Evidence map›Paper›PMID 37442874›Full record

ArticleEuropean geriatric medicine2023

Impact of registered dietitian and dental hygienist involvement on functional outcomes in patients with dysphagia: triad of rehabilitation, nutrition, and oral management.

Hidetaka Wakabayashi, Shingo Kakehi, Masako Kishima, Masataka Itoda, Shinta Nishioka, Ryo Momosaki

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Article in European geriatric medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Hidetaka WakabayashiDepartment of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, 8-1, Kawada-cho, Shinjuku-ku, Tokyo, 162-0054, Japan. noventurenoglory@gmail.com.ORCID 0000-0002-0364-0818
Shingo KakehiDepartment of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, 8-1, Kawada-cho, Shinjuku-ku, Tokyo, 162-0054, Japan.ORCID 0000-0002-6119-1993
Masako KishimaDepartment of Dentistry, Wakakusa-Tatsuma Rehabilitation Hospital, Osaka, Japan.
Masataka ItodaDepartment of Oral Rehabilitation, Osaka Dental University Hospital, Osaka, Japan.
Shinta NishiokaDepartment of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, Nagasaki, Japan.ORCID 0000-0002-6726-8605
Ryo MomosakiDepartment of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, Japan.ORCID 0000-0003-3274-3952
Tokyo Women's Medical University Hospital · JPMie University · JPOsaka Dental University · JPWakaba Hospital · JP

Funding

JSPS Kakenhi 19H03979
6 · The paper itself

Abstract

purposeTo investigate whether the involvement of both registered dietitians and dental hygienists results in greater improvement in swallowing function and activities of daily living (ADL) in patients with dysphagia undergoing rehabilitation.

methodsOf 467 patients enrolled in the Japanese Sarcopenic Dysphagia database, 433 met the study eligibility criteria in a retrospective cohort study. Patients were divided into two groups based on whether or not they received intervention by both registered dietitians and dental hygienists. Outcomes were changes in the Food Intake Level Scale (FILS) and the Barthel Index (BI) at initial and follow-up assessments. Multiple regression analyses adjusted for age, sex, sarcopenia, dwelling, Charlson comorbidity index, malnutrition diagnosed by the Global Leadership Initiative on Malnutrition, and initial FILS or BI were conducted to examine the relationship between the involvement of both registered dietitians and dental hygienists.

resultsThe mean age was 80.5 and ± 10.7 years, and 222 were female. Both registered dietitians and dental hygienists were involved in 242 (57%) patients. Median and interquartile range changes in FILS and BI were 1 (0, 2) and 15 (0, 32.5), respectively. In multiple regression analyses, the change in the FILS was significantly higher in the involvement of both registered dietitians and dental hygienists (standardized coefficient = 0.075, P = 0.033), however, the change in the BI was not significantly different between the groups.

conclusionThe involvement of both registered dietitians and dental hygienists improved swallowing function, but not ADL. Triad of rehabilitation, nutrition, and oral management may be useful for patients with dysphagia.

Indexed as

Deglutition DisordersMalnutritionNutritionistsSarcopeniaActivities of Daily LivingAgedAged, 80 and overDental HygienistsFemaleHumansMaleRetrospective StudiesDeglutitionMouthNutritionRehabilitationTeam

Identifiers

PMID37442874
OpenAlexW4384156473

What OpenQuestion holds

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Registered trials

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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.