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Dysphagia

pp 1–17 | Cite as

What Are We Really Measuring? A Content Comparison of Swallowing Outcome Measures for Head and Neck Cancer Based on the International Classification of Functioning, Disability and Health (ICF)

  • Rebecca Louise NundEmail author
  • Bena Brown
  • Elizabeth Celeste Ward
  • Julia Maclean
  • Justin Roe
  • Joanne M. Patterson
  • Rosemary Martino
Original Article

Abstract

A combination of outcome measures are required to provide important information on the physiological profile and associated impact of dysphagia in head and neck cancer (HNC). Choosing the most appropriate tool can be a difficult and time-consuming process. The aim of this study was to identify and then compare the content of tools commonly used to assess swallowing post HNC care using the International Classification of Functioning Disability and Health (ICF) as a reference. A literature audit of 11 databases was conducted for relevant articles published between January 2004 and June 2017 and total of 502 papers met the inclusionary criteria. These papers were audited and 27 tools were identified which met the study criteria. The meaningful concepts contained in each tool were mapped to the ICF. Within the 27 tools, 898 meaningful concepts were identified and matched to 60 ICF categories. The most frequently matched ICF categories related to body functions, while comparatively few concepts matched to activity and participation and environmental factors. This study has identified that a large number of tools are currently being used in HNC research to measure swallowing outcomes. The sheer number of tools available to explore dysphagia post HNC highlights the lack of a uniform approach to outcome measurement which limits the potential to compare and combine research studies in order to strengthen treatment evidence. There is a need to develop an international consensus for a core outcome set of swallowing related measures, that capture the holistic impact of dysphagia, for HNC.

Keywords

Deglutition Deglutition disorders Head and neck cancer ICF Outcome measures 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declared that they have no conflict of interest.

Supplementary material

455_2019_10005_MOESM1_ESM.docx (16 kb)
Supplementary material 1 (DOCX 15 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.School of Health and Rehabilitation SciencesThe University of QueenslandBrisbaneAustralia
  2. 2.Centre for Functioning and Health Research, Metro South Hospital and Health ServiceBurandaAustralia
  3. 3.Speech Pathology DepartmentPrincess Alexandra HospitalWooloongabbaAustralia
  4. 4.Cancer Care Centre, St George HospitalKogarahAustralia
  5. 5.University of New South WalesSydneyAustralia
  6. 6.Department of Speech and Language TherapyThe Royal Marsden NHS Foundation TrustLondonUK
  7. 7.Department of Otolaryngology, Head and Neck Surgery, Charing Cross HospitalImperial College Healthcare NHS TrustLondonUK
  8. 8.Department of Surgery and Cancer, Faculty of MedicineImperial College LondonLondonUK
  9. 9.Institute for Health and SocietyNewcastle UniversityNewcastle upon TyneUK
  10. 10.Speech and Language Therapy DepartmentSunderland Royal HospitalSunderlandUK
  11. 11.Department of Speech Language PathologyRehabilitation Sciences InstituteTorontoCanada
  12. 12.Department of Otolaryngology-Head & Neck Surgery, Faculty of MedicineUniversity of TorontoTorontoCanada
  13. 13.Krembil Research InstituteUniversity Health NetworkTorontoCanada

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