Validation of a Novel ‘Supportive Oral Care Protocol’ (SOCP), a Model for Care in Head and Neck Cancer Patients at Tertiary Cancer Centre in India

Abstract

India has a huge burden of head and neck cancer and specifically oral cancer. Supportive oral care is not a standard of care in our population and is often neglected. Currently, there are no specific guidelines for such care in India which could be followed. The aim of this study is to validate a novel institutional supportive oral care protocol (SOCP) for head and neck cancer patients. This protocol is specific to our population developed for head and neck/dental oncology experts working in cancer centres to provide comprehensive care. This is a cross-sectional validity study. Fifteen dental oncology experts working in cancer centres/hospitals across India and six oncology experts from our centre were enrolled. All experts provided their inputs on 41 points of the SOCP. The data was analysed for item validity, content validity index and inter-rater agreement. The statistical analyses used were kappa measure for inter-rater agreement and content validity index for item-wise agreement. Out of 861 responses from all the reviewers, 91% agreed, 8.4% agreed with modification and 0.6% disagreed. The content validity index and agreement between reviewers ranged from 0.9 to 1 for kappa measure. The SOCP of our institution was shown to be a valid protocol. SOCP addresses oral and dental supportive care and rehabilitation as part of overall comprehensive care for head and neck cancer patients in our population.

A survey on oral health‐related standard of care for head and neck cancer patients in the EU

“…Altogether, this calls for a more uniform treatment sequence for HNC patients, based on a structured protocol and including dental professionals in the interdisciplinary treatment teams (Kandwal et al, 2020). As shown herein, this approach seems more feasible in larger centers and in centers treating almost exclusively HNC patients.…”