Development of a Subjective Symptom Rating Scale for Postoperative Oral Dysfunction in Patients with Oral Cancer: Reliability and Validity of the Postoperative Oral Dysfunction Scale-10

Currently, there is no scale to subjectively assess postoperative oral dysfunction in patients with oral cancer. The purpose of this study was to evaluate the reliability and validity of the Postoperative Oral Dysfunction Scale (POD-10) that we developed. Between September 2019 and August 2021, 62 e...

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Published inDiagnostics (Basel) Vol. 11; no. 11; p. 2061
Main Authors Matsuda, Yuhei, Kumakura, Isami, Okui, Tatsuo, Karino, Masaaki, Aoi, Noriaki, Okuma, Satoe, Takeda, Mayu, Hayashida, Kenji, Sakamoto, Tatsunori, Kanno, Takahiro
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 07.11.2021
MDPI
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ISSN2075-4418
2075-4418
DOI10.3390/diagnostics11112061

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Abstract Currently, there is no scale to subjectively assess postoperative oral dysfunction in patients with oral cancer. The purpose of this study was to evaluate the reliability and validity of the Postoperative Oral Dysfunction Scale (POD-10) that we developed. Between September 2019 and August 2021, 62 eligible oral cancer patients (median age, 72 years; 42 men and 20 women) were enrolled in the study. The Cronbach’s alpha coefficient, which indicates the internal consistency of the scale, was 0.94, and the intraclass correlation coefficient, which indicates reproducibility, was 0.85 (95% confidential interval: 0.40–0.96, p < 0.05). Concurrent validity testing showed a statistically significant correlation between POD-10 and Eating Assessment Tool (EAT-10) (r = 0.89, p < 0.05). To test discriminant validity, statistically significant differences were found between early-stage cancer (stage I and II) and advanced-stage cancer (stage III and IV) (p < 0.05). Twenty-four points were calculated as the cutoff value for POD-10 using receiver operating characteristic analysis to calculate the cutoff value. The POD-10 was shown to be a clinically reliable and valid scale that can be used to subjectively assess postoperative oral dysfunction in patients with oral cancer and is expected to be used as a simple diagnostic tool.
AbstractList Currently, there is no scale to subjectively assess postoperative oral dysfunction in patients with oral cancer. The purpose of this study was to evaluate the reliability and validity of the Postoperative Oral Dysfunction Scale (POD-10) that we developed. Between September 2019 and August 2021, 62 eligible oral cancer patients (median age, 72 years; 42 men and 20 women) were enrolled in the study. The Cronbach’s alpha coefficient, which indicates the internal consistency of the scale, was 0.94, and the intraclass correlation coefficient, which indicates reproducibility, was 0.85 (95% confidential interval: 0.40–0.96, p < 0.05). Concurrent validity testing showed a statistically significant correlation between POD-10 and Eating Assessment Tool (EAT-10) (r = 0.89, p < 0.05). To test discriminant validity, statistically significant differences were found between early-stage cancer (stage I and II) and advanced-stage cancer (stage III and IV) (p < 0.05). Twenty-four points were calculated as the cutoff value for POD-10 using receiver operating characteristic analysis to calculate the cutoff value. The POD-10 was shown to be a clinically reliable and valid scale that can be used to subjectively assess postoperative oral dysfunction in patients with oral cancer and is expected to be used as a simple diagnostic tool.
Currently, there is no scale to subjectively assess postoperative oral dysfunction in patients with oral cancer. The purpose of this study was to evaluate the reliability and validity of the Postoperative Oral Dysfunction Scale (POD-10) that we developed. Between September 2019 and August 2021, 62 eligible oral cancer patients (median age, 72 years; 42 men and 20 women) were enrolled in the study. The Cronbach's alpha coefficient, which indicates the internal consistency of the scale, was 0.94, and the intraclass correlation coefficient, which indicates reproducibility, was 0.85 (95% confidential interval: 0.40-0.96, p < 0.05). Concurrent validity testing showed a statistically significant correlation between POD-10 and Eating Assessment Tool (EAT-10) (r = 0.89, p < 0.05). To test discriminant validity, statistically significant differences were found between early-stage cancer (stage I and II) and advanced-stage cancer (stage III and IV) (p < 0.05). Twenty-four points were calculated as the cutoff value for POD-10 using receiver operating characteristic analysis to calculate the cutoff value. The POD-10 was shown to be a clinically reliable and valid scale that can be used to subjectively assess postoperative oral dysfunction in patients with oral cancer and is expected to be used as a simple diagnostic tool.Currently, there is no scale to subjectively assess postoperative oral dysfunction in patients with oral cancer. The purpose of this study was to evaluate the reliability and validity of the Postoperative Oral Dysfunction Scale (POD-10) that we developed. Between September 2019 and August 2021, 62 eligible oral cancer patients (median age, 72 years; 42 men and 20 women) were enrolled in the study. The Cronbach's alpha coefficient, which indicates the internal consistency of the scale, was 0.94, and the intraclass correlation coefficient, which indicates reproducibility, was 0.85 (95% confidential interval: 0.40-0.96, p < 0.05). Concurrent validity testing showed a statistically significant correlation between POD-10 and Eating Assessment Tool (EAT-10) (r = 0.89, p < 0.05). To test discriminant validity, statistically significant differences were found between early-stage cancer (stage I and II) and advanced-stage cancer (stage III and IV) (p < 0.05). Twenty-four points were calculated as the cutoff value for POD-10 using receiver operating characteristic analysis to calculate the cutoff value. The POD-10 was shown to be a clinically reliable and valid scale that can be used to subjectively assess postoperative oral dysfunction in patients with oral cancer and is expected to be used as a simple diagnostic tool.
Author Okui, Tatsuo
Okuma, Satoe
Kumakura, Isami
Sakamoto, Tatsunori
Matsuda, Yuhei
Kanno, Takahiro
Takeda, Mayu
Aoi, Noriaki
Hayashida, Kenji
Karino, Masaaki
AuthorAffiliation 1 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Japan; kumakurakobe@gmail.com (I.K.); tokui@med.shimane-u.ac.jp (T.O.); karino71@med.shimane-u.ac.jp (M.K.); okuma125@med.shimane-u.ac.jp (S.O.); mtakeda@med.shimane-u.ac.jp (M.T.); tkanno@med.shimane-u.ac.jp (T.K.)
2 Department of Otolaryngology, Shimane University Faculty of Medicine, Izumo 693-8501, Japan; nori-aoi@med.shimane-u.ac.jp (N.A.); sakamoto_tatsunori@med.shimane-u.ac.jp (T.S.)
3 Department of Plastic and Reconstructive Surgery, Shimane University Hospital, Izumo 693-8501, Japan; kenji@med.shimane-u.ac.jp
AuthorAffiliation_xml – name: 1 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo 693-8501, Japan; kumakurakobe@gmail.com (I.K.); tokui@med.shimane-u.ac.jp (T.O.); karino71@med.shimane-u.ac.jp (M.K.); okuma125@med.shimane-u.ac.jp (S.O.); mtakeda@med.shimane-u.ac.jp (M.T.); tkanno@med.shimane-u.ac.jp (T.K.)
– name: 2 Department of Otolaryngology, Shimane University Faculty of Medicine, Izumo 693-8501, Japan; nori-aoi@med.shimane-u.ac.jp (N.A.); sakamoto_tatsunori@med.shimane-u.ac.jp (T.S.)
– name: 3 Department of Plastic and Reconstructive Surgery, Shimane University Hospital, Izumo 693-8501, Japan; kenji@med.shimane-u.ac.jp
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CitedBy_id crossref_primary_10_1016_j_soncn_2023_151407
crossref_primary_10_1007_s00455_022_10531_4
crossref_primary_10_1002_hed_27693
crossref_primary_10_1016_j_oraloncology_2022_105879
crossref_primary_10_3390_diagnostics13203161
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Snippet Currently, there is no scale to subjectively assess postoperative oral dysfunction in patients with oral cancer. The purpose of this study was to evaluate the...
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SubjectTerms Cancer therapies
Chemotherapy
Classification
Data collection
dysphagia
Head & neck cancer
Malnutrition
Measuring instruments
Microorganisms
Morphology
Oral cancer
oral dysfunction
oral function
Patients
postoperative oral dysfunction scale-10
Questionnaires
Radiation therapy
Reconstructive surgery
reliability
Reproducibility
Tongue
Validity
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Title Development of a Subjective Symptom Rating Scale for Postoperative Oral Dysfunction in Patients with Oral Cancer: Reliability and Validity of the Postoperative Oral Dysfunction Scale-10
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https://doi.org/10.3390/diagnostics11112061
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