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ESSD–ESGAR best practice position statements on the technical performance of videofluoroscopic swallowing studies in adult patients with swallowing disorders

Scharitzer, Martina ; Schima, Wolfgang ; Walshe, Margaret ; Verin, Eric ; Doratiotto, Stefano ; Ekberg, Olle LU ; Farneti, Daniele ; Pokieser, Peter ; Quaia, Emilio and Woisard, Virginie , et al. (2024) In European Radiology 35(6). p.3169-3180
Abstract

Objectives: Videofluoroscopic swallowing studies (VFSS) remain the gold standard for the instrumental assessment of oropharyngeal swallowing disorders alongside flexible endoscopic evaluation of swallowing (FEES), requiring a high standard of quality and correct implementation. The current best practice position statements aim to guide the clinical practice of VFSS in individuals experiencing swallowing disorders. Materials and methods: An international expert consensus panel with expertise in oropharyngeal dysphagia, comprised of radiologists, speech-language therapists, otolaryngologists, and other professionals in the field, convened by the European Society of Swallowing Disorders (ESSD) and the European Society of Gastrointestinal... (More)

Objectives: Videofluoroscopic swallowing studies (VFSS) remain the gold standard for the instrumental assessment of oropharyngeal swallowing disorders alongside flexible endoscopic evaluation of swallowing (FEES), requiring a high standard of quality and correct implementation. The current best practice position statements aim to guide the clinical practice of VFSS in individuals experiencing swallowing disorders. Materials and methods: An international expert consensus panel with expertise in oropharyngeal dysphagia, comprised of radiologists, speech-language therapists, otolaryngologists, and other professionals in the field, convened by the European Society of Swallowing Disorders (ESSD) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), developed best practice position statements. They were established using an online Delphi methodology involving an online panel discussion and item preparation and three consecutive rounds. Consensus was reached when ≥ 80% of the participants agreed on a specific recommendation. Results: Eighteen best practice position statements were formulated, thereby establishing standard recommendations on the technical performance of VFSS. They cover VFSS planning, correct implementation, documentation, radiation protection, equipment and maintenance, and education and training. Conclusion: These position statements summarise the panel’s deliberations and recommendations in performing VFSS, representing the agreed consensus of experts from ESSD and ESGAR. They provide a structured framework for optimising and standardising the performance of VFSS in patients with swallowing disorders. Key Points: Question Significant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care. Findings Eighteen statements were developed by representatives of the ESSD and the ESGAR. Clinical relevance These best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Barium, Consensus development, Deglutition disorders, Dysphagia, Fluoroscopy
in
European Radiology
volume
35
issue
6
pages
12 pages
publisher
Springer Science and Business Media B.V.
external identifiers
  • pmid:39636423
  • scopus:85211497830
ISSN
0938-7994
DOI
10.1007/s00330-024-11241-1
language
English
LU publication?
yes
id
8d4e90d8-4b2a-47c9-8287-d80bf95c9f56
date added to LUP
2025-01-31 12:53:54
date last changed
2025-07-05 01:38:05
@article{8d4e90d8-4b2a-47c9-8287-d80bf95c9f56,
  abstract     = {{<p>Objectives: Videofluoroscopic swallowing studies (VFSS) remain the gold standard for the instrumental assessment of oropharyngeal swallowing disorders alongside flexible endoscopic evaluation of swallowing (FEES), requiring a high standard of quality and correct implementation. The current best practice position statements aim to guide the clinical practice of VFSS in individuals experiencing swallowing disorders. Materials and methods: An international expert consensus panel with expertise in oropharyngeal dysphagia, comprised of radiologists, speech-language therapists, otolaryngologists, and other professionals in the field, convened by the European Society of Swallowing Disorders (ESSD) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), developed best practice position statements. They were established using an online Delphi methodology involving an online panel discussion and item preparation and three consecutive rounds. Consensus was reached when ≥ 80% of the participants agreed on a specific recommendation. Results: Eighteen best practice position statements were formulated, thereby establishing standard recommendations on the technical performance of VFSS. They cover VFSS planning, correct implementation, documentation, radiation protection, equipment and maintenance, and education and training. Conclusion: These position statements summarise the panel’s deliberations and recommendations in performing VFSS, representing the agreed consensus of experts from ESSD and ESGAR. They provide a structured framework for optimising and standardising the performance of VFSS in patients with swallowing disorders. Key Points: Question Significant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care. Findings Eighteen statements were developed by representatives of the ESSD and the ESGAR. Clinical relevance These best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service.</p>}},
  author       = {{Scharitzer, Martina and Schima, Wolfgang and Walshe, Margaret and Verin, Eric and Doratiotto, Stefano and Ekberg, Olle and Farneti, Daniele and Pokieser, Peter and Quaia, Emilio and Woisard, Virginie and Xinou, Ekaterini and Speyer, Renée}},
  issn         = {{0938-7994}},
  keywords     = {{Barium; Consensus development; Deglutition disorders; Dysphagia; Fluoroscopy}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{3169--3180}},
  publisher    = {{Springer Science and Business Media B.V.}},
  series       = {{European Radiology}},
  title        = {{ESSD–ESGAR best practice position statements on the technical performance of videofluoroscopic swallowing studies in adult patients with swallowing disorders}},
  url          = {{http://dx.doi.org/10.1007/s00330-024-11241-1}},
  doi          = {{10.1007/s00330-024-11241-1}},
  volume       = {{35}},
  year         = {{2024}},
}