Evidence map›Paper›PMID 28375450›Full record

SynthesisDiseases of the esophagus : official journal of the International Society for Diseases of the Esophagus2017

Patient-reported outcome measures in dysphagia: a systematic review of instrument development and validation.

D A Patel, R Sharda, K L Hovis, E E Nichols, N Sathe, D F Penson, I D Feurer, M L McPheeters, M F Vaezi, David O Francis

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
18.3field-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.

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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 117 citations in OpenAlex.

  1. ACG Clinical Guidelines: Diagnosis and Management of Achalasia.The American journal of gastroenterology · 2020
    Guideline
  2. Trial
  3. Patient-Reported Dysphagia After Thyroidectomy: A Qualitative Study.JAMA otolaryngology-- head & neck surgery · 2018
    Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Patient-Reported Outcome Measures in Benign Esophageal Disorders.The American journal of gastroenterology · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Dysphagia in Parkinson Disease: Part I - Pathophysiology and Diagnostic Practices.Current physical medicine and rehabilitation reports · 2023
    Article
  15. Preoperative dysphagia risk in community-dwelling adults aged ≥50 years: Prevalence and risk factors.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 2 institutions in 1 country.

D A PatelDivision of Gastroenterology, Hepatology and Nutrition.
R ShardaDivision of Gastroenterology, Hepatology and Nutrition.
K L HovisVanderbilt University School of Medicine.
E E NicholsVanderbilt University School of Medicine.
N SatheDepartment of Health Policy and the Evidence-Based Practice Center.
D F PensonDepartments of Urological Surgery, Health Policy, and Medicine and the Center for Surgical Quality and Outcomes Research.
I D FeurerDepartments of Biostatistics and Surgery and the Center for Surgical Quality and Outcomes Research.
M L McPheetersDepartment of Health Policy and the Evidence-Based Practice Center.
M F VaeziDivision of Gastroenterology, Hepatology and Nutrition.
David O FrancisDepartment of Otolaryngology and the Evidence-Based Practice Center and the Center for Surgical Quality and Outcomes Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University · USVanderbilt University Medical Center · US

Funding

Developing an Outcome Measuring Unilateral Vocal Fold Paralysis DisabilityK23DC013559 · NIDCD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FRANCIS, DAVID O. · 2014 to 2018
$990k
NIDCD NIH HHS K23 DC013559NIDCD NIH HHS L30 DC012687
6 · The paper itself

Abstract

objectivePatient-reported outcome (PRO) measures are commonly used to capture patient experience with dysphagia and to evaluate treatment effectiveness. Inappropriate application can lead to distorted results in clinical studies. A systematic review of the literature on dysphagia-related PRO measures was performed to (1) identify all currently available measures and (2) to evaluate each for the presence of important measurement properties that would affect their applicability.

designMEDLINE via the PubMed interface, the Cumulative Index of Nursing and Allied Health Literature, and the Health and Psychosocial Instrument database were searched using relevant vocabulary terms and key terms related to PRO measures and dysphagia. Three independent investigators performed abstract and full text reviews. Each study meeting criteria was evaluated using an 18-item checklist developed a priori that assessed multiple domains: (1) conceptual model, (2) content validity, (3) reliability, (4) construct validity, (6) scoring and interpretation, and (7) burden and presentation.

resultsOf 4950 abstracts reviewed, a total of 34 dysphagia-related PRO measures (publication year 1987-2014) met criteria for extraction and analysis. Several PRO measures were of high quality (MADS for achalasia, SWAL-QOL and SSQ for oropharyngeal dysphagia, PROMIS-GI for general dysphagia, EORTC-QLQ-OG25 for esophageal cancer, ROMP-swallowing for Parkinson's Disease, DSQ-EoE for eosinophilic esophagitis, and SOAL for total laryngectomy-related dysphagia). In all, 17 met at least one criterion per domain. Thematic deficiencies in current measures were evident including: (1) direct patient involvement in content development, (2) empirically justified dimensionality, (3) demonstrable responsiveness to change, (4) plan for interpreting missing responses, and (5) literacy level assessment.

conclusionThis is the first comprehensive systematic review assessing developmental properties of all available dysphagia-related PRO measures. We identified several instruments with robust measurement properties in multiple diseases including achalasia, oropharyngeal dysphagia, post-surgical dysphagia, esophageal cancer, and dysphagia related to neurological diseases. Findings herein can assist clinicians and researchers in making more informed decisions in selecting the most fundamentally sound PRO measure for a given clinical, research, or quality initiative.

Indexed as

Patient Reported Outcome MeasuresAgedDeglutition DisordersFemaleHealth SurveysHumansMaleMiddle AgedQuality of LifeReproducibility of ResultsTreatment Outcomedysphagiapatient-reported outcome measuressystematic review

Identifiers

PMID28375450
PMCPMC5675017
OpenAlexW2601472672

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.