{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:34:46Z","timestamp":1777523686045,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T00:00:00Z","timestamp":1641254400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018379","name":"VTCT Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018379","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>A consortium of global cleft professionals, predominantly from low- and middle-income countries, identified adaptations to cleft care protocols during and after COVID-19 as a priority learning area of need.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>A multidisciplinary international working group met on a videoconferencing platform in a multi-staged process to make consensus recommendations for adaptations to cleft protocols within resource-constrained settings. Feedback was sought from a roundtable discussion forum and global organizations involved in comprehensive cleft care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Foundational principles were agreed to enable recommendations to be globally relevant and two areas of focus within the specified topic were identified. First the safety aspects of cleft surgery protocols were scrutinized and COVID-19 adaptations, specifically in the pre- and perioperative periods, were highlighted. Second, surgical procedures and cleft care services were prioritized according to their relationship to functional outcomes and time-sensitivity. The surgical procedures assigned the highest priority were emergent interventions for breathing and nutritional requirements and primary palatoplasty. The cleft care services assigned the highest priority were new-born assessments, pediatric support for children with syndromes, management of acute dental or auditory infections and speech pathology intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>A collaborative, interdisciplinary and international working group delivered consensus recommendations to assist with the provision of cleft care in low- and middle-income countries. At a time of global cleft care delays due to COVID-19, a united approach amongst global cleft care providers will be advantageous to advocate for children born with cleft lip and palate in resource-constrained settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211069827","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T10:47:26Z","timestamp":1641293246000},"page":"526-535","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Adapting Elements of Cleft Care Protocols in Low- and Middle-income Countries During and After COVID-19: A Process-driven Review With Recommendations"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7776-2877","authenticated-orcid":false,"given":"Matthew","family":"Fell","sequence":"first","affiliation":[{"name":"CLEFT Charity, Chelmsford, UK"},{"name":"Cleft Collective, University of Bristol, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Goldwasser","sequence":"additional","affiliation":[{"name":"Operation Smile, Virginia Beach, USA"},{"name":"Craniofacial and Surgical Care, University of North Carolina School of Dentistry, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.S.","family":"Jayanth","sequence":"additional","affiliation":[{"name":"ABMSS, Bengaluru, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui Manuel Rodrigues","family":"Pereira","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina da Universidade de Sao Paulo, Sau Paulo, Brazil"},{"name":"Instituto de Medicina Integral Prof Fernando Figueira, Recife, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian Tshisuz","family":"Nawej","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de Lubumbashi, Democratic Republic of Congo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Winer","sequence":"additional","affiliation":[{"name":"Transforming Faces, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeti","family":"Daftari","sequence":"additional","affiliation":[{"name":"Transforming Faces, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugh","family":"Brewster","sequence":"additional","affiliation":[{"name":"Transforming Faces, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Goldschmied","sequence":"additional","affiliation":[{"name":"Craniofacial and Surgical Care, University of North Carolina School of Dentistry, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Collaborators: Fernando","family":"Almas","sequence":"additional","affiliation":[{"name":"Project Harar, London United Kingdom and Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mekonen","family":"Eshete","sequence":"additional","affiliation":[{"name":"Cleft Lip and Palate Program, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George W.","family":"Galiwango","sequence":"additional","affiliation":[{"name":"CORSU Rehabilitation Hospital, Kisubi, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Larry H.","family":"Hollier","sequence":"additional","affiliation":[{"name":"Smile Train Global Medical Advisory Board, New York, USA"},{"name":"Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Department of Surgery, Texas Children's Hospital, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhter","family":"Hussain","sequence":"additional","affiliation":[{"name":"ABMSS, Bengaluru, India"},{"name":"Yenepoya Dental College, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lun-Jou","family":"Lo","sequence":"additional","affiliation":[{"name":"Noordhoff Craniofacial Foundation, Taipei, Taiwan"},{"name":"Craniofacial Center, Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Salins","sequence":"additional","affiliation":[{"name":"ABMSS, Bengaluru, India"},{"name":"Mazumdar Shaw Medical Centre, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debbie","family":"Sell","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanuel","family":"Tafase","sequence":"additional","affiliation":[{"name":"Project Harar, London United Kingdom and Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald M.","family":"Zuker","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Canada"},{"name":"The University of Toronto, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,1,4]]},"reference":[{"key":"bibr1-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1597\/15-292"},{"key":"bibr2-10556656211069827","unstructured":"American Cleft Palate-Craniofacial Association 2020a. Statement on cleft Lip\/palate related surgeries and team care during the COVID-19 pandemic. Available at: https:\/\/acpa-cpf.org\/wp-content\/uploads\/2020\/04\/ACPA-Position-Statement-During-COVID-19_4.1.2020.pdf. (Accessed October 14, 2021)."},{"key":"bibr3-10556656211069827","unstructured":"American Cleft Palate-Craniofacial Association 2020b. Statement on speech and audiology services during the COVID-19 pandemic. Available at: https:\/\/acpa-cpf.org\/wp-content\/uploads\/2020\/04\/ACPA-Position-Statement-During-COVID-19_Speech-and-Audiology.pdf. (Accessed October 14, 2021)."},{"key":"bibr4-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2016.01.009"},{"key":"bibr5-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003080"},{"key":"bibr6-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.0796"},{"key":"bibr7-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318219c171"},{"key":"bibr8-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007067"},{"key":"bibr9-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1080\/01942638.2020.1825032"},{"key":"bibr10-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3637-4"},{"key":"bibr11-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1597\/06-244"},{"key":"bibr12-10556656211069827","unstructured":"Circle of Cleft Professionals 2021a. Available at: https:\/\/cleftcircle.org. (Accessed October 14, 2021)."},{"key":"bibr13-10556656211069827","unstructured":"Circle of Cleft Professionals 2021b. Solutions for comprehensive cleft care. Available at: https:\/\/solutions4ccc.com. (Accessed October 14, 2021)."},{"key":"bibr14-10556656211069827","unstructured":"Circle of Cleft Professionals 2021c. Vaccine equity declaration. Available at: https:\/\/transformingfaces.org\/cocp\/vaccine-health-worker-awareness-week\/. (Accessed October 14, 2021)."},{"key":"bibr15-10556656211069827","unstructured":"Cleft Development Group 2020. A message for cleft patients and their parents from the cleft teams in the UK and Ireland. Available at: https:\/\/www.clapa.com\/news-item\/a-message-from-uk-and-ireland-cleft-teams\/. (Accessed October 14, 2021)."},{"key":"bibr16-10556656211069827","unstructured":"Cleft Development Group 2021. Minutes of a meeting of the national UK NHS cleft development group. Available at: https:\/\/www.crane-database.org.uk\/content\/uploads\/2021\/10\/Confirmed_Minutes-of-a-Meeting-of-the-National-UK-NHS-Cleft-Development-Group_280521.pdf. (Accessed October 14, 2021)."},{"key":"bibr17-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-020-04886-y"},{"key":"bibr18-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/562892"},{"key":"bibr19-10556656211069827","unstructured":"Federation of Surgical Specialty Associations. Clinical guide to surgical prioritisation during the coronavirus pandemic. Available at: https:\/\/fssa.org.uk\/covid-19_documents.aspx. (Accessed October 14, 2021)."},{"key":"bibr20-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1597\/14-267"},{"key":"bibr21-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2013.11.012"},{"key":"bibr22-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620928779"},{"key":"bibr23-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.07.015"},{"key":"bibr24-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1111\/1460-6984.12592"},{"key":"bibr25-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1597\/11-085"},{"key":"bibr26-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.05.037"},{"key":"bibr27-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60695-4"},{"issue":"2","key":"bibr28-10556656211069827","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/j.1469-7610.2007.01833.x","volume":"49","author":"Murray L","year":"2007","journal-title":"J Child Psychol Psychiatry"},{"key":"bibr29-10556656211069827","unstructured":"NHS England. Cleft Lip and\/or palate quality dashboard 2018\/2019. Available at: https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2018\/03\/clp-metric-definitions-2018-19.pdf. (Accessed October 14, 2021)."},{"key":"bibr30-10556656211069827","unstructured":"Operation Smile. Medical global standards 2020. Available at: https:\/\/www.operationsmile.org\/sites\/default\/files\/2020%20Medical%20Global%20Standards%20-English.pdf. (Accessed October 14, 2021)."},{"key":"bibr31-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110318"},{"key":"bibr32-10556656211069827","first-page":"1","volume":"19","author":"Ramanathan M","year":"2021","journal-title":"J Maxillofac Oral Surg"},{"key":"bibr33-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)31265-7"},{"key":"bibr34-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003692"},{"key":"bibr35-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006331"},{"key":"bibr36-10556656211069827","volume-title":"Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies [Internet]","volume":"12","author":"Rotter T","year":"2019"},{"key":"bibr37-10556656211069827","unstructured":"Royal College of Paediatrics and Child Health 2020. National guidance for the recovery of elective surgery in children. Available at: https:\/\/www.rcpch.ac.uk\/resources\/national-guidance-recovery-elective-surgery-children. (Accessed October 14, 2021)."},{"key":"bibr38-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006822"},{"key":"bibr39-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000105332.57124.89"},{"key":"bibr40-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12112"},{"key":"bibr41-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12186"},{"key":"bibr42-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1159\/000337666"},{"key":"bibr43-10556656211069827","doi-asserted-by":"publisher","DOI":"10.20517\/2347-9264.2020.99"},{"key":"bibr44-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2016.1254644"},{"key":"bibr45-10556656211069827","unstructured":"Smile Train. Safety and quality protocol 2018. Available at: https:\/\/www.smiletrain.org\/sites\/default\/files\/2021-01\/safety-quality-protocol-english.pdf. (Accessed October 14, 2021)."},{"key":"bibr46-10556656211069827","first-page":"S0039","volume":"25","author":"Stoehr JR","year":"2021","journal-title":"Surgery"},{"key":"bibr47-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1136\/wjps-2020-000187"},{"key":"bibr48-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003656"},{"key":"bibr49-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1177\/1055665620940187"},{"key":"bibr50-10556656211069827","unstructured":"World Health Organisation 2021b. Continuity of essential health services: Facility assessment tool: a module from the suite of health service capacity assessments in the context of COVID-19 pandemic: interim guidance, 12 May 2021. Available at\n                      :\n                      https:\/\/apps.who.int\/iris\/handle\/10665\/341306?show=full\n                      .\n                      Accessed October 14, 2021"},{"key":"bibr51-10556656211069827","unstructured":"World Health Organisation 2003. WHO Generic Essential Emergency Equipment List. Available at: https:\/\/www.who.int\/surgery\/publications\/EEEGenericlist_revAug2012.pdf?ua=1. (Accessed October 14, 2021)."},{"key":"bibr52-10556656211069827","unstructured":"World Health Organisation 2021a. Second round of the national pulse survey on continuity of essential health services during the COVID-19 pandemic. Available at: https:\/\/www.who.int\/publications\/i\/item\/WHO-2019-nCoV-EHS-continuity-survey-2021.1. (Accessed October 14, 2021)."},{"key":"bibr53-10556656211069827","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007218"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656211069827","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656211069827","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656211069827","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:37Z","timestamp":1777393297000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/10556656211069827"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,4]]},"references-count":53,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1177\/10556656211069827"],"URL":"https:\/\/doi.org\/10.1177\/10556656211069827","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2021.10.14.21265004","asserted-by":"object"}]},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,4]]}}}