Number and timing of primary cleft lip and palate repair surgeries in England: whole nation study of electronic health records before and during the COVID-19 pandemic.

Number and timing of primary cleft lip and palate repair surgeries in England: whole nation study of electronic health records before and during the COVID-19 pandemic.
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DOI:
10.1136/bmjopen-2023-071973
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发表时间:
2023-06-13
期刊:
影响因子:
2.9
通讯作者:
van der Meulen, Jan
van der Meulen, Jan
中科院分区:
医学3区
文献类型:
--
作者:
Etoori, David;Park, Min Hae;Blackburn, Ruth Marion;Fitzsimons, Kate J.;Butterworth, Sophie;Medina, Jibby;Mc Grath-Lone, Louise;Russell, Craig;van der Meulen, Jan

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To quantify differences in number and timing of first primary cleft lip and palate (CLP) repair procedures during the first year of the COVID-19 pandemic (1 April 2020 to 31 March 2021; 2020/2021) compared with the preceding year (1 April 2019 to 31 March 2020; 2019/2021). National observational study of administrative hospital data. National Health Service hospitals in England. Children <5 years undergoing primary repair for an orofacial cleft Population Consensus and Surveys Classification of Interventions and Procedures-fourth revisions (OPCS-4) codes F031, F291). Procedure date (2020/2021 vs 2019/2020). Numbers and timing (age in months) of first primary CLP procedures. 1716 CLP primary repair procedures were included in the analysis. In 2020/2021, 774 CLP procedures were carried out compared with 942 in 2019/2020, a reduction of 17.8% (95% CI 9.5% to 25.4%). The reduction varied over time in 2020/2021, with no surgeries at all during the first 2 months (April and May 2020). Compared with 2019/2020, first primary lip repair procedures performed in 2020/2021 were delayed by 1.6 months on average (95% CI 0.9 to 2.2 months). Delays in primary palate repairs were smaller on average but varied across the nine geographical regions. There were significant reductions in the number and delays in timing of first primary CLP repair procedures in England during the first year of the pandemic, which may affect long-term outcomes.
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