Tschiesner U, Cieza A, Rogers S N, Piccirillo J, Funk G, Stucki G, Berghaus A
Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilians University, Marchioninistr 15, 81377, Munich, Germany.
Eur Arch Otorhinolaryngol. 2007 Oct;264(10):1215-22. doi: 10.1007/s00405-007-0335-8. Epub 2007 Jun 14.
Problems in functioning are frequently seen in survivors of head and neck cancer (HNC) and proof to have increasing impact on their quality of life. With the approval of the International Classification of Functioning, Disability and Health (ICF) by the World Health Assembly in May 2001, we can now rely on a globally accepted framework and classification system based on a bio-psycho-social mode to assess and compare functional outcome. To make the ICF-classification with more than 1.400 categories applicable to every-day clinical practice, ICF core sets are established. The objective of this paper is to outline the proposed development process for the ICF core set for HNC and to invite international experts to participate in this process. The ICF core set will be defined at a Consensus conference, which will integrate evidence from preparatory studies, namely: (a) a systematic literature review regarding the outcome measures of clinical trails and observational studies, (b) semi-structured patient interviews, (c) international experts participating in a internet-based survey and (d) cross-sectional, multi-center studies for clinical applicability. To validate the ICF core set field-testing will follow. The ICF provides useful standards of clinical rehabilitation practice, research and teaching. Its application stimulates comparability of outcome parameters, eventually improving understanding of functioning and disability. The ICF can function as a new language, simplifying communication and cooperation between various professional backgrounds and between health professionals and their patients eventually leading to a more effective and economic rehabilitation. The ICF core set for HNC is designed to translate the benefits of the ICF into clinical routine. The development of ICF core sets is an inclusive and open process. Anyone who wishes to actively participate is invited to contact the project coordinator (Uta.Tschiesner@med.uni-muenchen.de). Individuals, institutions and associations can be formally associated as partners of the project.
头颈部癌症（HNC）幸存者经常出现功能方面的问题，且事实证明这些问题对他们的生活质量影响日益增大。随着世界卫生大会于2001年5月批准《国际功能、残疾和健康分类》（ICF），我们现在可以依赖一个基于生物心理社会模式的全球公认框架和分类系统来评估和比较功能结果。为使包含1400多个类别的ICF分类适用于日常临床实践，已制定了ICF核心集。本文的目的是概述提议的HNC的ICF核心集开发过程，并邀请国际专家参与这一过程。ICF核心集将在一次共识会议上确定，该会议将整合来自预备研究的证据，即：（a）关于临床试验和观察性研究结果指标的系统文献综述，（b）半结构化患者访谈，（c）参与基于互联网调查的国际专家，以及（d）用于临床适用性的横断面、多中心研究。为验证ICF核心集，随后将进行现场测试。ICF为临床康复实践、研究和教学提供了有用的标准。其应用促进了结果参数的可比性，最终增进了对功能和残疾的理解。ICF可作为一种新的语言，简化不同专业背景之间以及卫生专业人员与其患者之间的沟通与合作，最终实现更有效和经济的康复。HNC的ICF核心集旨在将ICF 的益处转化为临床常规。ICF核心集的开发是一个包容且开放的过程。任何希望积极参与的人都被邀请联系项目协调员（Uta.Tschiesner@med.uni-muenchen.de）。个人、机构和协会可以正式成为该项目的合作伙伴。
