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Interpretation of the Swedish Self Evaluation of Communication Experiences after Laryngeal cancer (S-SECEL): Cut-off levels and minimum clinically important differences.

Journal article
Authors Lisa Tuomi
Mia Johansson
Paulin Andréll
Caterina Finizia
Published in Head & neck
Volume 38
Issue 5
Pages 689–695
ISSN 1097-0347
Publication year 2016
Published at Institute of Clinical Sciences, Department of Otorhinolaryngology
Institute of Medicine, Department of Molecular and Clinical Medicine
Pages 689–695
Language en
Subject categories Cancer and Oncology, Otorhinolaryngology


Aim: To establish minimum clinically important difference (MCID) scores for the Swedish Self Evaluation of Communication Experiences after Laryngeal Cancer (S-SECEL) in order to facilitate clinical interpretation and identify cut-off values for voice rehabilitation. Method: 119 laryngeal cancer patients completed the S-SECEL instrument and an anchor question regarding acceptability of speech in a social context pre and 12 months post oncologic treatment. Receiver operating characteristic curves analysis was used for calculation of cut-off values. Results: Voice rehabilitation cut-off values were identified for all domains (Total 20; General 4; Environmental 16, Attitudinal 5), presenting acceptable sensitivity and specificity. Initial MCID estimates were obtained for all domains; improvement of -13 points (p<0.0001) or a deterioration of +8 points (p=0.035) for the Total domain. Conclusion: MCID and cut-off scores for the S-SECEL have been identified and may be used in clinical practice to help identify laryngeal cancer patients in need of voice rehabilitation. This article is protected by copyright. All rights reserved.

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Utskriftsdatum: 2020-01-24