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Purpose: This study aims to cross-culturally validate the Dutch version of the Lymphedema Symptom Intensity and Distress Survey-Head and Neck version 2.0 (LSIDS-H&N v2.0). This questionnaire assesses the impact of lymphedema and fibrosis symptoms in head and neck cancer (HNC) patients in terms of symptom intensity and related distress.
Materials And Methods: The convergent validity, test-retest reliability, and internal consistency of the Dutch LSIDS-H&N v2.0 were investigated in 30 HNC patients. Convergent validity was examined by correlating LSIDS-H&N v2.0 scores with four other questionnaires: the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire version 3.0 (EORTC QLQ-C30 v3.0), Brief Pain Inventory Short Form (BPI-SF), Neck Disability Index (NDI), and Vanderbilt Head and Neck Symptom Survey version 2.0 (VHNSS v2.0). Eleven hypotheses were tested.
Results: Ten out of 11 hypotheses (91%) were accepted, confirming very strong convergent validity. The Dutch LSIDS-H&N v2.0 demonstrated strong to very strong test-retest reliability (ICCs of 0.792 to 0.963). Very strong internal consistency was demonstrated (Cronbach's α ranging from 0.883 to 0.981).
Conclusion: The Dutch LSIDS-H&N v2.0 proved to be a reliable and valid tool for assessing symptom burden and distress in HNC patients with potential lymphedema and/or fibrosis.
Trial Registration: ClinicalTrials.gov, Identifier: NCT05256238 (S65549).
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http://dx.doi.org/10.1080/09638288.2025.2554945 | DOI Listing |
Disabil Rehabil
September 2025
Department of Rehabilitation Sciences and Physiotherapy, University of Leuven, Leuven, Belgium.
Purpose: This study aims to cross-culturally validate the Dutch version of the Lymphedema Symptom Intensity and Distress Survey-Head and Neck version 2.0 (LSIDS-H&N v2.0).
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
June 2024
Department of Otolaryngology, National Taiwan University Hospital Yunlin Branch, Douliu City, Taiwan.
Background: Head and neck lymphedema (HNL), including external and internal types, could be a possible consequence for patients who have received neck dissection and radiotherapy for head and neck cancer. Initially, the common presentations are heaviness or tightness, followed by swelling in appearance, or difficulty speaking and swallowing in internal edema cases. Lymphovenous anastomosis (LVA) is an established approach to treat extremity lymphedema.
View Article and Find Full Text PDFLymphat Res Biol
June 2021
Vanderbilt University School of Nursing, Nashville, Tennessee, USA.
A comparison of symptom prevalence, intensity, and distress for participants with truncal lymphedema, head and neck lymphedema, and no lymphedema identified a need for a truncal-specific, lymphedema-related symptom assessment tool and a revision of the Lymphedema Symptom Intensity and Distress Survey-Head and Neck (LSIDS-H&N). The purpose of this study was to institute the development of the Lymphedema Symptom Intensity and Distress Survey-Truncal (LSIDS-T) and revise the LSIDS-H&N. A comprehensive midline measure and subsequent series of analyses were used to develop the LSIDS-T and revise the initial LSIDS-H&N.
View Article and Find Full Text PDFInt J Radiat Oncol Biol Phys
March 2021
Vanderbilt-Ingram Cancer Center, Vanderbilt Medical Center, Nashville, Tennessee.
Purpose: Lymphedema and fibrosis (LEF) are common yet overlooked late effects of head and neck cancer and its therapy. Lack of reliable and valid measures of head and neck LEF is a critical barrier to the timely identification and management of head and neck LEF. To fill this gap, we developed and pilot tested a 64-item patient-reported outcome measure ( Lymphedema Symptom Intensity and Distress Survey-Head and Neck, LSIDS-H&N).
View Article and Find Full Text PDFSupport Care Cancer
March 2016
School of Nursing, Vanderbilt University, 461 21st Ave. South, GH 516, Nashville, TN, 37240, USA.
Purpose: Head and neck cancer (HNC) patients are at risk for developing external and internal lymphedema. Currently, no documentation of symptom differences between individuals with and without head and neck lymphedema is available. The purpose of this analysis was to examine symptom differences among HNC patients with and without lymphedema.
View Article and Find Full Text PDF