Trial reportDysphagia2009
Comparison of trained clinician ratings with expert ratings of aspiration on videofluoroscopic images from a randomized clinical trial.
Trial report in Dysphagia, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Pooled it
- Psychometric Properties of Visuoperceptual Measures of Videofluoroscopic and Fibre-Endoscopic Evaluations of Swallowing: A Systematic Review.Dysphagia · 2019Pooled it
- Effectiveness of interventions to directly support food and drink intake in people with dementia: systematic review and meta-analysis.BMC geriatrics · 2016Pooled it
- Fostering eating after stroke (FEASt) trial for improving post-stroke dysphagia with non-invasive brain stimulation.Scientific reports · 2022Trial
- Analysis of carbonated thin liquids in pediatric neurogenic dysphagia.Pediatric radiology · 2015Trial
- Teledynamic evaluation of oropharyngeal swallowing.Journal of speech, language, and hearing research : JSLHR · 2011Trial
- Multi-Center Validation of Artificial Intelligence-Based Video Analysis Platform for Automatic Evaluation of Swallowing Disorders.Diagnostics (Basel, Switzerland) · 2025Article
- Development and evaluation of a training program for implementation of velopharyngeal MRI in the clinical setting.Pediatric radiology · 2025Observational
- Deglutologist Practices and Perceptions of the Penetration-Aspiration Scale: A Survey Study.Dysphagia · 2024Article
- The Development of an Artificial Intelligence Video Analysis-Based Web Application to Diagnose Oropharyngeal Dysphagia: A Pilot Study.Brain sciences · 2024Article
- Clinician accuracy in identifying essential laryngeal landmarks on swallowing fluoroscopy.Laryngoscope investigative otolaryngology · 2023Article
- Videofluoroscopic swallow study training for radiologists-in-training: a survey of practice and training needs.BMC medical education · 2022Article
- Structural Validity, Internal Consistency, and Rater Reliability of the Modified Barium Swallow Impairment Profile: Breaking Ground on a 52,726-Patient, Clinical Data Set.Journal of speech, language, and hearing research : JSLHR · 2022Article
- Scoring the Penetration-Aspiration Scale (PAS) in Two Conditions: A Reliability Study.Dysphagia · 2022Article
- Reliability of the Penetration-Aspiration Scale and Temporal and Clearance Measures in Poststroke Dysphagia: Videofluoroscopic Analysis From the Swallowing Treatment using Electrical Pharyngeal Stimulation Trial.Journal of speech, language, and hearing research : JSLHR · 2022Article
- Predictive values of static endoscopic evaluation of swallowing in adults.Laryngoscope investigative otolaryngology · 2021Article
- Reliability of Machine and Human Examiners for Detection of Laryngeal Penetration or Aspiration in Videofluoroscopic Swallowing Studies.Journal of clinical medicine · 2021Article
- The Penetration-Aspiration Scale: Adaptation to Open Partial Laryngectomy and Reliability Analysis.Dysphagia · 2020Article
- Feeding Interventions Are Associated With Improved Outcomes in Children With Laryngeal Penetration.Journal of pediatric gastroenterology and nutrition · 2019Article
- Acute and subacute effects of oropharyngeal sensory stimulation with TRPV1 agonists in older patients with oropharyngeal dysphagia: a biomechanical and neurophysiological randomized pilot study.Therapeutic advances in gastroenterology · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 12 institutions in 1 country.
Funding
Abstract
Accurate detection and classification of aspiration is a critical component of videofluoroscopic swallowing evaluation, the most commonly utilized instrumental method for dysphagia diagnosis and treatment. Currently published literature indicates that interjudge reliability for the identification of aspiration ranges from poor to fairly good depending on the amount of training provided to clinicians. The majority of extant studies compared judgments among clinicians. No studies included judgments made during the use of a postural compensatory strategy. The purpose of this study was to examine the accuracy of judgments made by speech-language pathologists (SLPs) practicing in hospitals compared with unblinded expert judges when identifying aspiration and using the 8-point Penetration/Aspiration Scale. Clinicians received extensive training for the detection of aspiration and minimal training on use of the Penetration/Aspiration Scale. Videofluoroscopic data were collected from 669 patients as part of a large, randomized clinical trial and include judgments of 10,200 swallows made by 76 clinicians from 44 hospitals in 11 states. Judgments were made on swallows during use of dysphagia compensatory strategies: chin-down posture with thin liquids and head-neutral posture with thickened liquids (nectar-thick and honey-thick consistencies). The subject population included patients with Parkinson's disease and/or dementia. Kappa statistics indicate high accuracy for all interventions by SLPs for identification of aspiration (all kappa > 0.86) and variable accuracy (range = 69-76%) using the Penetration/Aspiration Scale when compared to expert judges. It is concluded that while the accuracy of identifying the presence of aspiration by SLPs is excellent, more extensive training and/or image enhancement is recommended for precise use of the Penetration/Aspiration Scale.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.