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Research ArticleArticles

Validity and reliability of a novel patient reported outcome tool to evaluate post-operative dysphagia, odynophagia, and voice (DOV) disability after anterior cervical procedures

Joseph A Sclafani, Deborah I. Ross, Brian H. Weeks, Michelle Yang and Choll W. Kim
International Journal of Spine Surgery January 2017, 11 (5) 35; DOI: https://doi.org/10.14444/4035
Joseph A Sclafani
1Spine Institute of San Diego, Minimally Invasive Spine Center of Excellence
MD
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Deborah I. Ross
2San Diego Speech Therapy, San Diego, CA
CCC-SLP
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Brian H. Weeks
3Senta Clinic, San Diego, CA
MD
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Michelle Yang
1Spine Institute of San Diego, Minimally Invasive Spine Center of Excellence
BS
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Choll W. Kim
1Spine Institute of San Diego, Minimally Invasive Spine Center of Excellence
MD, PhD
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Article Figures & Data

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  • Fig. 1
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    Fig. 1

    An example of prevertebral soft tissue swelling after an anterior approach to cervical fusion. Such swelling can lead to dysphagia, odynophagia, or voice changes.

  • Fig. 2
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    Fig. 2

    The patient administered Dysphagia, Odynophagia, and Voice (DOV) survey.

  • Fig. 3
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    Fig. 3

    Cervical patients (AC) reported a significant increase in post-operative dysphagia, odynophagia, and voice disability.

  • Fig. 4
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    Fig. 4

    The non-cervical group (LD) did not demonstrate a significant increase in post-operative dysphagia (p=0.21), odynophagia (p=0.5), or voice (p=0.13) disability.

  • Fig. 5
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    Fig. 5

    Box and whisker plot depicting the score distribution of each DOV subscale. Mean value represented by (+), the box represents quartiles 1 through 3 intersected by the median value. Whiskers represent the maximum and minimum data points.

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    Fig. 6

    Box and whisker plot depicting the score distribution of each NOMS subscale. Mean value represented by (+), the box represents quartiles 1 through 3 intersected by the median value. Whiskers represent the maximum and minimum data points. NOMS V mean, median, quartile 1, and quartile 3 values were all 1, which is representative of a minimal to min-moderate limitation.

Tables

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    Table 1

    NOMS to DOV Conversion.

    Odnophagia Conversion
    VASDOV
    7 to 10Severe pain3
    4 to 7Moderate pain2
    1 to 3Mild pain1
    0No pain0
    Dysphagia Conversion
    NomsDOV
    1NPO + PEG4
    2NPO + PEG, trials with therapy only4
    3Peg + Chopped & Honey thick3
    4Thick liquids + Chopped or soft & nectar2
    5Either soft or nectar thick1
    6Extra time to eat but regular and thins0
    7Normal, regular and thins0
    Voice Conversion
    NomsDOV
    1No Voice3
    2Cannot functionally communicate3
    3Functional but severely limited2
    4Moderate limitation2
    5Min-Mod limitation1
    6Minimal limitation1
    7Normal0
    • View popup
    Table 2

    Chronbach’s Alpha Internal Reliability Values.

    ItemsCronbach Alpha
    All items0.7415
    Dysphagia excluded0.4631
    Odynophagia excluded0.8109
    Voice excluded0.5823
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International Journal of Spine Surgery
Vol. 11, Issue 5
1 Jan 2017
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Validity and reliability of a novel patient reported outcome tool to evaluate post-operative dysphagia, odynophagia, and voice (DOV) disability after anterior cervical procedures
Joseph A Sclafani, Deborah I. Ross, Brian H. Weeks, Michelle Yang, Choll W. Kim
International Journal of Spine Surgery Jan 2017, 11 (5) 35; DOI: 10.14444/4035

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Validity and reliability of a novel patient reported outcome tool to evaluate post-operative dysphagia, odynophagia, and voice (DOV) disability after anterior cervical procedures
Joseph A Sclafani, Deborah I. Ross, Brian H. Weeks, Michelle Yang, Choll W. Kim
International Journal of Spine Surgery Jan 2017, 11 (5) 35; DOI: 10.14444/4035
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Keywords

  • minimally invasive cervical surgery
  • dysphagia
  • odynophagia
  • voice disturbance
  • swallow dysfunction
  • patient reported outcome
  • instrument validation

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