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Exploration of the Utility of the Generic ICHOM Standard Set Measures in Evaluating the Speech of Patients with Cleft Lip/Palate.

Publication ,  Journal Article
Del Risco, AC; Dunworth, K; Sharif-Askary, B; Suárez, AHB; Nyswonger, J; Ford, M; Kern, J; Jones, C; Raynor, E; Allori, AC
Published in: Plast Reconstr Surg Glob Open
January 2024

BACKGROUND: The International Consortium of Health Outcome Measurements (ICHOM) standard set for cleft care appraisal recommends clinicians assess articulation with percentage consonants correct (PCC) and velopharyngeal function with velopharyngeal competency rating (VPC-R). This study explores the utility and limitations of these generic measures in detecting cleft speech sound disorders by comparing them with two cleft-specific speech-rating systems, cleft audit protocol of speech-augmented Americleft modification (CAPS-A-AM) and Pittsburgh weighted speech scale (PWSS). METHODS: Consecutive children with repaired, nonsyndromic cleft lip/palate, aged 5 years or older (n = 27) underwent prospective speech evaluations conducted at a single academic institution. These evaluations were conducted, recorded, and evaluated by blinded speech-language pathologists experienced with all tools. RESULTS: When comparing measures of articulation, PCC scores correlated better with scores for relevant subcomponents of CAPS-A-AM than PWSS. When comparing measures of velopharyngeal function, VPC-R scores correlated well with relevant components of both scales. Using a "screening test versus diagnostic test" analogy, VPC-R ratings were 87.5% sensitive and 73.7% specific for detecting velopharyngeal dysfunction according to subcomponents of CAPS-A-AM, and 70.6% sensitive and 100% specific according to subcomponents of PWSS. CONCLUSIONS: This exploratory study demonstrates that PCC and VPC-R perform moderately well in detecting articulatory and velopharyngeal dysfunction in patients with cleft lip/palate; however, these tools cannot describe nuances of cleft speech sound disorder. Thus, although PCC and VPC-R adequately track basic minimum outcomes, we encourage teams to consider extending the standard set by adopting a cleft-specific measurement system for further evaluation of the tools.

Duke Scholars

Published In

Plast Reconstr Surg Glob Open

DOI

ISSN

2169-7574

Publication Date

January 2024

Volume

12

Issue

1

Start / End Page

e5519

Location

United States

Related Subject Headings

  • 3213 Paediatrics
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences
 

Citation

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MLA
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Del Risco, A. C., Dunworth, K., Sharif-Askary, B., Suárez, A. H. B., Nyswonger, J., Ford, M., … Allori, A. C. (2024). Exploration of the Utility of the Generic ICHOM Standard Set Measures in Evaluating the Speech of Patients with Cleft Lip/Palate. Plast Reconstr Surg Glob Open, 12(1), e5519. https://doi.org/10.1097/GOX.0000000000005519
Del Risco, Amanda C., Kristina Dunworth, Banafsheh Sharif-Askary, Arthur H Barron Suárez, Jillian Nyswonger, Matthew Ford, Jennifer Kern, Carlee Jones, Eileen Raynor, and Alexander C. Allori. “Exploration of the Utility of the Generic ICHOM Standard Set Measures in Evaluating the Speech of Patients with Cleft Lip/Palate.Plast Reconstr Surg Glob Open 12, no. 1 (January 2024): e5519. https://doi.org/10.1097/GOX.0000000000005519.
Del Risco AC, Dunworth K, Sharif-Askary B, Suárez AHB, Nyswonger J, Ford M, et al. Exploration of the Utility of the Generic ICHOM Standard Set Measures in Evaluating the Speech of Patients with Cleft Lip/Palate. Plast Reconstr Surg Glob Open. 2024 Jan;12(1):e5519.
Del Risco, Amanda C., et al. “Exploration of the Utility of the Generic ICHOM Standard Set Measures in Evaluating the Speech of Patients with Cleft Lip/Palate.Plast Reconstr Surg Glob Open, vol. 12, no. 1, Jan. 2024, p. e5519. Pubmed, doi:10.1097/GOX.0000000000005519.
Del Risco AC, Dunworth K, Sharif-Askary B, Suárez AHB, Nyswonger J, Ford M, Kern J, Jones C, Raynor E, Allori AC. Exploration of the Utility of the Generic ICHOM Standard Set Measures in Evaluating the Speech of Patients with Cleft Lip/Palate. Plast Reconstr Surg Glob Open. 2024 Jan;12(1):e5519.

Published In

Plast Reconstr Surg Glob Open

DOI

ISSN

2169-7574

Publication Date

January 2024

Volume

12

Issue

1

Start / End Page

e5519

Location

United States

Related Subject Headings

  • 3213 Paediatrics
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences