White Paper by the European Society for Swallowing Disorders : Screening and Non-instrumental Assessment for Dysphagia in Adults
Speyer, Renée (Leiden University Medical Centre. Department of Otorhinolaryngology and Head and Neck Surgery)
Cordier, Reinie (Northumbria University. Department Social Work, Education and Community Wellbeing)
Farneti, Daniele (AUSL Romagna, Infermi Hospital. Audiologic Phoniatric Service, ENT Department)
Nascimento, Weslania Viviane (Universitat Autònoma de Barcelona. Departament de Cirurgia)
Pilz, Walmari (Maastricht University. School for Mental Health and Neuroscience)
Verin, Eric (Rouen University Hospital (França))
Walshe, Margaret (Trinity College Dublin. Department of Clinical Speech and Language Studies)
Woisard, Virginie (Oncorehabilitation Unit, Toulouse Universitary Cancer Institute, Oncopole Hospital, Toulouse, France)

Data:	2021
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Measures ; Diagnostic accuracy ; Validity ; Reliability ; Responsiveness ; Psychometrics
Publicat a:	Dysphagia, march 2021, p. 1-17, ISSN 1432-0460

DOI: 10.1007/s00455-021-10283-7
PMID: 33787994

17 p, 2.3 MB

El registre apareix a les col·leccions:
Articles > Articles de recerca
Articles > Articles publicats