A systematic review of body image measures for people diagnosed with head and neck cancer (HNC)

doi:10.1007/s00520-019-04919-6

. 2019 Oct;27(10):3657-3666.

doi: 10.1007/s00520-019-04919-6. Epub 2019 Jun 15.

A systematic review of body image measures for people diagnosed with head and neck cancer (HNC)

Chindhu Shunmuga Sundaram^{1

2}, Haryana M Dhillon^{1

2}, Phyllis N Butow^{1

2}, Puma Sundaresan^{3

4}, Claudia Rutherford^{5

6}

Affiliations

¹ Centre for Medical Psychology and Evidence-based Decision-making, School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia.
² Psycho-Oncology Cooperative Research Group, University of Sydney, Sydney, NSW, Australia.
³ Radiation Oncology Network, Western Sydney Local Health District, Sydney, Australia.
⁴ Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
⁵ Quality of Life Office, School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia. claudia.rutherford@sydney.edu.au.
⁶ Sydney Nursing School, Cancer Nursing Research Unit (CNRU), University of Sydney, Sydney, Australia. claudia.rutherford@sydney.edu.au.

PMID: 31203508
DOI: 10.1007/s00520-019-04919-6

A systematic review of body image measures for people diagnosed with head and neck cancer (HNC)

Chindhu Shunmuga Sundaram et al. Support Care Cancer. 2019 Oct.

. 2019 Oct;27(10):3657-3666.

doi: 10.1007/s00520-019-04919-6. Epub 2019 Jun 15.

Authors

Chindhu Shunmuga Sundaram^{1

2}, Haryana M Dhillon^{1

2}, Phyllis N Butow^{1

2}, Puma Sundaresan^{3

4}, Claudia Rutherford^{5

6}

Affiliations

¹ Centre for Medical Psychology and Evidence-based Decision-making, School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia.
² Psycho-Oncology Cooperative Research Group, University of Sydney, Sydney, NSW, Australia.
³ Radiation Oncology Network, Western Sydney Local Health District, Sydney, Australia.
⁴ Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
⁵ Quality of Life Office, School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW, Australia. claudia.rutherford@sydney.edu.au.
⁶ Sydney Nursing School, Cancer Nursing Research Unit (CNRU), University of Sydney, Sydney, Australia. claudia.rutherford@sydney.edu.au.

PMID: 31203508
DOI: 10.1007/s00520-019-04919-6

Abstract

Purpose: Head and neck cancer (HNC) is a relatively common cancer which causes a significant health burden, impacting individuals physically and psychologically. HNC treatment may result in facial disfigurement, eating and communication difficulties, and body image disturbances. We aimed to (1) identify HNC-specific patient-reported outcome measures (PROMs) used to assess body image, (2) evaluate their conceptual coverage, (3) appraise their development process and psychometric properties, and (4) determine appropriate body image PROM(s) for use in the HNC setting.

Methods: Online databases were searched (July 2007-July 2017) for studies that assessed body image in patients with HNC. Studies were screened for eligibility. In addition, we searched three PROM databases for relevant PROMs. From available body image frameworks, we compiled a conceptual schema consisting of 18 clinically relevant body image issues important in the HNC setting, against which PROMs were assessed. Selected measures were appraised for psychometric characteristics, content, and readability.

Results: A total of 245 records were retrieved. 18 studies with PROMs met our inclusion criteria, reporting eight PROMs. The PROM databases searched yielded 62 measures. After screening, eleven measures were short-listed and appraised. The Derriford Appearance Scale (DAS)-59, DAS-24, and body image scale (BIS) cover > 55% of issues within the body image conceptual schema; were developed based on literature, patient interviews, and clinician opinions; and have evidence of internal consistency (Cronbach alpha > 0.7), validity, and responsiveness.

Conclusions: We recommend the DAS-24 and BIS as having adequate coverage of HNC-related issues, and suitable for use in future research.

Keywords: Body image; Content validity; Head and neck cancer; Patient-reported outcome measures; Systematic review; Validation.

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References

1. Joshi P, Dutta S, Chaturvedi P, Nair S (2014) Head and neck cancers in developing countries. Rambam Maimonides Med J 5(2):e0009 - PubMed - PMC - DOI
1. Mehanna H, Paleri V, West CML, Nutting C (2010) Head and neck cancer—part 1: epidemiology, presentation, and prevention. Bmj 341:c4684 - PubMed - DOI
1. Simard EP, Torre LA, Jemal A (2014) International trends in head and neck cancer incidence rates: differences by country, sex and anatomic site. Oral Oncol 50(5):387–403 - DOI - PubMed
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[1] Joshi P, Dutta S, Chaturvedi P, Nair S (2014) Head and neck cancers in developing countries. Rambam Maimonides Med J 5(2):e0009 - PubMed - PMC - DOI

[2] Joshi P, Dutta S, Chaturvedi P, Nair S (2014) Head and neck cancers in developing countries. Rambam Maimonides Med J 5(2):e0009 - PubMed - PMC - DOI

[3] Mehanna H, Paleri V, West CML, Nutting C (2010) Head and neck cancer—part 1: epidemiology, presentation, and prevention. Bmj 341:c4684 - PubMed - DOI

[4] Mehanna H, Paleri V, West CML, Nutting C (2010) Head and neck cancer—part 1: epidemiology, presentation, and prevention. Bmj 341:c4684 - PubMed - DOI

[5] Simard EP, Torre LA, Jemal A (2014) International trends in head and neck cancer incidence rates: differences by country, sex and anatomic site. Oral Oncol 50(5):387–403 - DOI - PubMed

[6] Simard EP, Torre LA, Jemal A (2014) International trends in head and neck cancer incidence rates: differences by country, sex and anatomic site. Oral Oncol 50(5):387–403 - DOI - PubMed

[7] Das R et al (2017) A study of head and neck cancer patients with special reference to tobacco use and educational level. Clin Cancer Investig J 6(1):21 - DOI

[8] Das R et al (2017) A study of head and neck cancer patients with special reference to tobacco use and educational level. Clin Cancer Investig J 6(1):21 - DOI

[9] Lambert R, Sauvaget C, de Camargo Cancela M, Sankaranarayanan R (2011) Epidemiology of cancer from the oral cavity and oropharynx. Eur J Gastroenterol Hepatol 23(8):633–641 - DOI - PubMed

[10] Lambert R, Sauvaget C, de Camargo Cancela M, Sankaranarayanan R (2011) Epidemiology of cancer from the oral cavity and oropharynx. Eur J Gastroenterol Hepatol 23(8):633–641 - DOI - PubMed

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A systematic review of body image measures for people diagnosed with head and neck cancer (HNC)

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A systematic review of body image measures for people diagnosed with head and neck cancer (HNC)

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