A Systematic and a Scoping Review on the Psychometrics and Clinical Utility of the Volume-Viscosity Swallow Test (V-VST) in the Clinical Screening and Assessment of Oropharyngeal Dysphagia
Riera, Stephanie (Universitat Autònoma de Barcelona. Departament de Ciències Morfològiques)
Marin, Sergio (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Serra-Prat, Mateu (Hospital de Mataró. Consorci Sanitari del Maresme)
Tomsen, Noemí (Hospital de Mataró. Consorci Sanitari del Maresme)
Arreola, Viridiana (Hospital de Mataró. Consorci Sanitari del Maresme)
Ortega, Omar (Hospital de Mataró. Consorci Sanitari del Maresme)
Walshe, Margaret (Trinity College Dublin. Department of Clinical Speech and Language Studies)
Clavé i Civit, Pere (Universitat Autònoma de Barcelona. Departament de Ciències Morfològiques)

Data:	2021
Resum:	(1) Background: The volume-viscosity swallow test (V-VST) is a clinical tool for screening and diagnosis of oropharyngeal dysphagia (OD). Our aims were to examine the clinical utility of the V-VST against videofluoroscopy (VFS) or fiberoptic endoscopic evaluation of swallow (FEES) and to map the V-VST usage with patients at risk of OD across the years since it was described for the first time, carrying a systematic and a scoping review. (2) Methods: We performed both a systematic review (SR) including studies that look at the diagnostic test accuracy, and a scoping review (ScR) with articles published from September 2008 to May 2020. Searches were done in different databases, including PubMed and EMBASE from September 2008 until May 2020, and no language restrictions were applied. A meta-analysis was done in the SR to assess the psychometric properties of the V-VST. Quality of studies was assessed by Dutch Cochrane, QUADAS, GRADE (SR), and STROBE (ScR) criteria. The SR protocol was registered on PROSPERO (registration: CRD42020136252). (3) Results: For the diagnostic accuracy SR: four studies were included. V-VST had a diagnostic sensitivity for OD of 93. 17%, 81. 39% specificity, and an inter-rater reliability Kappa = 0. 77. Likelihood ratios (LHR) for OD were 0. 08 (LHR-) and 5. 01 (LHR+), and the diagnostic odds ratio for OD was 51. 18. Quality of studies in SR was graded as high with low risk of bias. In the ScR: 34 studies were retrieved. They indicated that V-VST has been used internationally to assess OD's prevalence and complications. (4) Conclusions: The V-VST has strong psychometric properties and valid endpoints for OD in different phenotypes of patients. Our results support its utility in the screening and clinical diagnosis and management of OD.
Ajuts:	Instituto de Salud Carlos III PI18/00241 Instituto de Salud Carlos III ICI20/00117 Instituto de Salud Carlos III EHD16PI02
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:	Oropharyngeal dysphagia ; Deglutition disorders ; Volume-viscosity swallow test ; Screening ; Diagnosis ; Sensitivity ; Specificity ; V-VST ; Systematic review ; Swallowing disorders
Publicat a:	Foods, Vol. 10 (august 2021) , ISSN 2304-8158

DOI: 10.3390/foods10081900
PMID: 34441677

20 p, 1.2 MB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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