D R Pan, E Juhlin, A N Tran, Q Wei, S Tang, A T Bui, N G Iyer, W T Lee
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Survey items focused on patient demographic information and physical examination were examined across variables such as expert department affiliation, academic designation, and years of experience and found to be without statistically significant differences. However, with consensus items related to social risk factors, it was determined that participants who had 15 or more years of experience or identified as otolaryngologists rated these items at a relatively lower value than their peers with less experience (p < 0.0001, p = 0.0017) or outside the field of otolaryngology (p = 0.0101). This study explicitly identifies patient variables to consider in head and neck cancer screening that have not previously been comprehensively or methodically assessed in current literature. 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引用次数: 0
摘要
本研究的目的是通过询问东南亚(即越南、老挝、中国和新加坡)当地社区相关患者风险因素的内容专家,确定头颈癌早期发现和预防的高价值问题。采用德尔菲法,在五个不同的合作医疗中心进行了三轮异步调查。对60个调查项目进行评估,以确定这些问题在头颈癌筛查中使用的相对价值水平的先验措施。77%的项目达成共识,尽管在相对重要性方面的结论存在差异,但没有项目被认为是低价值的。关注患者人口统计信息和体格检查的调查项目跨专家部门隶属关系、学术指定和经验年限等变量进行了检查,发现没有统计学上的显著差异。然而,对于与社会风险因素相关的共识项目,确定具有15年或以上经验或被确定为耳鼻喉科医生的参与者对这些项目的评价相对低于经验较少的同龄人(p < 0.0001, p = 0.0017)或耳鼻喉科以外的人(p = 0.0101)。本研究明确确定了头颈癌筛查中需要考虑的患者变量,这些变量在当前文献中尚未得到全面或系统的评估。提高对这些风险因素的认识可能有利于东南亚及其他地区未来头颈癌早期检测和预防项目的设计和实施,并对头颈癌的预后产生积极影响。
A Southeast Asian collaborative Delphi consensus on surveying risk factors for head and neck cancer screening and prevention.
The objective of this study was to determine high value questions for early detection and prevention of head and neck cancer by querying content experts on patient risk factors relevant to local communities in Southeast Asia (i.e., Vietnam, Laos, China, and Singapore). The Delphi method was employed using three rounds of asynchronous surveying which included participants among five different collaborating medical centers. 60 total survey items were assessed for consensus defined by a priori measures on the relative level of value of these questions for use in head and neck cancer screening. 77% of items reached a consensus and no items were concluded to be of low value despite differences in conclusions regarding relative importance. Survey items focused on patient demographic information and physical examination were examined across variables such as expert department affiliation, academic designation, and years of experience and found to be without statistically significant differences. However, with consensus items related to social risk factors, it was determined that participants who had 15 or more years of experience or identified as otolaryngologists rated these items at a relatively lower value than their peers with less experience (p < 0.0001, p = 0.0017) or outside the field of otolaryngology (p = 0.0101). This study explicitly identifies patient variables to consider in head and neck cancer screening that have not previously been comprehensively or methodically assessed in current literature. Increasing awareness of these risk factors may benefit the design and implementation of future head and neck cancer early detection and prevention programs in Southeast Asia and beyond as well as positively impact head and neck cancer outcomes.