M. Kirschneck

Assessment of functional outcomes in patients with head and neck cancer according to the International Classification of Functioning, Disability and Health Core Sets from the perspective of the multi-professional team: results of 4 Delphi surveys.

The International Classification of Functioning, Disability and Health Core Set for Head and Neck Cancer (ICF‐HNC) covers the typical spectrum of problems in functioning in head and neck cancer. This study is part of a multistep process to develop practical guidelines in Germany. The purpose of this study was to identify instruments for the assessment of functioning using the ICF‐HNC as reference.

Können ICF Core Sets für die Erstellung von sozialmedizinischen Gutachten bei Anträgen auf Erwerbsminderungsrente hilfreich sein? – Ein erster Vorschlag

INTRODUCTION Social-medical expert reports from the German statutory pension insurance are essential for the German statutory pension regulatory authority to decide whether to grant services regarding participation as well as retirement pensions due to incapacity to work.The objective of this investigation is to determine whether the ICF Core Sets and other international approaches, such as the EUMASS Core Sets or ICF Core Set for vocational rehabilitation cover the content of the social-medical expert reports as well as to propose an approach how the ICF can be economically used by the social medicine practitioner when writing a social-medical expert report. METHOD A retrospective quantitative study design was used to translate a total of 294 social-medical expert reports from patients with low back pain (LBP) or chronic widespread pain (CWP) into the language of the ICF (linking) by 2 independent health professionals and compare the results with the ICF Core Sets for specific health conditions and other international approaches. RESULTS The content of social-medical expert reports was largely reflected by the condition specific brief ICF Core Sets, brief ICF Core Sets for vocational rehabilitation and EUMASS Core Sets. The weighted Kappa statistic for the agreement between the 2 health professionals who translated the expert reports were in CWP 0.69 with a bootstrapped confidence interval of 0.67-0.71 and in LBP 0.73 (0.71-0.74). DISCUSSION The analyses show that the content of social-medical expert reports varies enormously. A combination of a condition specific brief ICF Core Set as well as vocational rehabilitation and EUMASS ICF Core Sets as well as all ICF-categories from the expert reports that were named at least in 50% of it can largely provide a basis for preparing expert reports. Within the scope of implementation the need for a specific ICF Core Set for expert reports of the German statutory pension insurance should be further analyzed and discussed.

ICF-Interventionskategorien für Manuelle Medizin

Hintergrund Die Internationale Klassifikation der Funktionsfahigkeit, Behinderung und Gesundheit (ICF) bietet ein Rahmenkonzept zur Beschreibung der funktionalen Gesundheit von Patienten. Um deren Anwendung in der manuellen Medizin zu erleichtern, zielte diese Studie darauf ab, die ICF-Kategorien zu identifizieren, welche die Probleme von Patienten abbilden, die von Manualmedizinern behandelt werden.

ICF-Interventionskategorien für Manuelle Medizin@@@ICF intervention categories for manual medicine: Ein erster Beitrag zur standardisierten Therapiedokumentation und Erfolgskontrolle@@@Towards a standardized documentation of treatment and outcome

ZusammenfassungHintergrundDie Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) bietet ein Rahmenkonzept zur Beschreibung der funktionalen Gesundheit von Patienten. Um deren Anwendung in der manuellen Medizin zu erleichtern, zielte diese Studie darauf ab, die ICF-Kategorien zu identifizieren, welche die Probleme von Patienten abbilden, die von Manualmedizinern behandelt werden.Material und MethodenSchweizer Manualmediziner gaben in einer Befragung nach der Delphi-Methode Auskunft über die Patientenprobleme, die von Ärzten mit manueller Medizin behandelt werden. Die Antworten wurden in die Sprache der ICF übersetzt.ErgebnisseDie 48 teilnehmenden Experten gaben insgesamt 808 Antworten, die 225 ICF-Kategorien zugeordnet wurden. Von diesen wurden 106 ICF-Kategorien, die eine Zustimmung von mindestens 50% der Teilnehmer erreichten, in die „ICF-Interventionskategorien für Manuelle Medizin“ aufgenommen. Der ICF-Komponente „Körperfunktionen“ können 42 (40%) der Kategorien zugeordnet werden, 36 (34%) Kategorien gehören zur ICF-Komponente „Körperstruktur“ und 28 (26%) zur ICF-Komponente „Aktivitäten und Partizipation“.SchlussfolgerungDie erste Version der „ICF-Interventionskategorien für Manuelle Medizin“ liegt nun vor und bedarf weiterer Validierung.AbstractBackgroundThe International Classification of Functioning, Disability and Health (ICF) provides a useful framework for the comprehensive description of the patients’ functional health. To facilitate its application in manual medicine the objective of this study was to identify the ICF categories that represent the patients’ problems treated by manual medicine practitioners.Material and methodsSwiss manual medicine experts were asked about the patients’ problems commonly treated by manual medicine practitioners in a three-round survey using the Delphi technique. Responses were linked to the ICF.Results48 manual medicine experts gave a total of 808 responses that were linked to 225 different ICF categories. 106 ICF categories which reached an agreement of at least 50% among the participants were included in the ICF Intervention Categories for Manual Medicine. 42 (40 %) of the categories are assigned to the ICF component “Body Functions”, 36 (34 %) represent the ICF component “Body Structures” and 28 (26 %) the ICF component “Activities and Participation”.ConclusionA first proposal of ICF Intervention Categories for manual medicine was defined and needs to be validated in further studies.