Tschiesner Uta, Becker Sven, Cieza Alarcos
Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilians University, Munich, Marchioninistr 15, Munich, Germany.
Arch Otolaryngol Head Neck Surg. 2010 Jun;136(6):576-83. doi: 10.1001/archoto.2010.78.
To evaluate problems after head and neck cancer (HNC) from the multidisciplinary team perspective; to classify the results using the International Classification of Functioning, Disability, and Health (ICF); and to compare the results with a patient perspective.
Internet-based survey.
There were 103 participants from 27 countries: 50 physicians (otolaryngologists, maxillofacial specialists, and radiation and medical oncologists) and 53 nonphysicians (dentists, psychologists, physiotherapists, speech swallowing therapists, nurses, and social workers).
Health professionals involved in the treatment of HNC were asked about relevant problems. The survey was Internet based and included 5 questions, 1 for each of the ICF components: Body Functions, Body Structures, Activities and Participation, and contextual Environmental and Personal factors. Answers were translated into ICF categories by 2 independent researchers, and frequencies were calculated. The results were compared with the outcomes of patient interviews based on similar questions.
A total of 3643 different answers translated into the ICF using 160 different second-level ICF categories. Less than 1% of answers were not covered by the ICF. There was high consistency in the ratings of food ingestion, pain, and the relevance of the immediate family. In general, health professionals tended to emphasize aspects of anatomical defects and body image, whereas areas of speech and exercise tolerance functions were more often named by patients.
The ICF seems to be a comprehensive tool for classifying problems after HNC from the multidisciplinary health professional perspective. There are important differences between the health professional and patient perspectives. We should be aware of this during cancer follow-up sessions and in the creation of rehabilitation plans.
从多学科团队的角度评估头颈癌（HNC）后的问题；使用国际功能、残疾和健康分类（ICF）对结果进行分类；并将结果与患者的观点进行比较。
基于互联网的调查。
来自27个国家的103名参与者：50名医生（耳鼻喉科医生、颌面外科专家、放疗和医学肿瘤学家）和53名非医生（牙医、心理学家、物理治疗师、言语吞咽治疗师、护士和社会工作者）。
询问参与HNC治疗的卫生专业人员有关的问题。该调查基于互联网，包括5个问题，每个ICF组成部分各1个问题：身体功能、身体结构、活动和参与以及背景性环境和个人因素。由2名独立研究人员将答案翻译成ICF类别，并计算频率。将结果与基于类似问题的患者访谈结果进行比较。
总共3643个不同的答案被翻译成ICF，使用了160个不同的ICF二级类别。不到1%的答案未被ICF涵盖。在食物摄入、疼痛和直系亲属的相关性评分方面具有高度一致性。总体而言，卫生专业人员倾向于强调解剖缺陷和身体形象方面，而患者更常提及言语和运动耐量功能方面。
从多学科卫生专业人员的角度来看，ICF似乎是一种用于对头颈癌后问题进行分类的综合工具。卫生专业人员和患者的观点存在重要差异。在癌症随访期间和制定康复计划时，我们应该意识到这一点。
