CLEFT RR- New app to Calculate Recurrence Risk in Cleft lip and Palate

Abstract

Objective To describe the Cleft Recurrence Risk (Cleft RR) App, designed to be used on genetic counseling for cleft lip and/ or palate. Design A validation study, single cohort. Setting Tertiary care children's Hospital. Patients, Participants The manual obtained the results of 100 cases undergoing genetic counseling at the cleft lip and palate treatment center. Interventions The application for genetic counseling for cleft lip and/ or palate is designed to calculate quickly the recurrence risk considering the ancestry, cleft type, sex, and family history and thus encourage the implementation of genetic counseling in cleft lip and palate centers around the world. Main Outcome Measure(s) The data were submitted to the Bland-Altman statistics. Results After defining parameters the application development follows the steps: development, prototyping, and documentation. The validation of the calculated data was performed by comparing the results of 100 cases undergoing genetic counseling at the cleft lip and palate treatment center obtained by the manual method with the results obtained by the mobile app method; the data were submitted to the Bland-Altman statistics and a high concordance was found. Conclusions The mobile app for use by healthcare professionals proved to be simple to use, easy to apply, and provided accurate results. Cleft Recurrence Risk is an application for smartphones developed for genetic counseling in cleft lip and palate, supplementary use by health professionals, and should not replace professional performance.