Evidence map›Paper›PMID 33027137›Full record

ReviewCurrent opinion in otolaryngology & head and neck surgery2020

Radiation exposure in modified barium swallow studies.

Heather Shaw Bonilha, Bonnie Martin-Harris, Ashli K O'Rourke, Sameer V Tipnis

Abstract readReview
In one paragraph

Review in Current opinion in otolaryngology & head and neck surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

4 authors.

Heather Shaw BonilhaDepartment of Health Science and Research, Medical University of South Carolina, Charleston, South Carolina.
Bonnie Martin-HarrisRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, Illinois.
Ashli K O'RourkeDepartment of Otolaryngology-Head and Neck Surgery.
Sameer V TipnisDepartment of Radiology and Radiological Science, Medical University of South Carolina, Charleston, South Carolina, USA.

Funding

Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
Excess Radiation Exposure in Infants and Children From Videofluoroscopic Swallow StudiesR01DK122975 · NIDDK · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BONILHA, HEATHER SHAW · 2020 to 2023
$1.7M
Impact of Pulse Rate on Swallowing Impairment Assessment and Radiation ExposureR01DK098222 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BONILHA, HEATHER SHAW · 2013 to 2017
$1.6M
NIDDK NIH HHS P30 DK123704NIDDK NIH HHS R01 DK098222NIDDK NIH HHS R01 DK122975
6 · The paper itself

Abstract

purpose of reviewThe modified barium swallow study (MBSS) is an X-ray examination of swallowing used to detect the presence and type impairment, aspiration risk, and to develop intervention plans. In this review, we will cover the use of ionizing radiation in MBSSs and review recent literature concerning radiation exposure and cancer risks to patients undergoing MBSSs. Lastly, we will discuss the clinical implications of these findings. RECENT

findingsRecent literature confirms that the MBSS is a low-dose examination and that reducing pulse rate negatively impacts diagnostic accuracy. Importantly, cancer risks to adults undergoing MBSSs were also reported to be low. SUMMARY: An adult undergoing MBSS using a standardized, valid protocol, like the Modified Barium Swallow Impairment Profile (MBSImP), has low-radiation exposure and very low associated cancer risks. MBSSs should be used whenever relevant to adult patient care without undue concern regarding radiation exposure. Children also have low radiation exposure from MBSSs; however, cancer risks from that exposure remain unknown. Best practices in radiation safety must always be followed. Reducing pulse rates in the adult or pediatric population to reduce radiation exposure is not a valid strategy because of the resulting reduction in diagnostic accuracy.

Indexed as

Radiation ExposureBarium SulfateDeglutition DisordersFluoroscopyHumansNeoplasms, Radiation-InducedRiskBarium Sulfate

Identifiers

PMID33027137
PMCPMC7788513

What OpenQuestion holds

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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.