| Titre : | Development and preliminary testing of head and neck cancer related external lymphedema and fibrosis assessment criteria (2015) |
| Auteurs : | Jie Deng, Auteur ; Sheila H. Ridner, Auteur ; Nancy Wells, Auteur |
| Type de document : | Article |
| Dans : | European Journal of Oncology Nursing (Vol. 19, n° 1, February 2015) |
| Article en page(s) : | p. 75-80 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Etudes de validation ; Evaluation ; Fibrose ; Lymphoedeme ; Recherche ; Tumeurs de la tête et du cou |
| Résumé : |
Purpose
To develop assessment criteria for evaluating and documenting status of external lymphedema and fibrosis in patients with head and neck cancer (HNC). Methods This was a two-phase instrument development study. In Phase I, initial assessment criteria for head and neck external lymphedema and fibrosis were generated based on a conceptual framework developed to describe the continuum of lymphedema – fibrosis in HNC patients. The initial Head and Neck External Lymphedema and Fibrosis (HN-ELAF) Assessment Criteria with three components were revised based on expert feedback. In Phase II, a pilot study was conducted to evaluate the revised assessment criteria through direct physical examination of 30 HNC patients with facial swelling and/or scar-like tissue >3 months post-treatment. The following statistical methods were used to evaluate interrater reliability in Phase II: simple percent agreement, the Kappa statistic, and the concordance correlation coefficient. Then, a post-test revision was made to further modify the tool based on the results of the pilot test. Results In Phase I, the initial HN-ELAF was revised including deleting Grade 0 (subclinical disease) and two components (i.e., symptoms and functional impairments). The revised HN-ELAF Assessment Criteria demonstrated good content/face validity. In Phase II, the assessment criteria had an acceptable interrater reliability, e.g., 83% exact agreement on grading lymphedema and fibrosis severity; and kappa = 0.75 (p Conclusions Validation of the modified HN-ELAF Assessment Criteria in larger sample sizes is ongoing. |
| Disponible en ligne : | Non |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
