{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:22:36Z","timestamp":1777522956176,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess grommet insertion practice in the first 5 years of life among children with an orofacial cleft in England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Analysis of national administrative data of hospital admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>National Health Service hospitals, England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Patients born between 1997 and 2005 who underwent surgical cleft repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Children receiving grommets before the age of 5 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome Measures<\/jats:title>\n                    <jats:p>The proportion of children receiving grommets before the age of 5 years, the timing of the first grommet insertion, and the proportion of children having repeat grommet insertions were examined according to cleft type, the absence or presence of additional anomalies, socioeconomic deprivation, and region of residence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 8,269 children. Before the age of 5 years, 3,015 (36.5%) children received grommets. Of these, 33.2% received their first grommets at primary cleft repair and 33.3% underwent multiple grommet insertion procedures. The most common age for the first procedure was between 6 and 12 months. Children with a cleft affecting the palate were more likely to receive grommets than children with a cleft lip alone (45.5% versus 4.5%). Grommet insertion practice also varied according to year of birth, absence or presence of additional anomalies, socioeconomic deprivation, and region of residence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Grommets practice in children with a cleft appears to vary according to their clinical characteristics. The differences in practice observed according to deprivation and region of residence need to be further explored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/15-047","type":"journal-article","created":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T11:15:07Z","timestamp":1452510907000},"page":"80-89","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Grommet Surgery in Children with Orofacial Clefts in England"],"prefix":"10.1177","volume":"54","author":[{"given":"Kate J.","family":"Fitzsimons","sequence":"first","affiliation":[{"name":"CRANE Database, Clinical Effectiveness Unit, Royal College of Surgeons of England, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn P.","family":"Copley","sequence":"additional","affiliation":[{"name":"CRANE Database, Clinical Effectiveness Unit, Royal College of Surgeons of England, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan H.","family":"Van Der Meulen","sequence":"additional","affiliation":[{"name":"CRANE Database, Clinical Effectiveness Unit, Royal College of Surgeons of England, and Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Channa","family":"Panagamuwa","sequence":"additional","affiliation":[{"name":"Consultant Paediatric Ear, Nose, and Throat Surgeon, Department of Ear, Nose and Throat, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott A.","family":"Deacon","sequence":"additional","affiliation":[{"name":"CRANE Database, Clinical Effectiveness Unit, Royal College of Surgeons of England, London, United Kingdom."},{"name":"South West Cleft Unit, Bristol Dental Hospital, Bristol, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,1]]},"reference":[{"key":"bibr1-15-047","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2011.652309"},{"key":"bibr2-15-047","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1860-z"},{"key":"bibr3-15-047","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.164731"},{"key":"bibr4-15-047","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.308.6937.1129"},{"key":"bibr5-15-047","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/14.4.594"},{"key":"bibr6-15-047","volume-title":"CRANE Database Annual Report 2012","author":"CRANE Project team on behalf of the Cleft Development Group.","year":"2012"},{"key":"bibr7-15-047","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4780040112"},{"key":"bibr8-15-047","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-148"},{"key":"bibr9-15-047","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.07.015"},{"key":"bibr10-15-047","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1990_027_0036_hlacpt_2.3.co_2"},{"key":"bibr11-15-047","unstructured":"Health & Social Care Information Centre. Hospital Episode Statistics user guide. 2010. Available at: www.hscic.gov.uk\/hes. Accessed November 5, 2012."},{"key":"bibr12-15-047","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1958.10501452"},{"key":"bibr13-15-047","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2012.02.027"},{"key":"bibr14-15-047","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0323"},{"key":"bibr15-15-047","doi-asserted-by":"publisher","DOI":"10.1597\/10-006"},{"key":"bibr16-15-047","doi-asserted-by":"publisher","DOI":"10.3109\/00016488109133291"},{"key":"bibr17-15-047","volume-title":"Surgical Management of Otitis Media With Effusion in Children.","author":"National Collaborating Centre for Women's and Childrens Health.","year":"2008"},{"key":"bibr18-15-047","volume-title":"Surgical Management of Otitis Media With Effusion in Children.","author":"National Institute for Health and Clinical Excellence.","year":"2008"},{"key":"bibr19-15-047","volume-title":"OPCS Classification of Interventions and Procedures: Version 4.4.","author":"NHS Connecting for Health","year":"2007"},{"key":"bibr20-15-047","volume-title":"Birth Statistics, England and Wales (Series FM1).","author":"Office for National Statistics","year":"2008"},{"key":"bibr21-15-047","volume-title":"Index of Multiple Deprivation, 2004.","author":"Office of the Deputy Prime Minister.","year":"2004"},{"key":"bibr22-15-047","doi-asserted-by":"publisher","DOI":"10.1597\/07-219.1"},{"key":"bibr23-15-047","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(03)00098-3"},{"key":"bibr24-15-047","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2010.04.016"},{"key":"bibr25-15-047","unstructured":"Welsh Government. Stats Wales: Live Births by Year and Age of Mother. 2015. Available at: https:\/\/statswales.wales.gov.uk\/Catalogue\/Health-and-Social-Care\/Births-Deaths-and-Conceptions\/Births\/livebirths-by-year-ageofmother. Accessed November 22, 2013."},{"key":"bibr26-15-047","volume-title":"International Statistical Classification of Diseases and Related Health Problems. 10th revision ed.","author":"World Health Organization","year":"1992"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/15-047","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1597\/15-047","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1597\/15-047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:19:08Z","timestamp":1777393148000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1597\/15-047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1597\/15-047"],"URL":"https:\/\/doi.org\/10.1597\/15-047","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}