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Entwicklung eines ICF-basierten Leitfadens für die Beurteilung funktioneller Aspekte bei Kopf-Hals-Tumoren [Development of an ICF-based clinical practice guideline for the assessment of function in head and neck cancer]

Entwicklung eines ICF-basierten Leitfadens für die Beurteilung funktioneller Aspekte bei Kopf-Hals-Tumoren [Development of an ICF-based clinical practice guideline for the assessment of function in head and neck cancer]
Entwicklung eines ICF-basierten Leitfadens für die Beurteilung funktioneller Aspekte bei Kopf-Hals-Tumoren [Development of an ICF-based clinical practice guideline for the assessment of function in head and neck cancer]
BACKGROUND: Functional outcome following head and neck cancer is not regularly assessed in a standardized way in clinical practice. Clinical trials assessing functional outcome apply many different instruments. Therefore, results are not always comparable and have limited clinical implications. Aim of this study was the identification, interdisciplinary evaluation, and recommendation of functional outcome instruments for use in clinical practice and clinical trials in patients with HNC.

MATERIAL: Preparatory studies came up with a shortlist of outcome instruments on the basis of previously determined criteria. An interdisciplinary expert group evaluated these instruments and decided on which ones can be recommended for use in 3 application areas: screening, therapy evaluation/planning, and clinical trials. Decision making health professionals included physicians (ENT and maxillofacial surgeons, radiotherapists, oncologists), medical psychologists, speech and language therapists, physiotherapists, and social workers.

RESULTS: 98 instruments were presented at the consensus conference. Altogether 21 participants recommended for each of the 3 application areas a basic set of measures for the evaluation of impairment in 6 functional domains: follow-up therapy monitoring, pain, ingestion, voice/speaking, other organic problems, and psychosocial problems.

CONCLUSION: A multi-professional expert's pool discussed and adopted recommendations for the use of functional outcome instruments in clinical praxis and/or in research. The re-commended instruments are now available for use in clinical routine.
0935-8943
314-325
Tschiesner, U.
5dff43fa-243d-4ed1-b0f3-7d33715243db
Stier-Jarmer, M.
0a44032a-a929-4031-9797-ac1ff1dcc91c
Strieth, S.
ac366206-9371-4d74-bda7-8df993d570fb
Singer, C.
1179a166-8b25-423d-8c3d-07856b317c31
Dietz, A.
53b2ea92-7713-4b88-afcb-b90cdfa216ce
Fietkau, R.
92f44632-ae25-4e3b-9bd5-b4263e9f83d4
Fialka-Moser, V.
c5e19979-72b9-4a68-bd4b-290f686e931e
Wollenberg, B.
c231a884-0761-4e29-a165-57193a6e5a6a
Mast, G.
839b69a7-6d53-4441-9b7b-a44cec48e12c
Cieza, A.
a0df25c5-ee2c-4580-82b3-d0a75591580e
Harréus, U.A.
89087991-0f59-4014-968b-f2c58ef8c42a
Tschiesner, U.
5dff43fa-243d-4ed1-b0f3-7d33715243db
Stier-Jarmer, M.
0a44032a-a929-4031-9797-ac1ff1dcc91c
Strieth, S.
ac366206-9371-4d74-bda7-8df993d570fb
Singer, C.
1179a166-8b25-423d-8c3d-07856b317c31
Dietz, A.
53b2ea92-7713-4b88-afcb-b90cdfa216ce
Fietkau, R.
92f44632-ae25-4e3b-9bd5-b4263e9f83d4
Fialka-Moser, V.
c5e19979-72b9-4a68-bd4b-290f686e931e
Wollenberg, B.
c231a884-0761-4e29-a165-57193a6e5a6a
Mast, G.
839b69a7-6d53-4441-9b7b-a44cec48e12c
Cieza, A.
a0df25c5-ee2c-4580-82b3-d0a75591580e
Harréus, U.A.
89087991-0f59-4014-968b-f2c58ef8c42a

Tschiesner, U., Stier-Jarmer, M., Strieth, S., Singer, C., Dietz, A., Fietkau, R., Fialka-Moser, V., Wollenberg, B., Mast, G., Cieza, A. and Harréus, U.A. (2013) Entwicklung eines ICF-basierten Leitfadens für die Beurteilung funktioneller Aspekte bei Kopf-Hals-Tumoren [Development of an ICF-based clinical practice guideline for the assessment of function in head and neck cancer]. Laryngo-Rhino-Otologie, 92 (5), 314-325. (doi:10.1055/s-0032-1333235). (PMID:23364863)

Record type: Article

Abstract

BACKGROUND: Functional outcome following head and neck cancer is not regularly assessed in a standardized way in clinical practice. Clinical trials assessing functional outcome apply many different instruments. Therefore, results are not always comparable and have limited clinical implications. Aim of this study was the identification, interdisciplinary evaluation, and recommendation of functional outcome instruments for use in clinical practice and clinical trials in patients with HNC.

MATERIAL: Preparatory studies came up with a shortlist of outcome instruments on the basis of previously determined criteria. An interdisciplinary expert group evaluated these instruments and decided on which ones can be recommended for use in 3 application areas: screening, therapy evaluation/planning, and clinical trials. Decision making health professionals included physicians (ENT and maxillofacial surgeons, radiotherapists, oncologists), medical psychologists, speech and language therapists, physiotherapists, and social workers.

RESULTS: 98 instruments were presented at the consensus conference. Altogether 21 participants recommended for each of the 3 application areas a basic set of measures for the evaluation of impairment in 6 functional domains: follow-up therapy monitoring, pain, ingestion, voice/speaking, other organic problems, and psychosocial problems.

CONCLUSION: A multi-professional expert's pool discussed and adopted recommendations for the use of functional outcome instruments in clinical praxis and/or in research. The re-commended instruments are now available for use in clinical routine.

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More information

e-pub ahead of print date: 2013
Published date: 30 January 2013
Organisations: Psychology

Identifiers

Local EPrints ID: 351424
URI: http://eprints.soton.ac.uk/id/eprint/351424
ISSN: 0935-8943
PURE UUID: ab6bda45-5cb5-4501-9f8e-0fa3eeed7fa0

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Date deposited: 19 Apr 2013 13:45
Last modified: 14 Mar 2024 13:39

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Contributors

Author: U. Tschiesner
Author: M. Stier-Jarmer
Author: S. Strieth
Author: C. Singer
Author: A. Dietz
Author: R. Fietkau
Author: V. Fialka-Moser
Author: B. Wollenberg
Author: G. Mast
Author: A. Cieza
Author: U.A. Harréus

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