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Preliminary evaluation of reliability and validity of head and neck external lymphedema and fibrosis assessment criteria.

Identifieur interne : 000823 ( PubMed/Corpus ); précédent : 000822; suivant : 000824

Preliminary evaluation of reliability and validity of head and neck external lymphedema and fibrosis assessment criteria.

Auteurs : Jie Deng ; Mary S. Dietrich ; Sheila H. Ridner ; Arthur C. Fleischer ; Nancy Wells ; Barbara A. Murphy

Source :

RBID : pubmed:27179894

English descriptors

Abstract

Measurement of head and neck external lymphedema and fibrosis (LEF) is challenging. To address this gap, we developed the Head and Neck External Lymphedema and Fibrosis (HN-LEF) Assessment Criteria. This article aimed to report preliminary data on reliability and validity of the HN-LEF Assessment Criteria.

DOI: 10.1016/j.ejon.2016.02.001
PubMed: 27179894

Links to Exploration step

pubmed:27179894

Le document en format XML

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<title xml:lang="en">Preliminary evaluation of reliability and validity of head and neck external lymphedema and fibrosis assessment criteria.</title>
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<name sortKey="Deng, Jie" sort="Deng, Jie" uniqKey="Deng J" first="Jie" last="Deng">Jie Deng</name>
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<nlm:affiliation>School of Nursing, Vanderbilt University, Nashville, TN, USA. Electronic address: jie.deng@vanderbilt.edu.</nlm:affiliation>
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<name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S" last="Dietrich">Mary S. Dietrich</name>
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<nlm:affiliation>School of Nursing, Vanderbilt University, Nashville, TN, USA.</nlm:affiliation>
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<name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H" last="Ridner">Sheila H. Ridner</name>
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<name sortKey="Fleischer, Arthur C" sort="Fleischer, Arthur C" uniqKey="Fleischer A" first="Arthur C" last="Fleischer">Arthur C. Fleischer</name>
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<nlm:affiliation>Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, USA.</nlm:affiliation>
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<name sortKey="Wells, Nancy" sort="Wells, Nancy" uniqKey="Wells N" first="Nancy" last="Wells">Nancy Wells</name>
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<name sortKey="Murphy, Barbara A" sort="Murphy, Barbara A" uniqKey="Murphy B" first="Barbara A" last="Murphy">Barbara A. Murphy</name>
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<nlm:affiliation>Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, TN, USA.</nlm:affiliation>
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<title level="j">European journal of oncology nursing : the official journal of European Oncology Nursing Society</title>
<idno type="eISSN">1532-2122</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Fibrosis</term>
<term>Head and Neck Neoplasms (complications)</term>
<term>Head and Neck Neoplasms (diagnostic imaging)</term>
<term>Head and Neck Neoplasms (pathology)</term>
<term>Humans</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Observer Variation</term>
<term>Reproducibility of Results</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Head and Neck Neoplasms</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Head and Neck Neoplasms</term>
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<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Head and Neck Neoplasms</term>
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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Fibrosis</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Observer Variation</term>
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<div type="abstract" xml:lang="en">Measurement of head and neck external lymphedema and fibrosis (LEF) is challenging. To address this gap, we developed the Head and Neck External Lymphedema and Fibrosis (HN-LEF) Assessment Criteria. This article aimed to report preliminary data on reliability and validity of the HN-LEF Assessment Criteria.</div>
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<Day>16</Day>
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<Month>05</Month>
<Day>31</Day>
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<Volume>22</Volume>
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<Year>2016</Year>
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<Title>European journal of oncology nursing : the official journal of European Oncology Nursing Society</Title>
<ISOAbbreviation>Eur J Oncol Nurs</ISOAbbreviation>
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<ArticleTitle>Preliminary evaluation of reliability and validity of head and neck external lymphedema and fibrosis assessment criteria.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Measurement of head and neck external lymphedema and fibrosis (LEF) is challenging. To address this gap, we developed the Head and Neck External Lymphedema and Fibrosis (HN-LEF) Assessment Criteria. This article aimed to report preliminary data on reliability and validity of the HN-LEF Assessment Criteria.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Sixty head and neck cancer (HNC) patients who were ≥3-month post cancer therapy were recruited. Study measures included 1) demographic/medical data; 2) LEF physical examination completed independently by two staff members for interrater reliability (intrarater reliability completed by one of them); and 3) grayscale ultrasound examination of the head and neck skin. Reliability estimates used percent agreement and Kappa statistic. Validity was assessed via Spearman correlations of physical examination findings with ultrasound measurements.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty-one out of 60 HNC patients completed both physical examination and ultrasound assessments. Interrater reliability: 91.0% agreement (Kappa = 0.81, p < 0.001) on the presence of types of LEF; 84.9% agreement regarding the grade of LEF (Kappa = 0.70, p < 0.001) across all anatomic sites. Intrarater reliability: 96.1% agreement for type of LEF; and 91.4% agreement for grade across all sites. Ultrasound examination demonstrates characteristics and patterns for different types of LEF (particularly in the cheek, submental, and neck regions).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The study provided initial reliability and validity data for a clinician-reported tool evaluating external LEF in the HNC population. These preliminary findings demonstrate that the tool had good reliability. Associations with the ultrasound examination results demonstrate that the tool validly captures soft tissue changes at select sites. Further validation of the tool is warranted.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<Keyword MajorTopicYN="N">Measurement</Keyword>
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