Cleft Palate
Conditions
Brief summary
This is a pilot study to determine if an audit and feedback intervention decreases complication rates after cleft palate surgery.
Detailed description
This study will determine whether a surgeon-directed audit and feedback intervention reduces rates of oro-nasal fistula after cleft palate repair. Fistula is an important potential complication of cleft palate repair. The study also evaluates feasibility of standardized outcome measurement in the care of children with cleft lip and palate, acceptability of standardized measurement, and acceptability of the audit and feedback intervention among surgeons. The results of this research will improve child health by enabling cleft surgeons to critically evaluate and improve their patient's outcomes.
Interventions
BEHAVIORALIntensive Feedback
(1) receive feedback regarding their individual fistula rate and those of all other participants in the trial, (2) receive an analysis of their video-recorded operative technique by surgeon peers, (3) directly observe a peer surgeon with lower fistula rate, and (4) develop a personalized action plan with a target for improvement.
BEHAVIORALRoutine Feedback
(1) receive feedback regarding their individual fistula rate and those of all other participants in the trial
Sponsors
Children's Hospital Medical Center, Cincinnati
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Active surgeon performing cleft palate repair in the US or Canada.
Exclusion criteria
none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oro-nasal Fistula | 12 weeks | Presence or absence of fistula of the palate |
Countries
Canada, United States
Outcome results
None listed