Journal article
InCISE: Instrument for Comprehensive Incisional and Surgical Evaluation
The Laryngoscope, Vol.133(9), pp.2166-2173
09/2023
DOI: 10.1002/lary.30439
PMCID: PMC10097828
PMID: 36226730
Abstract
Objective: The evaluation of healing after head and neck surgery is currently qualitative and non-standardized, limiting the quality of surgical healing assessments in clinical and research settings. We sought to develop an objective, standardized wound assessment score, and hypothesize that a reliable instrument can be developed to evaluate head and neck surgical wounds.
Methods: A prospective cohort study was conducted in a tertiary-care, academic head and neck surgery practice. Patients undergoing head and neck surgery were enrolled. A digital photograph protocol was developed for evaluating healing surgical wounds. A panel of experts developed and refined a wound healing score and established reliability, reproducibility, internal consistency, and validity of the score.
Results: InCISE: Instrument for comprehensive incisional and surgical evaluation was created. The utility of our wound healing score was assessed using classical test theory. We performed the major steps of establishing reliability in head and neck surgeons: (1) internal consistency (Cronbach's α = 0.81), (2) inter-observer reliability (intra-class correlation = 0.76), and (3) intra-rater reliability (intra-class correlation = 0.87), and content validity (through focus groups). Our composite measure was found to have strong internal consistency, inter-rater reliability, and intra-rater reliability. Preliminary work suggests criterion validity via associations with physical health related quality of life (SF-12).
Conclusion: A wound healing score for head and neck surgery, InCISE, has been developed and is reliable, reproducible, and consistent. Although content validity is present and criterion validity is suggested, work continues to establish validity in this instrument to allow for expanded clinical and research use.
Details
- Title: Subtitle
- InCISE: Instrument for Comprehensive Incisional and Surgical Evaluation
- Creators
- Amy Anne D. Lassig - Division of Head and Neck Surgery, Department of Otolaryngology–Head and Neck Surgery, Hennepin Healthcare Research Institute/Hennepin County Medical Center, Minneapolis, MN, United StatesBruce R. Lindgren - University of MinnesotaAnna C. Wilson - Division of Head and Neck Surgery, Department of Otolaryngology–Head and Neck Surgery, Hennepin Healthcare Research Institute/Hennepin County Medical Center, Minneapolis, MN, United StatesAnne M. Joseph - University of MinnesotaMark Davison - University of MinnesotaBevan Yueh - University of Minnesota
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.133(9), pp.2166-2173
- DOI
- 10.1002/lary.30439
- PMID
- 36226730
- PMCID
- PMC10097828
- NLM abbreviation
- Laryngoscope
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Number of pages
- 8
- Grant note
- University of Minnesota (http://data.elsevier.com/vocabulary/SciValFunders/100007249) Hennepin Healthcare Research Institute (http://data.elsevier.com/vocabulary/SciValFunders/100017245) P30 CA77598 / National Institutes of Health (http://data.elsevier.com/vocabulary/SciValFunders/100000002) P30 CA77598 / National Institutes of Health (100000002) UL1TR002494 / National Center for Advancing Translational Sciences (http://data.elsevier.com/vocabulary/SciValFunders/100006108)
- Language
- English
- Date published
- 09/2023
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984966854402771
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