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'What About Swallowing?' Diagnostic Performance of Daily Clinical Practice Compared with the Eating Assessment Tool-10.

Heijnen, Bas Joris; Speyer, Renée; Bülow, Margareta LU and Kuijpers, Laura Mf (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)
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author
organization
publishing date
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
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
2016-02-02 21:58:17
date last changed
2017-08-13 04:32:50
@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},
  volume       = {31},
  year         = {2016},
}