Systematic Review of the Long-Term Effects of Presurgical Orthopedic Devices on Patient Outcomes
| Autor: | Damir B. Matic, Luc Dubois, Brendan Douglas McNeely, Katie Garland |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
growth Cleft Lip occlusion outcomes 03 medical and health sciences 0302 clinical medicine presurgical orthopedic devices Humans Medicine 030223 otorhinolaryngology Orthopedic devices cleft palate business.industry Original Articles 030206 dentistry Device use Term (time) Cleft Palate nasolabial aesthetics Otorhinolaryngology Orthopedic surgery Physical therapy Oral Surgery business |
| Zdroj: | The Cleft Palate-Craniofacial Journal Paediatrics Publications |
| ISSN: | 1545-1569 1055-6656 |
| DOI: | 10.1177/1055665621998176 |
| Popis: | Objective: To perform a systematic review of the literature to identify the long-term effects of presurgical orthopedic (PSO) device use on patient outcomes. Design: A comprehensive literature review of Embase and Ovid databases was performed to identify all English-language publications related to unilateral cleft lip and palate, presurgical devices, and patient outcomes. Studies were excluded if they did not report patient outcomes beyond 2 years of age, did not describe the use of a PSO device, were case reports (n < 10), or were purely descriptive studies. Main Outcome Measures: Reported patient outcomes following the use of PSO devices. Results: Following a review of all articles by 2 independent reviews, 30 articles were selected for inclusion. Overall, there was no reported consensus as to the long-term effects of PSO devices. Furthermore, this study identified that only 10% of published research controlled for confounding factors that could influence the reported results. Confounding factors that were identified included different operating surgeon, different surgical protocols, and different rates of revision surgeries. Conclusions: Overall, this systematic review identified 2 important conclusions. Firstly, there is no consensus in the literature about the long-term effects of PSO devices on long-term patient outcomes. Secondly, research in this domain is limited by confounding factors that influence the applicability of the reported results. |
| Databáze: | OpenAIRE |
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