Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Head Neck. 2012 Jun;34(6):797-804. doi: 10.1002/hed.21816. Epub 2011 Aug 24.
The prevalence, severity, and functional implications of adverse oral health outcomes attributed to head and neck cancer therapy are largely undefined. We report development of an oral health outcome subscale for the Vanderbilt Head and Neck Symptom Survey (VHNSS).
Oral health outcome questions were formulated through literature review and consultation with an expert panel. Questions were incorporated into the VHNSS resulting in a 50-item survey, scored 0 (none) to 10 (severe). The tool was administered to 70 subjects who completed radiation to assess for feasibility.
Patient acceptance was high with a completion time <10 minutes. A full range of scores was noted for 46 of 50 questions. Oral health symptom burden was high early and late posttreatment.
The VHNSS version 2.0 was feasible and could be completed in a timely manner. Validation studies are ongoing. The high prevalence of adverse oral health outcomes warrants further study.
归因于头颈部癌症治疗的不良口腔健康结果的流行程度、严重程度和功能影响在很大程度上尚未确定。我们报告了范德比尔特头颈部症状调查（VHNSS）口腔健康结果子量表的开发。
通过文献回顾和专家小组咨询制定了口腔健康结果问题。这些问题被纳入 VHNSS，形成了一个 50 项的调查，得分从 0（无）到 10（严重）。该工具被用于 70 名接受放射治疗的患者，以评估其可行性。
患者接受度很高，完成时间<10 分钟。50 个问题中的 46 个问题都有完整的分数范围。治疗后早期和晚期口腔健康症状负担很高。
VHNSS 版本 2.0 是可行的，并且可以在规定时间内完成。正在进行验证研究。不良口腔健康结果的高患病率需要进一步研究。
