Evidence map›Paper›PMID 26966356›Full record

ReviewClinical interventions in aging2016

Oropharyngeal dysphagia in older persons - from pathophysiology to adequate intervention: a review and summary of an international expert meeting.

Rainer Wirth, Rainer Dziewas, Anne Marie Beck, Pere Clavé, Shaheen Hamdy, Hans Juergen Heppner, Susan Langmore, Andreas Herbert Leischker, Rosemary Martino, Petra Pluschinski and 5 more

2 registry-linked trialsOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Clinical interventions in aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 235 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
235citing papers in PubMed, 11 pooled it
70.5field-weighted citation impact, top 1% 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.

NCT03672552 nacompletednot on this mapstarted 2019, after this paper: background citation

Implementing the Frazier Free Water Protocol to Improve Hydration and Quality of Life in Long Term Care Residents

TypeinterventionalSponsorMemorial University of NewfoundlandRan2019 to 2019Enrolled27ConditionsDysphagia, Respiratory Tract InfectionsArmsFFWP and Improved Oral Care
NCT07203508 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect of Tongue-to-Palate Resistance Training on Penetration-Aspiration Scale and Suprahyoid Muscle Electrical Activity in Geriatric Patients With Oropharyngeal Dysphagia

TypeinterventionalSponsorDr Cipto Mangunkusumo General HospitalRan2022 to 2024Enrolled17ConditionsOropharyngeal Dysphagia, Geriatric PatientsArmsTongue-to-Palate Resistance Training, Standard Dysphagia Therapy
3 · Its place in the literature

Who cites it

235 citing papers in PubMed, 11 syntheses or guidelines pooled it, 491 citations in OpenAlex.

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  18. Clinical predictors of early reflux and symptom severity after esophagectomy: a risk prediction tool.Esophagus : official journal of the Japan Esophageal Society · 2026
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175 more citing papers are in PubMed but not listed here.

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

15 authors at 6 institutions in 3 countries.

Rainer WirthDepartment for Internal Medicine and Geriatrics, St Marien-Hospital Borken, Borken, Germany; Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.
Rainer DziewasDepartment of Neurology, University Hospital Münster, Münster, Germany.
Anne Marie BeckDepartment of Nutrition and Health, Faculty of Health and Technology, Metropolitan University College, Copenhagen, Denmark.
Pere ClavéCentro de Investigación Biomédica en Red de enfermadades Hepáticas y Digestivas (CIBERehd), Hospital de Mataró, Universitat Autònoma de Barcelona, Mataró, Spain.
Shaheen HamdyCentre for Gastrointestinal Sciences, Institute of Inflammation and Repair, University of Manchester, Salford Royal Hospital, Salford, UK.
Hans Juergen HeppnerDepartment of Geriatrics, Witten- Herdecke University, Schwelm, Germany; Helios Clinic Schwelm, Schwelm, Germany.
Susan LangmoreDepartment of Speech, Language and Hearing Sciences, Boston University School of Medicine, Boston, MA, USA.
Andreas Herbert LeischkerDepartment of Geriatrics, Alexianer Hospital Krefeld, Krefeld, Germany.
Rosemary MartinoDepartment of Speech-Language Pathology, University of Toronto, Toronto, Canada.
Petra PluschinskiDepartment of Phoniatrics and Pediatric Audiology, University of Marburg, Marburg, Germany.
Alexander RöslerDepartment of Geriatrics, Marien Hospital Hamburg, Hamburg, Germany.
Reza ShakerDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA.
Tobias WarneckeDepartment of Neurology, University Hospital Münster, Münster, Germany.
Cornel Christian SieberInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany; Department of General Internal Medicine and Geriatrics, St John of God Hospital Regensburg, Regensburg, Germany.
Dorothee VolkertInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nürnberg, Germany.
University Hospital Münster · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity of Toronto · CAHospital Krefeld-Düsseldorf · DEMedical College of Wisconsin · USPhilipps University of Marburg · DE

Funding

Department of Health PB-PG-0107-12076Department of Health PB-PG-0212-27024
6 · The paper itself

Abstract

Oropharyngeal dysphagia (OD) is a highly prevalent and growing condition in the older population. Although OD may cause very severe complications, it is often not detected, explored, and treated. Older patients are frequently unaware of their swallowing dysfunction which is one of the reasons why the consequences of OD, ie, aspiration, dehydration, and malnutrition, are regularly not attributed to dysphagia. Older patients are particularly vulnerable to dysphagia because multiple age-related changes increase the risk of dysphagia. Physicians in charge of older patients should be aware that malnutrition, dehydration, and pneumonia are frequently caused by (unrecognized) dysphagia. The diagnosis is particularly difficult in the case of silent aspiration. In addition to numerous screening tools, videofluoroscopy was the traditional gold standard of diagnosing OD. Recently, the fiberoptic endoscopic evaluation of swallowing is increasingly utilized because it has several advantages. Besides making a diagnosis, fiberoptic endoscopic evaluation of swallowing is applied to evaluate the effectiveness of therapeutic maneuvers and texture modification of food and liquids. In addition to swallowing training and nutritional interventions, newer rehabilitation approaches of stimulation techniques are showing promise and may significantly impact future treatment strategies.

Indexed as

AgedDeglutitionDeglutition DisordersDehydrationDementiaEndoscopy, GastrointestinalEnteral NutritionHumansMalnutritionParkinson DiseasePneumonia, AspirationRandomized Controlled Trials as TopicRisk FactorsTranscranial Direct Current StimulationTranscranial Magnetic Stimulationaspirationdehydrationdysphagiageriatricmalnutritionolder

Identifiers

PMID26966356
PMCPMC4770066
OpenAlexW2280675984

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.