口腔癌全周期吞咽障碍筛查与评估专家共识

Expert consensus on screening and evaluation of dysphagia in the whole cycle of oral cancer

目的形成《口腔癌全周期吞咽障碍筛查与评估专家共识》(简称《共识》),规范口腔癌全周期的吞咽障碍筛查与评估的相关内容。方法查阅国内外吞咽障碍相关文献,结合口腔癌的专科疾病特点和专家临床经验,通过深度访谈专家,初步形成《共识》,选取21名专家进行3轮专家函询和专家会议,结合专家意见,对相应条目进行整理、分析、修改,最终形成《共识》。结果3轮函询的问卷有效回收率均为100.00%(21/21),专家权威系数为0.91,各条目变异系数为0.04~0.20,肯德尔和谐系数为0.05(P<0.05)。最终形成的《共识》内容包括口腔癌对吞咽的影响、吞咽障碍的临床表现、筛查与评估的基本流程、评估中并发症的预防与处理4个方面。结论本《共识》具有一定的科学性、实用性,能为口腔癌全周期吞咽障碍筛查与评估提供临床指导。

Objective To form the expert consensus on screening and evaluation of dysphagia with oral cancer patients(abbreviated as Consensus),so as to standardize the relevant contents of screening and evaluation of dysphagia in the whole cycle of oral cancer.Methods By referring to domestic and foreign literature related to dysphagia,combining with the specialty characteristics of oral cancer and the clinical experience of experts,a preliminary consensus was formed through in-depth interviews with experts.A total of 21 experts were selected for three rounds of expert letter consultation and expert meeting,the corresponding items were sorted out,analyzed and modified based on expert opinions,and the Consensus was finally formed.Results The effective recovery rates of the three rounds of correspondence were 100.00%(21/21),the expert authority coefficient was 0.91,the variation coefficient of each item was 0.04-0.20,and Kendall's harmony coefficient was 0.05(P<0.05).The final consensus included four aspects,such as the effect of oral cancer on swallowing,the clinical manifestations of dysphagia,the basic procedures of screening and evaluation and the prevention and treatment of complications during evaluation.Conclusions This Consensus is scientific and practical,which can provide clinical guidance for the screening and evaluation of dysphagia in the whole cycle of oral cancer.