Evidence map›Paper›PMID 22052284›Full record

Trial reportJournal of speech, language, and hearing research : JSLHR2011

Teledynamic evaluation of oropharyngeal swallowing.

Georgia A Malandraki, Gary McCullough, Xuming He, Elizabeth McWeeny, Adrienne L Perlman

Abstract readClinical Trial
In one paragraph

Trial report in Journal of speech, language, and hearing research : JSLHR, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. The efficacy of telerehabilitation in dysphagic patients: a systematic review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2018
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. The Long-Term Effects of COVID-19 on Dysphagia Evaluation and Treatment.Archives of physical medicine and rehabilitation · 2020
    Article
  13. Telestroke.Current cardiology reports · 2017
    Review
  14. The Empirical Foundations of Teleradiology and Related Applications: A Review of the Evidence.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2016
    Review
  15. Article
  16. Article
  17. Article
  18. Case Reports: Trial Dysphagia Interventions Conducted via Telehealth.International journal of telerehabilitation · 2016
    Article
  19. Article
  20. Impact of dysphagia severity on clinical decision making via telerehabilitation.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Georgia A MalandrakiUniversity of Illinois at Urbana–Champaign, USA.
Gary McCullough
Xuming He
Elizabeth McWeeny
Adrienne L Perlman
Google (United States) · USConway School of Landscape Design · USUniversity of Arkansas at Little Rock · US

Funding

Realtime Internet Evaluation of Oropharyngeal SwallowingR01DC005603 · NIDCD · UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN · PI PERLMAN, ADRIENNE LYNN · 2004 to 2007
$1.9M
NIDCD NIH HHS R01 DC005603NIDCD NIH HHS R01 DC005603-01A2
6 · The paper itself

Abstract

purposeThe objective of the present investigation was to test the feasibility and clinical utility of a real-time Internet-based protocol for remote, telefluoroscopic evaluation of oropharyngeal swallowing.

methodIn this prospective cohort study, the authors evaluated 32 patients with a primary diagnosis of stroke or head/neck cancer. All patients participated in 2 separate fluoroscopic swallowing evaluations--one traditional on site and one telefluoroscopic off site--through the use of a telemedicine system. Agreement between sites was tested for 3 categories of variables: (a) overall severity of swallowing difficulty, (b) presence and extent of laryngeal penetration and aspiration as rated by the 8-point Penetration-Aspiration scale, and (c) treatment recommendations.

resultsResults showed overall good agreement in subjective severity ratings (κ = 0.636) and in Penetration-Aspiration scale ratings (mean absolute difference = 1.1 points) between the onsite and offsite clinicians. Agreement in treatment recommendations was moderate to high, ranging from 69.3% to 100%.

conclusionsThe present study supports the feasibility and clinical utility of a telemedicine system for evaluating oropharyngeal swallowing. Given the difficulty and expertise needed to complete such evaluations, this study offers promising clinical avenues for patients in rural, remote, and underserved communities and countries where expert swallowing specialists are not available.

Indexed as

AgedDeglutitionDeglutition DisordersFeasibility StudiesFemaleFluoroscopyHead and Neck NeoplasmsHumansInternetMaleMiddle AgedObserver VariationOropharynxProspective StudiesSeverity of Illness IndexStroke

Identifiers

PMID22052284
PMCPMC4165336
OpenAlexW2001800414

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.