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

被引：1

作者：

Scharitzer, Martina ^{[1
]}

Schima, Wolfgang ^{[2
,3
,4
]}

Walshe, Margaret ^{[5
]}

Verin, Eric ^{[6
]}

Doratiotto, Stefano ^{[7
]}

Ekberg, Olle ^{[8
]}

Farneti, Daniele ^{[9
]}

Pokieser, Peter ^{[10
]}

Quaia, Emilio ^{[11
]}

Woisard, Virginie ^{[12
]}

Xinou, Ekaterini ^{[13
]}

Speyer, Renee ^{[14
,15
,16
,17
]}

机构：

[1] Med Univ Vienna, Dept Biomed Imaging & Image Guided Therapy, Vienna, Austria

[2] Goettlicher Heiland Krankenhaus, Dept Diagnost & Intervent Radiol, Vienna, Austria

[3] Barmherzige Schwestern Krankenhaus, Dept Diagnost & Intervent Radiol, Vienna, Austria

[4] Sankt Josef Krankenhaus, Dept Diagnost & Intervent Radiol, Vienna, Austria

[5] Univ Dublin, Trinity Coll Dublin, Dept Clin Speech & Language Studies, Dublin, Ireland

[6] Normandie Univ, UNIROUEN, Rouen, France

[7] Ca Foncello Hosp, Dept Diagnost & Intervent Radiol, Treviso, Italy

[8] Lund Univ, Skane Univ Hosp, Dept Translat Med, Div Med Radiol, Malmo, Sweden

[9] AUSL Romagna, Infermi Hosp, ENT Dept, Audiol Phoniatr Serv, Rimini, Italy

[10] Med Univ Vienna, Teaching Ctr, Vienna, Austria

[11] Univ Padua, Padova Univ Hosp, Radiol Dept, Padua, Italy

[12] Univ Hosp Toulouse, Larrey Hosp, Dept Otorhinolaryngol & Head & Neck Surg, Voice & Deglutit Unit, Toulouse, France

[13] Theagenio Canc Hosp, Dept Radiol, Thessaloniki, Greece

[14] Univ Oslo, Dept Special Needs Educ, Oslo, Norway

[15] MILO Fdn, Ctr Augmentat & Alternat Commun, Schijndel, Netherlands

[16] Curtin Univ, Curtin Sch Allied Hlth, Perth, WA, Australia

[17] Leiden Univ, Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Leiden, Netherlands

来源：

EUROPEAN RADIOLOGY | 2024年

关键词：

Fluoroscopy; Deglutition disorders; Dysphagia; Barium; Consensus development; SPEECH-LANGUAGE PATHOLOGISTS; BARIUM-SULFATE ASPIRATION; RADIATION PROTECTION; DYSPHAGIA; OROPHARYNGEAL; IMPAIRMENT; LUNG; HEAD; IODIXANOL; MANEUVER;

D O I：

10.1007/s00330-024-11241-1

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

ObjectivesVideofluoroscopic 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 methodsAn 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.ResultsEighteen 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.ConclusionThese 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 PointsQuestionSignificant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care.FindingsEighteen statements were developed by representatives of the ESSD and the ESGAR.Clinical relevanceThese best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service.Key PointsQuestionSignificant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care.FindingsEighteen statements were developed by representatives of the ESSD and the ESGAR.Clinical relevanceThese best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service.Key PointsQuestionSignificant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care.FindingsEighteen statements were developed by representatives of the ESSD and the ESGAR.Clinical relevanceThese best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service.

引用

页数：12