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A systematic review of oral assessment instruments: what can we recommend to practitioners in children's and young people's cancer care?

Gibson, F, Auld, EM, Bryan, G, Coulson, S, Craig, JV and Glenny, AM (2010) A systematic review of oral assessment instruments: what can we recommend to practitioners in children's and young people's cancer care? Cancer Nurs, 33 (4). E1-E19.

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BACKGROUND: Observing and recording the signs and symptoms of oral mucositis are an important part of oral care, essential to the prevention and treatment of mucositis. Structured oral assessment enables a more informed and accurate identification of signs and symptoms and will enable early and individualized interventions. OBJECTIVE: A United Kingdom-based mouth-care group conducted a systematic review of the published literature through to March 2004 and repeated in 2008. The goal of this review was to identify and evaluate the range of instruments used to assess oral mucositis to recommend in evidence-based guidelines the "best" instrument to use in the field of children's and young people's cancer care. METHODS: Search sources included the Cochrane Library, MEDLINE, EMBASE, and CINAHL. Studies were selected using defined criteria and reviewed by 3 pairs of group members. RESULTS: Fifty-four individual oral assessment instruments were identified with only 15 reporting evidence of reliability and validity testing. Only 3 articles reported on oral assessment exclusively in our population. CONCLUSIONS: The guidelines recommend only 1 assessment instrument, the Oral Assessment Guide, or adaptations of this instrument, to be used in clinical practice. Five factors influenced this recommendation: purpose of assessment, population, outcomes assessed, and quality of the instrument and ease of use. IMPLICATIONS FOR PRACTICE: The Oral Assessment Guide has been consistently judged to be user-friendly and appropriate for everyday clinical practice with both adults and children, as well as a useful research tool.

Item Type: Article
Subjects : Biosciences
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
Gibson, F
Auld, EM
Bryan, G
Coulson, S
Craig, JV
Glenny, AM
Date : July 2010
DOI : 10.1097/NCC.0b013e3181cb40c0
Copyright Disclaimer : Copyright 2010 Lippincott, Williams & Wilkins
Uncontrolled Keywords : Adolescent, Benchmarking, Child, Diagnosis, Oral, Evidence-Based Practice, Great Britain, Humans, Neoplasms, Nursing Assessment, Oncology Nursing, Practice Guidelines as Topic, Reproducibility of Results, Research Design, Stomatitis, Young Adult
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Additional Information : Full text not available from this repository.
Depositing User : Symplectic Elements
Date Deposited : 07 Jun 2016 11:55
Last Modified : 31 Oct 2017 18:22

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