Evidence map›Paper›PMID 38720388›Full record

ReviewNeurological research and practice2024

Systematic approach to contextualize findings of flexible endoscopic evaluation of swallowing in neurogenic dysphagia- towards an integrated FEES report.

Rainer Dziewas, Tobias Warnecke, Bendix Labeit, Inga Claus, Paul Muhle, Stephan Oelenberg, Sigrid Ahring, Christina Wüller, Anne Jung, Jonas von Itter and 1 more

Abstract readReview
In one paragraph

Review in Neurological research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 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

11 authors.

Rainer DziewasDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrück- Academic Teaching Hospital of the University of Münster, Am Finkenhügel 1, 49076, Osnabrück, Germany. rainer.dziewas@klinikum-os.de.ORCID http://orcid.org/0000-0003-1592-8461
Tobias WarneckeDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrück- Academic Teaching Hospital of the University of Münster, Am Finkenhügel 1, 49076, Osnabrück, Germany.
Bendix LabeitDepartment of Neurology, Medical Faculty, University Hospital Düsseldorf, Düsseldorf, Germany.
Inga ClausDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Paul MuhleDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Stephan OelenbergDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Sigrid AhringDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Christina WüllerDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Anne JungDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Jonas von ItterDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Sonja Suntrup-KruegerDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Flexible endoscopic evaluation of swallowing (FEES) is one of the most important methods for instrumental swallowing evaluation. The most challenging part of the examination consists in the interpretation of the various observations encountered during endoscopy and in the deduction of clinical consequences. This review proposes the framework for an integrated FEES-report that systematically moves from salient findings of FEES to more advanced domains such as dysphagia severity, phenotypes of swallowing impairment and pathomechanisms. Validated scales and scores are used to enhance the diagnostic yield. In the concluding part of the report, FEES-findings are put into the perspective of the clinical context. The potential etiology of dysphagia and conceivable differential diagnoses are considered, further diagnostic steps are proposed, treatment options are evaluated, and a timeframe for re-assessment is suggested. This framework is designed to be adaptable and open to continuous evolution. Additional items, such as novel FEES protocols, pathophysiological observations, advancements in disease-related knowledge, and new treatment options, can be easily incorporated. Moreover, there is potential for customizing this approach to report on FEES in structural dysphagia.

Indexed as

DysphagiaFEESFEES reportNeurogenic dysphagia

Identifiers

PMID38720388
PMCPMC11080162

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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.