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Published on: August 30, 2016
Height Measures: Evaluating Alternatives to Standing Height in the Ambulatory Setting
Dianne M Cirillo1, Sarah K Hart1, Richard R Reich1
1H. Lee Moffitt Cancer Center and Research Institute.
Demispan measurement is a reliable alternative to standing height for patients unable to stand, crucial for accurate clinical assessments like body mass index and chemotherapy dosing. This finding supports a new practice standard in oncology clinics.
Area of Science:
- Clinical measurement
- Anthropometry
- Oncology patient care
Background:
- Accurate height measurement is vital for patient care, including calculating chemotherapy doses.
- Many patients cannot safely stand for height measurements due to various medical conditions.
- Existing literature lacks clear alternatives for standing height in these patients.
Purpose of the Study:
- To identify a reliable alternative measurement for standing height.
- To assess measurement equivalence in ambulatory oncology patients unable to stand.
- To improve patient care by providing feasible height alternatives.
Main Methods:
- A repeated-measures design was employed with 60 adult volunteers (30 men, 30 women).
- Standing height was compared against self-reported height, recumbent length, arm span, half-arm span, demispan, and knee height.
- Equivalence testing was used to evaluate measurement accuracy.
Main Results:
- Demispan measurement demonstrated equivalence to standing height (mean difference of -0.69).
- Other tested measurements showed less reliability compared to standing height.
- Demispan proved to be a feasible alternative in terms of cost and technique.
Conclusions:
- Demispan is a viable and equivalent alternative to standing height for patients who cannot stand.
- A practice change to incorporate demispan measurement has been successfully implemented.
- This alternative measurement enhances patient care in oncology settings.
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