'What About Swallowing?' Diagnostic Performance of Daily Clinical Practice Compared with the Eating Assessment Tool-10.
(2016) In Dysphagia 31(2). p.214-222- Abstract
- In daily clinical practice, patients are frequently asked about their swallowing as part of the patient-clinician interview. This study compares the diagnostic performance of a single open question 'What about swallowing?' (usual care) with the Eating Assessment Tool (EAT-10) as reference test in screening for oropharyngeal dysphagia (OD). 303 outpatients at risk of OD were recruited at three university hospitals: 162 men and 141 women with a mean age of 70 years. All data were retrieved by phone. To identify patients at risk of dysphagia, two different cut-off scores for the EAT-10 total score were retrieved from the literature. The diagnostic performance of the single question was determined by comparing dichotomized answers to the... (More)
- In daily clinical practice, patients are frequently asked about their swallowing as part of the patient-clinician interview. This study compares the diagnostic performance of a single open question 'What about swallowing?' (usual care) with the Eating Assessment Tool (EAT-10) as reference test in screening for oropharyngeal dysphagia (OD). 303 outpatients at risk of OD were recruited at three university hospitals: 162 men and 141 women with a mean age of 70 years. All data were retrieved by phone. To identify patients at risk of dysphagia, two different cut-off scores for the EAT-10 total score were retrieved from the literature. The diagnostic performance of the single question was determined by comparing dichotomized answers to the single question (no problems versus difficulties in swallowing) with the EAT-10 as reference test. Sensitivity, specificity, positive and negative predictive values ranged between 0.75-0.76, 0.75-0.84, 0.93-0.97 and 0.38-0.43, respectively. Mostly, the results of this exploratory study indicate a sufficient diagnostic performance of the single question in identifying patients who are at risk of dysphagia when using the EAT-10 questionnaire as a reference test. Further research, is, however, necessary to provide additional psychometric data on Functional Health Status (FHS) questionnaires including the single question using either FEES or VFS as gold standard or reference test. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/8592393
- author
- Heijnen, Bas Joris ; Speyer, Renée ; Bülow, Margareta LU and Kuijpers, Laura Mf
- organization
- publishing date
- 2016-01-11
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Dysphagia
- volume
- 31
- issue
- 2
- pages
- 214 - 222
- publisher
- Springer
- external identifiers
-
- pmid:26753926
- scopus:84954105485
- wos:000373744800011
- pmid:26753926
- ISSN
- 1432-0460
- DOI
- 10.1007/s00455-015-9680-8
- language
- English
- LU publication?
- yes
- id
- 221a70a1-e84c-42ed-8941-cfe3353edfc0 (old id 8592393)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/26753926?dopt=Abstract
- date added to LUP
- 2016-04-04 07:06:58
- date last changed
- 2022-05-16 19:36:49
@article{221a70a1-e84c-42ed-8941-cfe3353edfc0,
abstract = {{In daily clinical practice, patients are frequently asked about their swallowing as part of the patient-clinician interview. This study compares the diagnostic performance of a single open question 'What about swallowing?' (usual care) with the Eating Assessment Tool (EAT-10) as reference test in screening for oropharyngeal dysphagia (OD). 303 outpatients at risk of OD were recruited at three university hospitals: 162 men and 141 women with a mean age of 70 years. All data were retrieved by phone. To identify patients at risk of dysphagia, two different cut-off scores for the EAT-10 total score were retrieved from the literature. The diagnostic performance of the single question was determined by comparing dichotomized answers to the single question (no problems versus difficulties in swallowing) with the EAT-10 as reference test. Sensitivity, specificity, positive and negative predictive values ranged between 0.75-0.76, 0.75-0.84, 0.93-0.97 and 0.38-0.43, respectively. Mostly, the results of this exploratory study indicate a sufficient diagnostic performance of the single question in identifying patients who are at risk of dysphagia when using the EAT-10 questionnaire as a reference test. Further research, is, however, necessary to provide additional psychometric data on Functional Health Status (FHS) questionnaires including the single question using either FEES or VFS as gold standard or reference test.}},
author = {{Heijnen, Bas Joris and Speyer, Renée and Bülow, Margareta and Kuijpers, Laura Mf}},
issn = {{1432-0460}},
language = {{eng}},
month = {{01}},
number = {{2}},
pages = {{214--222}},
publisher = {{Springer}},
series = {{Dysphagia}},
title = {{'What About Swallowing?' Diagnostic Performance of Daily Clinical Practice Compared with the Eating Assessment Tool-10.}},
url = {{http://dx.doi.org/10.1007/s00455-015-9680-8}},
doi = {{10.1007/s00455-015-9680-8}},
volume = {{31}},
year = {{2016}},
}