OasisLMS

This study evaluates whether the psychosocial patient-reported outcome measures in the International Consortium for Health Outcomes Measurement Standard Set for cleft provide distinct and clinically useful information. Using data from 3,067 patients with cleft lip and/or palate, the authors found that the CLEFT-Q social function scale strongly overlapped with both the psychological and school function scales, suggesting limited added value and supporting its potential removal to reduce assessment burden for patients. Lower psychological function, school function, and facial appearance scores, along with the presence of a genetic syndrome, were associated with referral to psychosocial care. The authors also recommend adding additional assessments during the teenage years to improve longitudinal monitoring of psychosocial adjustment. 

Intended Audience

This educational activity is intended for all CME-related persons including plastic surgery practitioners, residents, and other healthcare professionals.

Learning Objectives

At the conclusion of this activity, participants will be able to:

1. Describe the role of CLEFT-Q patient-reported outcome measures in evaluating psychosocial functioning among patients with cleft lip and/or palate.
2. Compare the psychological, social, and school function scales according to the degree of overlap and unique information each provides.
3. Understand how CLEFT-Q psychological, school function, and facial appearance scores can be used to identify patients who may benefit from further psychosocial assessment.
4. Evaluate proposed modifications to the ICHOM Standard Set, including removal of the social function scale and the inclusion of additional assessments during the teenage years.

Editor-in-Chief: Kevin C. Chung, MD

Co-editor: Amy S. Colwell, MD

Srinivas M. Susarla, DMD, MD, MPH

Russell E. Ettinger, MD

• Systems-based Practice
• Medical Knowledge
• Practice-based Learning and Improvement

The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation
The American Society of Plastic Surgeons designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AMA PRA Category 1 Credit^TM: 1.0
Media:Journal Article
Release Date: 8/10/2026
Expiration Date: 8/10/2029*
Estimated time to complete this course: 1 hour
*Course access ends on course expiration date

Disclosure Policy
The American Society of Plastic Surgeons (ASPS) requires all faculty, authors, planners, reviewers, managers, staff and other individuals in a position to control or influence the content of an activity to disclose all relevant financial relationships or affiliations. All identified conflicts of interest must be resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.

Disclaimer: All relevant financial relationships for planners, faculty, and others in control of content (either individually or as a group) are reviewed by the ASPS Continuing Education Committee and have been mitigated, if applicable. 

The following planners/faculty members/reviewers have the following disclosures:

Anne F. Klassen, DPhil — Co-developer of the CLEFT-Q, which is owned by McMaster University and The Hospital for Sick Children, and may receive royalty/license revenue under her institution’s inventor-sharing policy.

The following planners and faculty members have no relevant financial relationships or affiliations to disclose:

Inge Apon, MD, MHS; Nikki van Leeuwen, PhD; Maarten J. Koudstaal, MD, DMD, PhD; Alexander C. Allori, MD, MPH; Carolyn R. Rogers-Vizena, MD; Eppo B. Wolvius, MD, DMD, PhD; Sarah L. Versnel, MD, PhD; Srinivas M. Susarla, DMD, MD, MPH; Russell E. Ettinger, MD

Recognition Statement

The Continuing Medical Education (CME) credits offered by this activity are enhanced by ASPS Learner Credit Reporting for learners who have opted into this reporting. Successful completion of this CME activity enables active American Board of Surgery (ABS) members the opportunity to earn credit toward the CME requirement of the ABS's Continuous Certification program when claimed within 30 days of completion of the activity.

Participants in ASPS-accredited education who want their CME credits reported to certifying and state licensing boards must opt-in to reporting and add their NPI as well as state license ID and/or collaborating board ID(s) before claiming credit.

Directly provided by the American Society of Plastic Surgeons® (ASPS®)