Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.
Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.
Oral Oncol. 2024 Dec;159:107068. doi: 10.1016/j.oraloncology.2024.107068. Epub 2024 Oct 14.
To find the agreement between clinician-rated and patient-reported speech and swallowing outcomes in post-operative oral cavity cancer patients.
In this prospective observational study, a total of 53 post-operative oral cavity cancer patients were recruited. The Speech Handicap Index - Kannada (SHI-K) and the Dysphagia Handicap Index - Kannada (DHI-K) were used as the patient-reported outcome measures (PROMs), and the Mann Assessment of Swallowing Ability-Cancer (MASA-C) and Ali Yavar Jung National Institute of Speech & Hearing Disabilities (DIVYANGJAN) AYJNISHD(D)'s speech intelligibility rating scale were used as the clinician-rated scales to evaluate speech and swallowing status.
Intraclass correlation coefficient (ICC) was poor, with a value of 0.480 between clinician-rated speech AYJNISHD(D)'s scale and patient-reported SHI-K scale. ICC was poor, with a value of 0.471 between clinician-rated swallowing MASA-C and patient-reported swallowing DHI-K.
In our study, there was no agreement between patient-reported and clinician-rated speech and swallowing outcomes in post-operative oral cavity cancer patients. Incorporating PROMs into routine clinical practice is advisable, and clinicians need to balance PROMs with clinical and instrumental speech and swallowing assessments to ensure comprehensive care.
探讨口腔癌术后患者临床医生评估的言语和吞咽结局与患者报告的结局之间的一致性。
在这项前瞻性观察研究中，共招募了 53 例口腔癌术后患者。采用言语障碍指数-卡纳达语（SHI-K）和吞咽障碍指数-卡纳达语（DHI-K）作为患者报告的结局测量（PROM），采用曼氏吞咽能力评估-癌症（MASA-C）和 Ali Yavar Jung 国立言语与听力障碍研究所（DIVYANGJAN）AYJNISHD(D)的言语清晰度评定量表作为临床医生评估的量表来评估言语和吞咽状况。
组内相关系数（ICC）值较低，临床医生评估的言语 AYJNISHD(D)量表与患者报告的 SHI-K 量表之间的 ICC 值为 0.480。临床医生评估的吞咽 MASA-C 量表与患者报告的吞咽 DHI-K 量表之间的 ICC 值为 0.471。
在我们的研究中，口腔癌术后患者的患者报告的言语和吞咽结局与临床医生评估的结果之间没有一致性。建议将 PROM 纳入常规临床实践，临床医生需要将 PROM 与临床和仪器评估的言语和吞咽评估相结合，以确保全面的护理。
