLF6jNA</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Grewal, Sukhraj S.</creator><creator>Ponduri, Sirisha</creator><creator>Leary, Sam D.</creator><creator>Wren, Yvonne</creator><creator>Thompson, John M. D.</creator><creator>Ireland, Anthony J.</creator><creator>Ness, Andy R.</creator><creator>Sandy, Jonathan R.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1575-453X</orcidid><orcidid>https://orcid.org/0000-0001-6944-381X</orcidid><orcidid>https://orcid.org/0000-0001-7144-9700</orcidid></search><sort><creationdate>20210501</creationdate><title>Educational Attainment of Children Born with Unilateral Cleft Lip and Palate in the United Kingdom</title><author>Grewal, Sukhraj S. ; Ponduri, Sirisha ; Leary, Sam D. ; Wren, Yvonne ; Thompson, John M. D. ; Ireland, Anthony J. ; Ness, Andy R. ; Sandy, Jonathan R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-1c707363ea2b2db18c7eb6fa3fa78d1b2b5cc176372e471b5a7341ebfad5d1713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Birth defects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Cleft Lip</topic><topic>Cleft Palate</topic><topic>Cross-Sectional Studies</topic><topic>Dentistry</topic><topic>Educational attainment</topic><topic>Humans</topic><topic>Original</topic><topic>Regression analysis</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grewal, Sukhraj S.</creatorcontrib><creatorcontrib>Ponduri, Sirisha</creatorcontrib><creatorcontrib>Leary, Sam D.</creatorcontrib><creatorcontrib>Wren, Yvonne</creatorcontrib><creatorcontrib>Thompson, John M. D.</creatorcontrib><creatorcontrib>Ireland, Anthony J.</creatorcontrib><creatorcontrib>Ness, Andy R.</creatorcontrib><creatorcontrib>Sandy, Jonathan R.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Cleft palate-craniofacial journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grewal, Sukhraj S.</au><au>Ponduri, Sirisha</au><au>Leary, Sam D.</au><au>Wren, Yvonne</au><au>Thompson, John M. D.</au><au>Ireland, Anthony J.</au><au>Ness, Andy R.</au><au>Sandy, Jonathan R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Educational Attainment of Children Born with Unilateral Cleft Lip and Palate in the United Kingdom</atitle><jtitle>The Cleft palate-craniofacial journal</jtitle><addtitle>Cleft Palate Craniofac J</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>58</volume><issue>5</issue><spage>587</spage><epage>596</epage><pages>587-596</pages><issn>1055-6656</issn><eissn>1545-1569</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objective:
This study evaluated association between functional outcomes in children born with unilateral cleft lip and palate (UCLP) and educational attainment.
Design:
Cleft Care UK (CCUK) was a United Kingdom (UK) wide cross-sectional study.
Setting:
UK Cleft Teams (data collected from all UK sites providing centralized cleft services).
Patients, Participants:
Five-year olds born with nonsyndromic UCLP (n = 268).
Main Outcome Measure(s):
National tests for educational attainment Key Stage 1 (KS1) undertaken by children at age 7 were linked to CCUK data to describe differences in educational attainment. Associations between functional outcomes and KS1 results were evaluated using regression analysis. We adjusted for birth month, gender, and an area-based measure of socioeconomic status.
Results:
Data were available for 205 children with UCLP. These children scored lower than national average (NA) scores across all subject areas, with a 0.62 lower score observed in the Average Point Score (APS; P = .01). There was association between being in a lower category for a cleft related outcomes and poorer KS1 results, with a trend for poorer attainment with higher numbers of poor functional outcomes. Those with 3 or more poor outcomes had a −2.26 (−3.55 to −0.97) lower APS compared to those with 0 to 1 poor outcomes.
Conclusions:
Children born with UCLP have poorer educational attainment at age 7 across all subject areas though differences were modest. Children with poor functional outcomes at age 5 had worse educational outcomes age 7. Improvements in functional outcomes could enhance educational outcomes.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>32990032</pmid><doi>10.1177/1055665620959989</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1575-453X</orcidid><orcidid>https://orcid.org/0000-0001-6944-381X</orcidid><orcidid>https://orcid.org/0000-0001-7144-9700</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1055-6656 |
| ispartof | The Cleft palate-craniofacial journal, 2021-05, Vol.58 (5), p.587-596 |
| issn | 1055-6656 1545-1569 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8044616 |
| source | Sage Journals Online |
| subjects | Age Birth defects Child Child, Preschool Children & youth Cleft Lip Cleft Palate Cross-Sectional Studies Dentistry Educational attainment Humans Original Regression analysis United Kingdom |
| title | Educational Attainment of Children Born with Unilateral Cleft Lip and Palate in the United Kingdom |
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