Assessing the reliability and validity of the revised WCCNR Stomatitis Staging System for cancer therapy-induced stomatitis

<p class="p1">Before developing interventions for stomatitis, nurses require a simple, valid and reliable approach to staging severity. The eight-item WCCNR was previously validated for chemotherapy-induced stomatitis. In this study, the validity and reliability of the WCCNR<span...

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Bibliographic Details
Main Authors: Karin Olson, John Hanson, Joan Hamilton, Dawn Stacey, Margaret Eades, Deborah Gue, Harry Plummer, Karen Janes, Margaret Fitch, Debra Bakker, Pamela Baker, Catherine Oliver
Format: Article
Language:English
Published: Pappin Communications 2015-05-01
Series:Canadian Oncology Nursing Journal
Online Access:https://canadianoncologynursingjournal.com/index.php/conj/article/view/373
Description
Summary:<p class="p1">Before developing interventions for stomatitis, nurses require a simple, valid and reliable approach to staging severity. The eight-item WCCNR was previously validated for chemotherapy-induced stomatitis. In this study, the validity and reliability of the WCCNR<span class="s1">R</span>, a shorter three-item tool for staging stomatitis caused by chemotherapy, radiotherapy, or both, was assessed. Pairs of data collectors evaluated 207 patients from 10 Canadian cancer centres. The WCCNR<span class="s1">R </span>correlated well with the MacDibbs Mouth Assessment (r=0.44, p=0.0002 to r=0.54, p&lt;0.0001), a standardized tool for staging radiotherapy-induced stomatitis. Agreement between data collectors at five sites was acceptable (kappa=0.75); three additional sites were close to this target. Findings indicate that the WCCNR<span class="s1">R </span>is a valid and reasonably reliable tool for staging stomatitis due to cancer therapy.</p>
ISSN:1181-912X
2368-8076