Evaluation of a simple diet self-assessment tool(SDSAT) in esophageal cancer patients after operation
Yu Yuan1, Li Min1, Cong Minghua2
1.Department of Thoracic Surgery National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China;2.General Department, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Abstract:Objective This study aimed to evaluate the reliability and validity of the simple diet self-assessment tool (SDSAT) among esophageal cancer patients after operation. Methods Three studies were conducted to measure the interrater reliability, test-retest reliability and predictive validity separately. Sixty patients were involved in study A prior to operation to be measured by 2 researchers with SDSAT separately in order to get the interrater reliability of SDSAT. Thirty patients were involved in study B 1month after operation to be measured with SDSAT. Two weeks later, they were be measured again to get the test-retest reliability. The predictive validity was established by exploring the impact of the score of SDSAT on prealbumin among 171 esophageal cancer patients in study C which was a longitudinal observational study measured 3 points including before operation, 1month after operation and 3months after operation. Results The interrater reliability of SDSAT was 0.854(P<0.01). Test-retest reliability was 0.782(P<0.01). Generalized estimating equation(GEE) showed that the score of SDSAT had a significant impact on prealbumin(P<0.01), which demonstrated good predictive validity. Conclusion The SDSAT demonstrated favorable reliability and validity. It is appropriate for estimation of dietary intake among esophageal cancer patients.
于媛,李敏,丛明华. 简明膳食自评工具在食管癌术后患者中的应用评价[J]. 肿瘤代谢与营养电子杂志, 2020, 7(4): 443-447.
Yu Yuan, Li Min, Cong Minghua. Evaluation of a simple diet self-assessment tool(SDSAT) in esophageal cancer patients after operation. Electron J Metab Nutr Cancer, 2020, 7(4): 443-447.
1.郑荣寿, 孙可欣, 张思维, 等.2015年中国肿瘤流行情况分析[J].中华肿瘤杂志, 2019, 41(1):19-28.
2.INTERNATIONAL AGENCY FOR RESEARCH ON CANCER. Oesophageal cancer estimated incidence, mortality and prevalence worldwide in 2012[R/OL]. http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx.
3.弓磊, 张洪典, 刘肖琼, 等.食管癌的营养干预[J].中华临床营养杂志, 2015, 23(6):325-328.
4.BAKER M L, HALLIDAY V, ROBINSON P, et al. Nutrient intake and contribution of home enteral nutrition to meeting nutritional requirements after oesophagectomy and total gastrectomy[J]. Eur J Clin Nutr, 2017, 71(9):1121-1128.
5.DONOHOE C L, HEALY L A, FANNING M, et al. Impact of supplemental home enteral feeding postesophagectomy on nutrition, body composition, quality of life, and patient satisfaction[J].Dis Esophagus, 2017, 30(9):1-9.
6.丛明华, 石汉平.肿瘤患者简明膳食自评工具的发明[J/CD].肿瘤代谢与营养电子杂志, 2018, 5(1):11-13.
7.SANLI J, MINGHUA C, LICHUAN Z, et al. Validation of a simple diet self-assessment tool(SDSAT) in head and neck cancer patients undergoing radiotherapy[J]. Eur J Oncol Nurs, 2020, 44:101702.
8.李峥, 刘宇.护理学研究方法[M].北京:人民卫生出版社, 2012:23, 71-90.
9.WEIR C J. Language testing and validation[M]. New York: Palgrave Macmillan, 2005.
10.ZEGER S L, LIANG K Y, ALBERT P S. Models for longitudinal data: a generalized estimating equation approach[J]. Biometrics, 1988, 44(4):1049-1060.
11.赵振, 潘晓平, 张俊辉. 广义估计方程在纵向资料中的应用[J].现代预防医学, 2006, 33(5):707-708.
12.胡坚.食管癌营养治疗[M]. 杭州:浙江大学出版社, 2016:21.
13.吴明隆.问卷统计分析实务—SPSS操作与应用[M].重庆:重庆大学出版社, 2013.
14.侯杰泰, 温忠麟, 成子娟. 结构方程模型及其应用[M]. 北京:教育科学出版社, 2004.
15.WANG L H, CHEN H L, YAN H Y, et al. Inter-rater reliability of three most commonly used pressure ulcer risk assessment scales in clinical practice[J]. International Wound Journal, 2015, 12(5):590-594.
16.方积乾. 生物医学研究的统计方法[M].北京:高等教育出版社, 2007:262.
17.GREGORY R J. Psychological testing: history, principles, and applications(4th ed)[M]. Beijing: Pearson Education Asia Limitied & Peking University Press, 2005.
18.BACHMAN L F. Fundamental considerations in language testing[M]. Oxford: Oxford University Press, 1990.
19.顾刘金.应用广义估计方程分析纵向数据[J]. 预防医学, 2018, 30(1):106-107.
20.李涛, 李宝生, 吕家华, 等.食管癌患者营养治疗指南[J/CD].肿瘤代谢与营养电子杂志, 2020, 7(1):32-42.
21.SONG C, CAO, J, ZHANG F, et al. Nutritional risk assessment by scored patient-generated subjective global assessment associated with demographic characteristics in 23,904 common malignant tumors pateints[J]. Nutr Cancer, 2019, 71(1):50-60.
22.YU H M, TANG C W, FENG W M, et al. Early enteral nutrition versus parenteral nutrition after resection of esophageal cancer: a retrospective analysis[J]. Indian J Surg, 2017, 79(1):13-18.
23.WANG G, CHEN H, LIU J, et al. A comparison of postoperative early enteral nutrition with delayed enteral nutrition in patients with esophageal cancer[J]. Nutrients, 2015, 7(6):4308-4317.
24.ARENDS J, BACHMANN P, BARACOS V, et al. ESPEN guidelines on nutrition in cancer patients[J]. Clin Nutri, 2017, 36(1):11-48.
25.ARENDS J, BODOKY G, BOZZETTI F, et al. ESPEN guidelines on enteral nutrition: non-surgical oncology[J]. Clin Nutr, 2006, 25(2):245-259.
26.LYU J H, LI T, XIE C H, et al. Enteral nutrition in esophageal cancer patients treated with radiotherapy: a Chinese expert consensus 2018[J]. Future Oncol, 2019, 15(5):517-531.