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Taking the history in patients with swallowing disorders : an international multidisciplinary survey

Scharitzer, Martina; Pokieser, Peter; Wagner-Menghin, Michaela; Otto, Ferdinand and Ekberg, Olle LU (2017) In Abdominal Radiology 42(3). p.786-793
Abstract

Purpose: Clinical assessment of swallowing disorders (dysphagia) requires accurate and comprehensive medical history-taking to further tailor the diagnostic work-up, but functional health care questionnaires show a large variability and various limitations. The aim of this study was to assess the way in which international swallowing experts from various disciplines asses swallowing problems in order to improve the radiologist´s ability to take a thorough medical history in this specific patient group. Methods: A two-step Delphi method was used to collect swallowing experts’ ways of taking the medical history in patients with swallowing disorders. The questions obtained in a first interview round were pooled and structured by dividing... (More)

Purpose: Clinical assessment of swallowing disorders (dysphagia) requires accurate and comprehensive medical history-taking to further tailor the diagnostic work-up, but functional health care questionnaires show a large variability and various limitations. The aim of this study was to assess the way in which international swallowing experts from various disciplines asses swallowing problems in order to improve the radiologist´s ability to take a thorough medical history in this specific patient group. Methods: A two-step Delphi method was used to collect swallowing experts’ ways of taking the medical history in patients with swallowing disorders. The questions obtained in a first interview round were pooled and structured by dividing them into general and specific questions, including several subcategories, and these were scored by the experts in a second step based on to their clinical relevance. Results: Eighteen experts provided 25 different questions categorized as general questions and 34 dimension-specific questions (eight attributed to ‘suspicion of aspiration,’ 13 to ‘dysphagia,’ six to ‘globus sensation,’ four to ‘non-cardiac chest pain,’ and three to ‘effect of life.’) In the second interview round, the experts´ average predictive values attributed to those questions showed the varying importance of the presented items. Seven general and 13 specific questions (six of them attributed to ‘effect on life’ and seven ‘others’) were also added. Conclusions: This collection of questions reflects the fact that a multidisciplinary approach when obtaining the medical history in patients with swallowing disorders may contribute to an improved technique for performing a symptom-oriented medical history-taking for radiologists of all training levels.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Deglutition, Deglutition disorders, Medical history-taking, Questionnaire
in
Abdominal Radiology
volume
42
issue
3
pages
786 - 793
publisher
Springer New York
external identifiers
  • scopus:84991109555
  • wos:000398467600016
ISSN
2366-004X
DOI
10.1007/s00261-016-0931-4
language
English
LU publication?
yes
id
6912bd35-f1a3-4a75-9ab2-49fd447ee03a
date added to LUP
2016-11-08 16:12:18
date last changed
2018-07-29 04:21:26
@article{6912bd35-f1a3-4a75-9ab2-49fd447ee03a,
  abstract     = {<p>Purpose: Clinical assessment of swallowing disorders (dysphagia) requires accurate and comprehensive medical history-taking to further tailor the diagnostic work-up, but functional health care questionnaires show a large variability and various limitations. The aim of this study was to assess the way in which international swallowing experts from various disciplines asses swallowing problems in order to improve the radiologist´s ability to take a thorough medical history in this specific patient group. Methods: A two-step Delphi method was used to collect swallowing experts’ ways of taking the medical history in patients with swallowing disorders. The questions obtained in a first interview round were pooled and structured by dividing them into general and specific questions, including several subcategories, and these were scored by the experts in a second step based on to their clinical relevance. Results: Eighteen experts provided 25 different questions categorized as general questions and 34 dimension-specific questions (eight attributed to ‘suspicion of aspiration,’ 13 to ‘dysphagia,’ six to ‘globus sensation,’ four to ‘non-cardiac chest pain,’ and three to ‘effect of life.’) In the second interview round, the experts´ average predictive values attributed to those questions showed the varying importance of the presented items. Seven general and 13 specific questions (six of them attributed to ‘effect on life’ and seven ‘others’) were also added. Conclusions: This collection of questions reflects the fact that a multidisciplinary approach when obtaining the medical history in patients with swallowing disorders may contribute to an improved technique for performing a symptom-oriented medical history-taking for radiologists of all training levels.</p>},
  author       = {Scharitzer, Martina and Pokieser, Peter and Wagner-Menghin, Michaela and Otto, Ferdinand and Ekberg, Olle},
  issn         = {2366-004X},
  keyword      = {Deglutition,Deglutition disorders,Medical history-taking,Questionnaire},
  language     = {eng},
  number       = {3},
  pages        = {786--793},
  publisher    = {Springer New York},
  series       = {Abdominal Radiology},
  title        = {Taking the history in patients with swallowing disorders : an international multidisciplinary survey},
  url          = {http://dx.doi.org/10.1007/s00261-016-0931-4},
  volume       = {42},
  year         = {2017},
}