Evidence map›Paper›PMID 31168756›Full record

ReviewDysphagia2020

High-Resolution Pharyngeal Manometry and Impedance: Protocols and Metrics-Recommendations of a High-Resolution Pharyngeal Manometry International Working Group.

Taher I Omari, Michelle Ciucci, Kristin Gozdzikowska, Ester Hernández, Katherine Hutcheson, Corinne Jones, Julia Maclean, Nogah Nativ-Zeltzer, Emily Plowman, Nicole Rogus-Pulia and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Dysphagia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
25.5field-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.

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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Evaluation of post-laryngectomy dysphagia rehabilitation using High-Resolution impedance manometry: an exploratory study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Classifying neurogenic dysphagia as a movement disorder.Brain : a journal of neurology · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Pharyngeal adaptation to bolus properties in patients with Parkinson's disease.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    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

12 authors at 8 institutions in 3 countries.

Taher I OmariFlinders University, Adelaide, SA, Australia.
Michelle CiucciUniversity of Wisconsin, Madison, WI, USA.
Kristin GozdzikowskaUniversity of Canterbury, Christchurch, New Zealand.
Ester HernándezUniversity of Canterbury, Christchurch, New Zealand.
Katherine HutchesonUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Corinne JonesUniversity of Wisconsin, Madison, WI, USA.
Julia MacleanSt. George Hospital, Sydney, Australia.
Nogah Nativ-ZeltzerUniversity of California, Davis, CA, USA.
Emily PlowmanUniversity of Florida, Gainesville, FL, USA.
Nicole Rogus-PuliaUniversity of Wisconsin, Madison, WI, USA.
Nathalie RommelUniversity Hospitals Leuven, Leuven, Belgium.
Ashli O'RourkeMedical University of South Carolina, 135 Rutledge Avenue MSC 550, Charleston, SC, 29425, USA. aorourke@musc.edu.ORCID 0000-0002-1293-501X
University of Wisconsin–Madison · USUniversity of Canterbury · NZFlinders University · AUMedical University of South Carolina · USSt George Hospital · AUThe University of Texas MD Anderson Cancer Center · USUniversity of California, Davis · USUniversity of Florida · US

Funding

Landis Outstanding Mentor Award SupplementR01NS100859 · NINDS · UNIVERSITY OF FLORIDA · PI PLOWMAN, EMILY KATE · 2017 to 2021
$2.0M
6 · The paper itself

Abstract

High-resolution manometry has traditionally been utilized in gastroenterology diagnostic clinical and research applications. Recently, it is also finding new and important applications in speech pathology and laryngology practices. A High-Resolution Pharyngeal Manometry International Working Group was formed as a grass roots effort to establish a consensus on methodology, protocol, and outcome metrics for high-resolution pharyngeal manometry (HRPM) with consideration of impedance as an adjunct modality. The Working Group undertook three tasks (1) survey what experts were currently doing in their clinical and/or research practice; (2) perform a review of the literature underpinning the value of particular HRPM metrics for understanding swallowing physiology and pathophysiology; and (3) establish a core outcomes set of HRPM metrics via a Delphi consensus process. Expert survey results were used to create a recommended HRPM protocol addressing system configuration, catheter insertion, and bolus administration. Ninety two articles were included in the final literature review resulting in categorization of 22 HRPM-impedance metrics into three classes: pharyngeal lumen occlusive pressures, hypopharyngeal intrabolus pressures, and upper esophageal sphincter (UES) function. A stable Delphi consensus was achieved for 8 HRPM-Impedance metrics: pharyngeal contractile integral (CI), velopharyngeal CI, hypopharyngeal CI, hypopharyngeal pressure at nadir impedance, UES integrated relaxation pressure, relaxation time, and maximum admittance. While some important unanswered questions remain, our work represents the first step in standardization of high-resolution pharyngeal manometry acquisition, measurement, and reporting. This could potentially inform future proposals for an HRPM-based classification system specifically for pharyngeal swallowing disorders.

Indexed as

Electric ImpedanceManometryOtolaryngologyPharynxSpeech-Language PathologyConsensusDelphi TechniqueHumansReference StandardsDeglutitionDeglutition disordersDysphagiaHigh-resolution manometryIntraluminal impedancePharynx

Identifiers

PMID31168756
OpenAlexW2948408793

What OpenQuestion holds

Textmetadata
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.