PMID- 25522220 OWN - NLM STAT- MEDLINE DCOM- 20170131 LR - 20170131 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 38 IP - 5 DP - 2016 May TI - Interpretation of the Swedish Self Evaluation of Communication Experiences after Laryngeal cancer: Cutoff levels and minimum clinically important differences. PG - 689-95 LID - 10.1002/hed.23955 [doi] AB - BACKGROUND: The purpose of this study was to establish minimum clinically important difference (MCID) scores for the Swedish Self-Evaluation of Communication Experiences after Laryngeal Cancer (S-SECEL) in order to facilitate clinical interpretation and identify cutoff values for voice rehabilitation. METHOD: One hundred nineteen patients with laryngeal cancer completed the S-SECEL instrument and an anchor question regarding acceptability of speech in a social context pretreatment and 12-month postoncologic treatment. Receiver operating characteristic (ROC) curves analysis was used for calculation of cutoff values. RESULTS: Voice rehabilitation cutoff values were identified for all domains (Total = 20; General = 4; Environmental = 16, and Attitudinal = 5), presenting acceptable sensitivity and specificity. Initial MCID estimates were obtained for all domains; improvement of -13 points (p < .0001) or a deterioration of +8 points (p = .035) for the Total domain. CONCLUSION: MCID and cutoff scores for the S-SECEL have been identified and may be used in clinical practice to help identify patients with laryngeal cancer in need of voice rehabilitation. CI - (c) 2015 Wiley Periodicals, Inc. FAU - Tuomi, Lisa AU - Tuomi L AD - Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden. FAU - Johansson, Mia AU - Johansson M AD - Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden. FAU - Andrell, Paulin AU - Andrell P AD - Department of Molecular and Clinical Medicine/Multidisciplinary Pain Center, Institute of Medicine, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden. FAU - Finizia, Caterina AU - Finizia C AD - Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150526 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 SB - IM MH - Aged MH - Communication Disorders/*diagnosis/etiology MH - *Diagnostic Self Evaluation MH - Disability Evaluation MH - Female MH - Humans MH - Laryngeal Neoplasms/*complications/rehabilitation MH - Male MH - Middle Aged MH - Quality of Life MH - ROC Curve MH - Speech MH - Surveys and Questionnaires MH - Voice OTO - NOTNLM OT - Swedish Self-Evaluation of Communication Experiences after Laryngeal Cancer (S-SECEL) OT - laryngeal neoplasms OT - patient outcome assessment OT - quality of life OT - voice EDAT- 2014/12/19 06:00 MHDA- 2017/02/01 06:00 CRDT- 2014/12/19 06:00 PHST- 2014/12/06 00:00 [accepted] PHST- 2014/12/19 06:00 [entrez] PHST- 2014/12/19 06:00 [pubmed] PHST- 2017/02/01 06:00 [medline] AID - 10.1002/hed.23955 [doi] PST - ppublish SO - Head Neck. 2016 May;38(5):689-95. doi: 10.1002/hed.23955. Epub 2015 May 26.