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Validation of the National Institutes of Health chronic GVHD Oral Mucosal Score using component-specific measures (CROSBI ID 229153)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Bassim, Carol W. ; Fassil, Hareya ; Mays, Jacqueline W. ; Edwards, Dean ; Baird, Kristin ; Steinberg, Seth M. ; Williams, Kirsten M. ; Cowen, Edward W. ; Mitchell, Sandra ; Cole, Kristen et al. Validation of the National Institutes of Health chronic GVHD Oral Mucosal Score using component-specific measures // Bone marrow transplantation (Basingstoke), 49 (2014), 1; 116-121. doi: 10.1038/bmt.2013.137

Podaci o odgovornosti

Bassim, Carol W. ; Fassil, Hareya ; Mays, Jacqueline W. ; Edwards, Dean ; Baird, Kristin ; Steinberg, Seth M. ; Williams, Kirsten M. ; Cowen, Edward W. ; Mitchell, Sandra ; Cole, Kristen ; Taylor, Tiffany ; Avila, Daniele N. ; Zhang, Dan ; Pulanić, Dražen ; Grković, Lana ; Fowler, Daniel H. ; Gress, Ronald E. ; Pavletić, Steven Živko

engleski

Validation of the National Institutes of Health chronic GVHD Oral Mucosal Score using component-specific measures

Oral chronic GVHD (cGVHD) is a common, late complication of alloSCT that is associated with significant patient morbidity. The NIH Oral Mucosal Score (NIH OMS) was developed to assess oral cGVHD therapeutic response, but has not been fully validated. This study’s purpose was to conduct a rigorous construct validity and internal consistency analysis of this score and its components (erythema, lichenoid, ulcers, mucoceles) using established measures of oral pain, oral function, oral-related quality-of- life, nutrition and laboratory parameters in 198 patients with cGVHD. The construct validity of the NIH OMS was supported: a moderate correlation was observed between NIH OMS and mouth pain (rho=0.43), while a weaker correlation was observed with low albumin (rho= −0.26). Total NIH OMS, erythema and lichenoid components were associated with malnutrition, oral pain and impaired oral QOL, while ulcers were only associated with oral pain. No associations were found between mucoceles and any indicator evaluated, including salivary function or xerostomia. Kappa determined between scale components was low overall (all less than or equal to0.35), supporting a conclusion that each component measures a distinct manifestation of oral cGVHD. This study supports the use of the NIH OMS and its components (erythema, lichenoid and ulcerations) to measure clinician-reported severity of oral cGVHD.

oral cGVHD ; chronic graft-versus-host disease ; validation

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Podaci o izdanju

49 (1)

2014.

116-121

objavljeno

0268-3369

10.1038/bmt.2013.137

Povezanost rada

Kliničke medicinske znanosti

Poveznice
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