研究动态
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患者报告和临床医生评价的言语和吞咽结果之间的一致性 - 了解口腔癌术后患者的趋势。

Agreement between patient-reported and clinician-rated speech and swallowing outcomes - Understanding the trend in post-operative oral cavity cancer patients.

发表日期:2024 Oct 14
作者: Hasmithaa Balaji, Venkataraja U Aithal, Janet Jaison Varghese, K Devaraja, A N Naveena Kumar
来源: ORAL ONCOLOGY

摘要:

旨在找出口腔癌术后患者的临床医生评价与患者报告的言语和吞咽结果之间的一致性。在这项前瞻性观察性研究中,总共招募了 53 名术后口腔癌患者。言语障碍指数 - 卡纳达语 (SHI-K) 和吞咽障碍指数 - 卡纳达语 (DHI-K) 被用作患者报告的结果指标 (PROM),曼恩吞咽能力评估 - 癌症 (MASA-C)和 Ali Yavar Jung 国家语言学院
To find the agreement between clinician-rated and patient-reported speech and swallowing outcomes in post-operative oral cavity cancer patients.In this prospective observational study, a total of 53 post-operative oral cavity cancer patients were recruited. The Speech Handicap Index - Kannada (SHI-K) and the Dysphagia Handicap Index - Kannada (DHI-K) were used as the patient-reported outcome measures (PROMs), and the Mann Assessment of Swallowing Ability-Cancer (MASA-C) and Ali Yavar Jung National Institute of Speech & Hearing Disabilities (DIVYANGJAN) AYJNISHD(D)'s speech intelligibility rating scale were used as the clinician-rated scales to evaluate speech and swallowing status.Intraclass correlation coefficient (ICC) was poor, with a value of 0.480 between clinician-rated speech AYJNISHD(D)'s scale and patient-reported SHI-K scale. ICC was poor, with a value of 0.471 between clinician-rated swallowing MASA-C and patient-reported swallowing DHI-K.In our study, there was no agreement between patient-reported and clinician-rated speech and swallowing outcomes in post-operative oral cavity cancer patients. Incorporating PROMs into routine clinical practice is advisable, and clinicians need to balance PROMs with clinical and instrumental speech and swallowing assessments to ensure comprehensive care.Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.