Li Q, Zhang J, Wu H Y, Shan X F, He Y, Yang Y
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2021 Sep 9;56(9):914-919. doi: 10.3760/cma.j.cn112144-20210608-00286.
To translate and revise the Mann assessment of swallowing ability-cancer (MASA-C) into Chinese according to postoperative patients with oral cancer and to evaluate the reliability and validity of Mann assessment of swallowing ability-oral cancer (MASA-OC) in postoperative patients with oral cancer. The MASA-C was translated into Chinese through pre-translation, reconciliation and back translation, then the Chinese MASA-C was revised to MASA-OC according to postoperative patients with oral cancer by expert panel and pre-investigation. One hundred and seven patients recieved oral cancer surgery in Peking University School and Hospital of Stomatology were selected by convenient sampling and investigated to evaluate the reliability and validity of the MASA-OC. The volume viscosity swallow test (V-VST) was used to determine the best diagnosis threshold of MASA-OC for dysphagia. The sensitivity, specificity, positive predictive value and negative predictive value were calculated and analyzed. The Chinese MASA-OC contained 15 items. The Cronbach's coefficient was 0.868. The content validity showed that the scale-level content validity index (S-CVI) was 1.00, the item-level content validity index (I-CVI) was 1.00 and the intraclass correlation coefficient between the researchers and the other reviewers was 0.985. The best diagnosis threshold of MASA-OC for dysphagia was 105, the sensitivity was 95.0%, the specificity was 92.5%, the positive predictive value was 97.4% and the negative predictive value was 86.2%. The introduction process of MASA-OC was scientific. MASA-OC showed good reliability and validity and reliable diagnostic efficacy MASA-OC could be used as an effective tool for scientific research and clinical practice of dysphagia in postoperative patients of oral cancer.
根据口腔癌术后患者情况将吞咽能力癌症评估量表（MASA-C）翻译成中文，并评估吞咽能力口腔癌评估量表（MASA-OC）在口腔癌术后患者中的信效度。通过预翻译、核对和回译将MASA-C翻译成中文，然后由专家小组和预调查根据口腔癌术后患者情况将中文MASA-C修订为MASA-OC。采用方便抽样法选取北京大学口腔医院接受口腔癌手术的107例患者进行调查，以评估MASA-OC的信效度。采用容积黏度吞咽试验（V-VST）确定MASA-OC对吞咽困难的最佳诊断阈值，并计算分析其灵敏度、特异度、阳性预测值和阴性预测值。中文MASA-OC包含15个条目，Cronbach's系数为0.868。内容效度方面，量表水平的内容效度指数（S-CVI）为1.00，条目水平的内容效度指数（I-CVI）为1.00，研究者与其他评审者之间的组内相关系数为0.985。MASA-OC对吞咽困难的最佳诊断阈值为105，灵敏度为95.0%，特异度为92.5%，阳性预测值为97.4%，阴性预测值为86.2%。MASA-OC的引入过程科学，显示出良好的信效度和可靠的诊断效能，可作为口腔癌术后患者吞咽困难科研及临床实践的有效工具。
