Evidence map›Paper›PMID 33837841›Full record

ArticleDysphagia2022

Visual Analysis of Swallowing Efficiency and Safety (VASES): A Standardized Approach to Rating Pharyngeal Residue, Penetration, and Aspiration During FEES.

James A Curtis, James C Borders, Sarah E Perry, Avery E Dakin, Zeina N Seikaly, Michelle S Troche

Abstract read
PubMed Publisher
In one paragraph

Article in Dysphagia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
14.5field-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

32 citing papers in PubMed, 70 citations in OpenAlex.

  1. Volume-viscosity swallow test to facilitate individualized dietary modifications for dysphagia following intracerebral hemorrhage.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
  2. Trial
  3. Effects of Puree Type and Color on Ratings of Pharyngeal Residue, Penetration, and Aspiration during FEES: A Prospective Study of 37 Dysphagic Outpatient Adults.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2025
    Trial
  4. Thin Liquid Sip Sizes in Outpatient Adults with Normal and Disordered Swallowing: Modifying Factors and Relationships with Swallowing Safety and Efficiency.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026
    Article
  5. Evaluation of effortful swallow in patients with post stroke dysphagia using visual analysis of swallowing efficiency and safety (VASES) protocol.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 · 2026
    Article
  6. Respiratory-Swallow Training and Variable Practice in Parkinson's Disease: A Clinical Trial Pilot Study.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026
    Article
  7. Article
  8. Article
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  10. Possible Clinical Predictors for Dysphagia in Head and Neck Cancer Patients after Surgery.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026
    Article
  11. The interdisciplinary fibreoptic endoscopic evaluation of swallowing assessments in ICU patients: A file review.The Southern African journal of critical care : the official journal of the Critical Care Society · 2026
    Article
  12. Quantifying Pharyngeal Residue during Videofluoroscopic Swallow Studies (VFSS/MBS): Validation of Percentage-Based Visual-Perceptual Residue Ratings.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026
    Article
  13. Breath-Holding Maneuvers and Airway Closure in Healthy Adults and Parkinson's Disease: Effects of Maneuver Type, Health Status, and Vocal Fold Bowing.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2025
    Article
  14. Article
  15. Review
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  18. Review
  19. Characterizing the Validity of Using VASES to Derive DIGEST-FEES Grades.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2025
    Article
  20. Investigation of Pharyngeal Swallow Function of Healthy Older Adults Using Visual Analysis of Swallowing Efficiency and Safety Scale.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    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

6 authors at 2 institutions in 2 countries.

James A CurtisLaboratory for the Study of Upper Airway Dysfunction, Teachers College, Columbia University, New York City, NY, USA. jac2406@tc.columbia.edu.ORCID http://orcid.org/0000-0002-5677-6364
James C BordersLaboratory for the Study of Upper Airway Dysfunction, Teachers College, Columbia University, New York City, NY, USA.
Sarah E PerryLaboratory for the Study of Upper Airway Dysfunction, Teachers College, Columbia University, New York City, NY, USA.
Avery E DakinLaboratory for the Study of Upper Airway Dysfunction, Teachers College, Columbia University, New York City, NY, USA.
Zeina N SeikalyLaboratory for the Study of Upper Airway Dysfunction, Teachers College, Columbia University, New York City, NY, USA.
Michelle S TrocheLaboratory for the Study of Upper Airway Dysfunction, Teachers College, Columbia University, New York City, NY, USA.
Columbia University · USUniversity of Canterbury · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The primary aim of this study was to describe the development of the Visual Analysis of Swallowing Efficiency and Safety (VASES)-a standardized method to rate pharyngeal residue, penetration, and aspiration during FEES. As a secondary aim, we explored the feasibility of training novices to interpret FEES using VASES. Literature review and consensus panel discussions were used to develop standardized rules for VASES. A training protocol was developed and criterion ratings were established. Twenty-five novice raters completed VASES training and pre-/post-training assessments. Statistical analyses were used to examine pre- to post-training differences in the accuracy, reliability, and time to rate each video clip using VASES. Four sets of VASES rules were developed, including 'what', 'where', 'when', and 'how' to rate FEES. Large, significant post-training improvements in rating accuracy were observed across all seven VASES outcome measures (Cohen's d range 0.74-1.59). Additionally, inter-rater reliability increased for four of the seven outcome measures, and the amount of time to rate each video clip decreased from 2.6 min pre-training to 1.5 min post-training. VASES is a standardized FEES rating method used to enhance the subjective analysis of pharyngeal residue, penetration, and aspiration. It can be feasibly taught to novice raters with a high level of success and may be an effective method to analyze swallowing safety and efficiency in clinical and research practices. Future research is needed to test the validity of VASES by examining its relationship with other validated FEES rating scales.

Indexed as

DeglutitionDeglutition DisordersHumansReproducibility of ResultsAspirationDysphagiaFlexible endoscopic evaluation of swallowing (FEES)ResidueVisual analysis of swallowing efficiency and safety (VASES)

Identifiers

PMID33837841
OpenAlexW3150966348

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.