A systematic review of validated assessments methods for head and neck lymphedema

Coralie R. Arends; Josephine E. Lindhout; Lisette van der Molen; Erica A. Wilthagen; Michiel W.M. van den Brekel; Martijn M. Stuiver

doi:https://doi.org/10.1007/s00405-023-07841-0

A systematic review of validated assessments methods for head and neck lymphedema

Coralie R. Arends, Josephine E. Lindhout, Lisette van der Molen, Erica A. Wilthagen, Michiel W.M. van den Brekel, Martijn M. Stuiver

Research output: Contribution to journal › Review article › Academic › peer-review

Abstract

Purpose:

This systematic review aimed to provide a comprehensive overview of the validity and reliability of existing measurement instruments for quantifying head and neck lymphedema.

Methods:

Four databases were searched on January 31st, 2022. The COnsensus-based Standards for selecting health Measurement INstruments (COSMIN) checklists were used for the risk of bias (ROB) assessment.

Results:

Out of 3362 unique records, eight studies examined the reliability and validity of five measurement instruments of which one patient reported outcome. The Patterson scale for internal lymphedema and the patient reported head and neck external lymphedema and fibrosis (LIDS-H&N) demonstrated validity and reliability. For external lymphedema, none of the instruments had good reliability for all measuring points.

Conclusion:

There is a lack of sufficiently reliable and valid measurement instruments for external head and neck lymphedema. The Patterson scale and the patient reported LIDS-H&N seem reliable for clinical practice and research.

Original language	English
Pages (from-to)	2653-2661
Number of pages	9
Journal	European Archives of Oto-Rhino-Laryngology
Volume	280
Issue number	6
Early online date	2023
DOIs	https://doi.org/10.1007/s00405-023-07841-0
Publication status	Published - Jun 2023

Keywords

Head and neck cancer
Lymphedema
Measurement
Reliability
Validity

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title = "A systematic review of validated assessments methods for head and neck lymphedema",

abstract = "Purpose: This systematic review aimed to provide a comprehensive overview of the validity and reliability of existing measurement instruments for quantifying head and neck lymphedema. Methods: Four databases were searched on January 31st, 2022. The COnsensus-based Standards for selecting health Measurement INstruments (COSMIN) checklists were used for the risk of bias (ROB) assessment. Results: Out of 3362 unique records, eight studies examined the reliability and validity of five measurement instruments of which one patient reported outcome. The Patterson scale for internal lymphedema and the patient reported head and neck external lymphedema and fibrosis (LIDS-H&N) demonstrated validity and reliability. For external lymphedema, none of the instruments had good reliability for all measuring points. Conclusion: There is a lack of sufficiently reliable and valid measurement instruments for external head and neck lymphedema. The Patterson scale and the patient reported LIDS-H&N seem reliable for clinical practice and research.",

keywords = "Head and neck cancer, Lymphedema, Measurement, Reliability, Validity",

author = "Arends, {Coralie R.} and Lindhout, {Josephine E.} and {van der Molen}, Lisette and Wilthagen, {Erica A.} and {van den Brekel}, {Michiel W.M.} and Stuiver, {Martijn M.}",

note = "Funding Information: ATOS Medical provides a grant to support the research infrastructure of the Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam. Funding Information: Financial support was provided by the Verwelius Foundation. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

month = jun,

doi = "https://doi.org/10.1007/s00405-023-07841-0",

language = "English",

volume = "280",

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journal = "European Archives of Oto-Rhino-Laryngology",

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T1 - A systematic review of validated assessments methods for head and neck lymphedema

AU - Arends, Coralie R.

AU - Lindhout, Josephine E.

AU - van der Molen, Lisette

AU - Wilthagen, Erica A.

AU - van den Brekel, Michiel W.M.

AU - Stuiver, Martijn M.

N1 - Funding Information: ATOS Medical provides a grant to support the research infrastructure of the Department of Head and Neck Oncology and Surgery, Netherlands Cancer Institute, Amsterdam. Funding Information: Financial support was provided by the Verwelius Foundation. Publisher Copyright: © 2023, The Author(s).

PY - 2023/6

Y1 - 2023/6

N2 - Purpose: This systematic review aimed to provide a comprehensive overview of the validity and reliability of existing measurement instruments for quantifying head and neck lymphedema. Methods: Four databases were searched on January 31st, 2022. The COnsensus-based Standards for selecting health Measurement INstruments (COSMIN) checklists were used for the risk of bias (ROB) assessment. Results: Out of 3362 unique records, eight studies examined the reliability and validity of five measurement instruments of which one patient reported outcome. The Patterson scale for internal lymphedema and the patient reported head and neck external lymphedema and fibrosis (LIDS-H&N) demonstrated validity and reliability. For external lymphedema, none of the instruments had good reliability for all measuring points. Conclusion: There is a lack of sufficiently reliable and valid measurement instruments for external head and neck lymphedema. The Patterson scale and the patient reported LIDS-H&N seem reliable for clinical practice and research.

AB - Purpose: This systematic review aimed to provide a comprehensive overview of the validity and reliability of existing measurement instruments for quantifying head and neck lymphedema. Methods: Four databases were searched on January 31st, 2022. The COnsensus-based Standards for selecting health Measurement INstruments (COSMIN) checklists were used for the risk of bias (ROB) assessment. Results: Out of 3362 unique records, eight studies examined the reliability and validity of five measurement instruments of which one patient reported outcome. The Patterson scale for internal lymphedema and the patient reported head and neck external lymphedema and fibrosis (LIDS-H&N) demonstrated validity and reliability. For external lymphedema, none of the instruments had good reliability for all measuring points. Conclusion: There is a lack of sufficiently reliable and valid measurement instruments for external head and neck lymphedema. The Patterson scale and the patient reported LIDS-H&N seem reliable for clinical practice and research.

KW - Head and neck cancer

KW - Lymphedema

KW - Measurement

KW - Reliability

KW - Validity

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A systematic review of validated assessments methods for head and neck lymphedema

Abstract

Keywords

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