ArticleThe Laryngoscope2022
Discriminant Ability of the Eating Assessment Tool-10 to Detect Swallowing Safety and Efficiency Impairments.
Article in The Laryngoscope, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Development and Validation of the Eating Support for Healthcare Aides (ESHA) Questionnaire in Long-Term Care.Nutrients · 2025Article
- Comparing Videofluoroscopic and Patient Reported Outcome Measures of Swallowing After ACDF Surgery.The Laryngoscope · 2025Article
- Construct Validity of the Amyotrophic Lateral Sclerosis Bulbar Dysfunction Index-Remote.American journal of speech-language pathology · 2025Article
- Validation of the Dynamic Imaging Grade of Swallowing Toxicity for Amyotrophic Lateral Sclerosis.Neurogastroenterology and motility · 2025Article
- Use of EAT-10 in Individuals with Alzheimer's Disease: Who Should be the Source of Information?Dysphagia · 2025Article
- Validation of the Swedish Eating Assessment Tool, S-EAT-10, for patients with head and neck cancer.Scientific reports · 2025Article
- Validation and Reliability of the Polish Version of the Eating Assessment Tool-10 Questionnaire.Nutrients · 2025Article
- Association between dysphagia and social isolation in community-dwelling older people.European geriatric medicine · 2025Article
- A Clinical Focus on Shared Decision Making in Clinical Practice When Providing Dysarthria and Dysphagia Services to Individuals With Amyotrophic Lateral Sclerosis.Perspectives of the ASHA special interest groups · 2024Article
- Dysphagia is a risk factor of malnutrition in X-linked Dystonia-Parkinsonism.Clinical parkinsonism & related disorders · 2024Article
- Eating Assessment Tool (EAT-10) Scores to Detect Self-Reported Dysphagia in Brazilians.Dysphagia · 2023Article
- The discriminant ability of the eating assessment tool-10 questionnaire to detect residue and aspiration in patients with mixed etiology of dysphagia.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 · 2023Article
- The Current State and Future Directions of Swallowing Care in Amyotrophic Lateral Sclerosis.Current physical medicine and rehabilitation reports · 2023Article
- History and Science behind the Eating Assessment Tool-10 (Eat-10): Lessons Learned.The journal of nutrition, health & aging · 2023Review
- Prevalence and management of dysphagia in nursing home residents in Europe and Israel: the SHELTER Project.BMC geriatrics · 2022Observational
- Relationship Between EAT-10 Scores, Pharyngeal Residue Severity, and Penetration-Aspiration in Individuals With Idiopathic Parkinson's Disease: A FEES-Based Correlation and Discriminative Performance Study.International journal of language & communication disordersArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectives/hypothesisQuick, sensitive dysphagia screening tools are necessary to identify high-risk patients for further evaluation in busy multidisciplinary amyotrophic lateral sclerosis (ALS) clinics. We examined the relationship between self-perceived dysphagia using the validated Eating Assessment Tool-10 (EAT-10) and videofluoroscopic analysis of swallowing safety and efficiency. STUDY
designProspective, observational, longitudinal study.
methodsIndividuals with ALS completed the EAT-10 and a videofluoroscopic swallowing study. Duplicate, independent, blinded analyses of the validated Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) scale were performed to index swallowing safety and efficiency (mild dysphagia: DIGEST ≥ 1, moderate dysphagia: DIGEST ≥ 2). A between-groups analysis of variance with Games-Howell test for post-hoc pairwise comparisons was performed to examine EAT-10 scores across dysphagia severity levels. Receiver operator characteristic curve analysis, area under the curve (AUC), sensitivity, specificity, positive-negative predictive values (PPV, NPV), and odds ratios (OR) were derived.
resultsFour hundred and thirty five paired EAT-10 and DIGEST scores were analyzed. Mean EAT-10 score was 8.48 (95% confidence interval [CI]: 7.63-9.33). Individuals with dysphagia demonstrated higher EAT-10 scores (mild: 4.1 vs. 11.3, moderate: 6.0 vs. 17.5, P < .001). Mean EAT-10 scores increased across DIGEST levels (D0: 4.1, D1: 7.9, D2: 15.1, D3: 20.4, D4: 39.0). For mild dysphagia, an EAT-10 cut score of 3 was optimal: AUC 0.74 (95% CI: 0.69-0.78; sensitivity: 77%; specificity: 53%; PPV: 71%; NPV: 60%; OR: 3.5). An EAT-10 cut score of 7 optimized detection of moderate dysphagia: AUC 0.83 (95% CI: 0.78-0.87; sensitivity: 81%; specificity: 66%; PPV: 39%; NPV: 93%; OR: 8.1).
conclusionThe EAT-10 is an easy-to-administer dysphagia screening tool with good discriminant ability for use in ALS clinics. LEVEL OF EVIDENCE: 2 Laryngoscope, 132:2319-2326, 2022.
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