| Titre : | Response to Douglas Re: “Conclusions of Ghaheri's Study That Laser Surgery for Posterior Tongue and Lip Ties Improves Breastfeeding Are Not Substantiated” (2017) |
| Accompagne : | |
| Auteurs : | Bobak A. Ghaheri, Auteur ; Melissa Cole, Auteur |
| Type de document : | Article : texte imprimé |
| Dans : | Breastfeeding Medicine (Vol. 12, n°3, Avril 2017) |
| Article en page(s) : | pp. 182-183 |
| Langues: | Anglais |
| Catégories : | Chirurgie (Spécialité) ; Langue ; Lèvre |
| Résumé : |
"Dear Editor:
The authors would like to thank Dr. Douglas for her comments regarding our recently published article demonstrating improvement in infants with ankyloglossia and lip tie who undergo surgical release of tethered oral tissues.1,2 We address the concerns brought up in her letter to hopefully clarify some of the confusion regarding the interpretation of the results. We believe that the design of the study and, more importantly, the subset analysis of the study population help to eliminate some of the concerns brought up. Dr. Douglas only chooses to recognize the limitations or weaknesses of prospectively collected longitudinal study designs with complete data capture. Unfortunately, she omits the strengths of such a design, including usefulness in accurately assessing patient growth and development, identifying and measuring within-patient relationships, and making reliable inferences of treatment effect over time. Although we acknowledge that the Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF) has been shown to improve over time without intervention, we feel that the inclusion of the 1 week time point eliminates the impact of natural improvement. To assume that an entire cohort naturally improves coincidentally 1 week after surgical intervention is specious. In addition, to assume that natural progression would account for the improvement in the older babies in the study, both the 5–8-week olds and the 9–12-week olds, seems even more unlikely given the absence of natural improvement before inclusion in the study." [Extrait de l'article] |
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