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

IF 3.9 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Oral oncology Pub Date : 2024-12-01 Epub Date: 2024-10-14 DOI:10.1016/j.oraloncology.2024.107068

Hasmithaa Balaji , Venkataraja U. Aithal , Janet Jaison Varghese , K. Devaraja , A.N. Naveena Kumar

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Abstract

Aim

To find the agreement between clinician-rated and patient-reported speech and swallowing outcomes in post-operative oral cavity cancer patients.

Methods

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.

Results

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.

Conclusion

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.

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患者报告的言语和吞咽效果与临床医生评定的言语和吞咽效果之间的一致性--了解口腔癌术后患者的趋势

方法在这项前瞻性观察研究中，共招募了 53 名口腔癌术后患者。患者报告的结果测量指标（PROMs）为言语障碍指数-卡纳达语（SHI-K）和吞咽困难障碍指数-卡纳达语（DHI-K），临床医生评定的结果测量指标为曼氏吞咽能力评估-癌症（MASA-C）和阿里-亚瓦尔-荣格国家言语及听力残疾研究所（DIVYANGJAN）AYJNISHD(D)的言语清晰度评定量表，以评估言语和吞咽状况。结果临床医师评定的 AYJNISHD（D）言语清晰度量表与患者报告的 SHI-K 量表之间的类间相关系数（ICC）较低，仅为 0.480。临床医生评分的吞咽 MASA-C 与患者报告的吞咽 DHI-K 之间的 ICC 差值为 0.471。将 PROM 纳入常规临床实践是可取的，临床医生需要在 PROM 与临床和工具性言语和吞咽评估之间取得平衡，以确保提供全面的护理。

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来源期刊

Oral oncology 医学-牙科与口腔外科

CiteScore

8.70

自引率

10.40%

发文量

505

审稿时长

20 days

期刊介绍： Oral Oncology is an international interdisciplinary journal which publishes high quality original research, clinical trials and review articles, editorials, and commentaries relating to the etiopathogenesis, epidemiology, prevention, clinical features, diagnosis, treatment and management of patients with neoplasms in the head and neck. Oral Oncology is of interest to head and neck surgeons, radiation and medical oncologists, maxillo-facial surgeons, oto-rhino-laryngologists, plastic surgeons, pathologists, scientists, oral medical specialists, special care dentists, dental care professionals, general dental practitioners, public health physicians, palliative care physicians, nurses, radiologists, radiographers, dieticians, occupational therapists, speech and language therapists, nutritionists, clinical and health psychologists and counselors, professionals in end of life care, as well as others interested in these fields.