Moving beyond surgical excellence: a qualitative systematic review into the perspectives and experiences of children, adolescents, and adults living with a rare congenital craniofacial condition and their parents

This qualitative systematic review aims to get a better understanding of what it means to live with a rare congenital craniofacial condition according to patients and their parents. Eight patient representatives provided input to this study. After a systematic search, 1,291 studies were screened an...

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Main Authors: Mariët Faasse, Hester M. van de Bovenkamp, Karolijn Dulfer, Virginie Kauffman, Ivana Marinac, Veronica Leonardi, Gareth Davies, Philippe Pakter, Jana Angelova, Karen Wilkinson-Bell, Lars Kölby, Marizela Kljajić
Format: Article
Language:English
Published: Medical Journals Sweden 2025-02-01
Series:Journal of Plastic Surgery and Hand Surgery
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Online Access:https://medicaljournalssweden.se/JPHS/article/view/42953
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author Mariët Faasse
Hester M. van de Bovenkamp
Karolijn Dulfer
Virginie Kauffman
Ivana Marinac
Veronica Leonardi
Gareth Davies
Philippe Pakter
Jana Angelova
Karen Wilkinson-Bell
Lars Kölby
Marizela Kljajić
author_facet Mariët Faasse
Hester M. van de Bovenkamp
Karolijn Dulfer
Virginie Kauffman
Ivana Marinac
Veronica Leonardi
Gareth Davies
Philippe Pakter
Jana Angelova
Karen Wilkinson-Bell
Lars Kölby
Marizela Kljajić
author_sort Mariët Faasse
collection DOAJ
description This qualitative systematic review aims to get a better understanding of what it means to live with a rare congenital craniofacial condition according to patients and their parents. Eight patient representatives provided input to this study. After a systematic search, 1,291 studies were screened and 32 qualitative and mixed methods articles (> 691 participants) were included. ENhancing Transparency in REporting the synthesis of Qualitative research (ENTREQ), Cochrane, and COnsolidated criteria for REporting Qualitative research (COREQ) checklists were used for reporting qualitative evidence synthesis and assessment of reporting of included studies. Studies predominantly included parents’ perspectives and used mixed samples of diagnosis and sometimes combined the parent and patient perspectives. The results sections of the articles were analyzed inductively using Thematic Synthesis (i.e. line-by-line coding, generating descriptive and analytical themes). Five analytical themes were identified that describe experiences and perspectives: (1) Healthcare experiences, (2) Raising and Growing up, (3) Development of character, (4) Physical impact of the condition, and (5) Social experiences. Underlying themes illustrate that the different aspects throughout life are intertwined, that relationships in all different domains play an important role in shaping perspectives, and that experiences may change over time. Furthermore, it demonstrates that living with a craniofacial condition and undergoing treatment is multifaceted and that the perspectives of patients and parents may differ. In conclusion, well-being and quality of life of patients and their parents are dependent on many different aspects, and surgeons and other healthcare professionals should tailor their skills, expertise, and support to individual-specific needs besides medical indications and move beyond surgical excellence.
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spelling doaj-art-d5dd362357754e3b82b96c7b71e808992025-08-25T11:16:01ZengMedical Journals SwedenJournal of Plastic Surgery and Hand Surgery2000-67642025-02-0160110.2340/jphs.v60.42953Moving beyond surgical excellence: a qualitative systematic review into the perspectives and experiences of children, adolescents, and adults living with a rare congenital craniofacial condition and their parentsMariët Faasse0Hester M. van de Bovenkamp1Karolijn Dulfer2Virginie Kauffman3Ivana Marinac4Veronica Leonardi5Gareth Davies6Philippe Pakter7Jana Angelova8Karen Wilkinson-Bell9Lars Kölby10Marizela Kljajić11Dutch National Patient and Parents Society for congenital craniofacial conditions, Landelijke Patienten- en Oudervereniging voor Schedel- en/of Aangezichtsaandoeningen, (LAPOSA), ePAG ERN CRANIO, the Netherlands; Erasmus School of Health Policy and Management, Health Care Governance, Erasmus University, Rotterdam, the NetherlandsErasmus School of Health Policy and Management, Health Care Governance, Erasmus University, Rotterdam, the NetherlandsIntensive Care Unit, Department of Paediatrics and Paediatric Surgery, Erasmus Medical Centre, Sophia Children’s Hospital, Rotterdam, the NetherlandsPatient and Parent Society for syndromic craniosynostosis, Les P’tits Courageaux, ePAG ERN CRANIO, FranceRare Disease Croatia, Hrvatski Savez za rijetke bolesti, ePAG ERN CRANIO, CroatiaPatient and Parent Craniosynostosis Society, Associazione Craniostenosi AICRA, ePAG ERN CRANIO, ItalyEuropean Cleft Organisation, ePAG ERN CRANIO, the NetherlandsPierre Robin Europe, ePAG ERN CRANIO, SwitzerlandPatient Society for cleft lip and palate, Association ALA, ePAG ERN CRANIO, BulgariaHeadlines Craniofacial Support, ePAG ERN CRANIO, United KingdomPlastic Surgery, Sahlgrenska University Hospital, member ERN CRANIO, Göteborg, SwedenPlastic Surgery, Sahlgrenska University Hospital, member ERN CRANIO, Göteborg, Sweden This qualitative systematic review aims to get a better understanding of what it means to live with a rare congenital craniofacial condition according to patients and their parents. Eight patient representatives provided input to this study. After a systematic search, 1,291 studies were screened and 32 qualitative and mixed methods articles (> 691 participants) were included. ENhancing Transparency in REporting the synthesis of Qualitative research (ENTREQ), Cochrane, and COnsolidated criteria for REporting Qualitative research (COREQ) checklists were used for reporting qualitative evidence synthesis and assessment of reporting of included studies. Studies predominantly included parents’ perspectives and used mixed samples of diagnosis and sometimes combined the parent and patient perspectives. The results sections of the articles were analyzed inductively using Thematic Synthesis (i.e. line-by-line coding, generating descriptive and analytical themes). Five analytical themes were identified that describe experiences and perspectives: (1) Healthcare experiences, (2) Raising and Growing up, (3) Development of character, (4) Physical impact of the condition, and (5) Social experiences. Underlying themes illustrate that the different aspects throughout life are intertwined, that relationships in all different domains play an important role in shaping perspectives, and that experiences may change over time. Furthermore, it demonstrates that living with a craniofacial condition and undergoing treatment is multifaceted and that the perspectives of patients and parents may differ. In conclusion, well-being and quality of life of patients and their parents are dependent on many different aspects, and surgeons and other healthcare professionals should tailor their skills, expertise, and support to individual-specific needs besides medical indications and move beyond surgical excellence. https://medicaljournalssweden.se/JPHS/article/view/42953Patient experienceparent-child relationscraniofacial abnormalitiescraniosynostosiscraniofacial microsomiamicrotia
spellingShingle Mariët Faasse
Hester M. van de Bovenkamp
Karolijn Dulfer
Virginie Kauffman
Ivana Marinac
Veronica Leonardi
Gareth Davies
Philippe Pakter
Jana Angelova
Karen Wilkinson-Bell
Lars Kölby
Marizela Kljajić
Moving beyond surgical excellence: a qualitative systematic review into the perspectives and experiences of children, adolescents, and adults living with a rare congenital craniofacial condition and their parents
Journal of Plastic Surgery and Hand Surgery
Patient experience
parent-child relations
craniofacial abnormalities
craniosynostosis
craniofacial microsomia
microtia
title Moving beyond surgical excellence: a qualitative systematic review into the perspectives and experiences of children, adolescents, and adults living with a rare congenital craniofacial condition and their parents
title_full Moving beyond surgical excellence: a qualitative systematic review into the perspectives and experiences of children, adolescents, and adults living with a rare congenital craniofacial condition and their parents
title_fullStr Moving beyond surgical excellence: a qualitative systematic review into the perspectives and experiences of children, adolescents, and adults living with a rare congenital craniofacial condition and their parents
title_full_unstemmed Moving beyond surgical excellence: a qualitative systematic review into the perspectives and experiences of children, adolescents, and adults living with a rare congenital craniofacial condition and their parents
title_short Moving beyond surgical excellence: a qualitative systematic review into the perspectives and experiences of children, adolescents, and adults living with a rare congenital craniofacial condition and their parents
title_sort moving beyond surgical excellence a qualitative systematic review into the perspectives and experiences of children adolescents and adults living with a rare congenital craniofacial condition and their parents
topic Patient experience
parent-child relations
craniofacial abnormalities
craniosynostosis
craniofacial microsomia
microtia
url https://medicaljournalssweden.se/JPHS/article/view/42953
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