Evidence map›Paper›PMID 37892711›Full record

ArticleJournal of clinical medicine2023

Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study.

Renée Speyer, Mathieu Balaguer, Emmanuelle Cugy, Clémence Devoucoux, Sylvain Morinière, Gaëlle Soriano, Eric Vérin, Virginie Woisard

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. 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

8 authors at 5 institutions in 4 countries.

Renée SpeyerDepartment Special Needs Education, University of Oslo, 0318 Oslo, Norway.ORCID 0000-0003-2828-8897
Mathieu BalaguerInstitut de Recherche en Informatique de Toulouse, Centre national de la Recherche Scientifique, University of Toulouse, 31062 Toulouse, France.ORCID 0000-0003-1311-4501
Emmanuelle CugyDepartment of Physical and Rehabilitation Medicine, Arcachon Hospital, 33260 La Teste de Buch, France.
Clémence DevoucouxDepartment of Medicine, Maieutic and Allied Health, Faculty of Health, University of Toulouse, Paul Sabatier Toulouse III, 133 Route de Narbonne, 31062 Toulouse, France.ORCID 0009-0003-8220-0419
Sylvain MorinièreDepartment of Otorhinolaryngology and Head and Neck Surgery, Tours University Hospital, 37000 Tours, France.ORCID 0000-0002-5884-7285
Gaëlle SorianoDepartment of Geriatrics, Toulouse University Hospital, 31000 Toulouse, France.
Eric VérinGRHVN UR 3830, Research Group on Ventilatory and Neurological Handicap, Laboratoire de Chirurgie Experimentale, University of Rouen Normandie, 76000 Rouen, France.
Virginie WoisardDepartment of Medicine, Maieutic and Allied Health, Faculty of Health, University of Toulouse, Paul Sabatier Toulouse III, 133 Route de Narbonne, 31062 Toulouse, France.
Université Toulouse III - Paul Sabatier · FRLeiden University · NLNormandie Université · FRUniversité de Tours · FRUniversité Fédérale de Toulouse Midi-Pyrénées · FR

Funding

Agence Nationale de la Recherche ANR-21-CE19-0057-01
6 · The paper itself

Abstract

To date, no consensus exists on the complex clinical decision-making processes involved in oropharyngeal dysphagia, or swallowing disorders. This study aimed to develop an international consensus on a clinical decision tree for the disease trajectory of oropharyngeal dysphagia in adults, taking into account physiological impairments of swallowing, risk factors for the development of complications from oropharyngeal dysphagia, and prognostic factors for treatment outcomes. Using the Delphi technique, consensus was achieved among dysphagia experts across 31 countries, resulting in a total of 10 physiological impairments, 23 risk factors and 21 prognostic factors identified as relevant factors in the clinical decision-making process. Factors most contributing to the severity of oropharyngeal dysphagia were 'Aspiration', 'Incomplete ejection or failure to eject aspirated materials from the airways', 'Weak or absent cough', 'Choking' and 'Sensory deficits in the oropharynx'. To connect the existing theoretical framework to clinical practice, future research will develop the current findings by corroborating the domains based on relevant factors for clinical decision making and those that contribute to the severity of oropharyngeal dysphagia.

Indexed as

deglutitionframeworkimpairmentprognosisquestionnaireriskseveritysurveyswallowing disorders

Identifiers

PMID37892711
PMCPMC10607151
OpenAlexW4387705689

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.