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White Paper by the European Society for Swallowing Disorders: Screening and Non-instrumental Assessment for Dysphagia in Adults
- Source :
- Dysphagia, 37(2), 333-349. Springer, Cham, Dipòsit Digital de Documents de la UAB, Universitat Autònoma de Barcelona, Dysphagia, Dysphagia, 37, 333-349. SPRINGER
- Publication Year :
- 2022
-
Abstract
- This White Paper by the European Society for Swallowing Disorders (ESSD) reports on the current state of screening and non-instrumental assessment for dysphagia in adults. An overview is provided on the measures that are available, and how to select screening tools and assessments. Emphasis is placed on different types of screening, patient-reported measures, assessment of anatomy and physiology of the swallowing act, and clinical swallowing evaluation. Many screening and non-instrumental assessments are available for evaluating dysphagia in adults; however, their use may not be warranted due to poor diagnostic performance or lacking robust psychometric properties. This white paper provides recommendations on how to select best evidence-based screening tools and non-instrumental assessments for use in clinical practice targeting different constructs, target populations and respondents, based on criteria for diagnostic performance, psychometric properties (reliability, validity, and responsiveness), and feasibility. In addition, gaps in research that need to be addressed in future studies are discussed. The following recommendations are made: (1) discontinue the use of non-validated dysphagia screening tools and assessments; (2) implement screening using tools that have optimal diagnostic performance in selected populations that are at risk of dysphagia, such as stroke patients, frail older persons, patients with progressive neurological diseases, persons with cerebral palsy, and patients with head and neck cancer; (3) implement measures that demonstrate robust psychometric properties; and (4) provide quality training in dysphagia screening and assessment to all clinicians involved in the care and management of persons with dysphagia.
- Subjects :
- medicine.medical_specialty
Future studies
Psychometrics
ORAL-HEALTH ASSESSMENT
OF-LIFE QUESTIONNAIRE
B100
ITEM RESPONSE THEORY
Diagnostic accuracy
FRAIL OLDER-PEOPLE
Cerebral palsy
Validity
03 medical and health sciences
Speech and Hearing
0302 clinical medicine
White paper
PSYCHOMETRIC CHARACTERISTICS
Swallowing
otorhinolaryngologic diseases
medicine
Humans
Mass Screening
030212 general & internal medicine
ASPIRATION PNEUMONIA
Aged
ASSESSMENT-TOOL
Aged, 80 and over
business.industry
Swallowing Disorders
Gastroenterology
Reproducibility of Results
Responsiveness
A300
OROPHARYNGEAL DYSPHAGIA
NEUROLOGICAL DISORDERS
medicine.disease
Measures
Reliability
Dysphagia
Deglutition
Otorhinolaryngology
Physical therapy
RISK-FACTORS
Original Article
medicine.symptom
Deglutition Disorders
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 0179051X
- Database :
- OpenAIRE
- Journal :
- Dysphagia, 37(2), 333-349. Springer, Cham, Dipòsit Digital de Documents de la UAB, Universitat Autònoma de Barcelona, Dysphagia, Dysphagia, 37, 333-349. SPRINGER
- Accession number :
- edsair.doi.dedup.....8c55386a7509895cb7fa7ba57a6e3ee7