Evidence map›Paper›PMID 39046477›Full record

ArticleDysphagia2025

Validity and Reliability of Dysphagia Outcome Severity Scale (DOSS) When Used to Rate Flexible Endoscopic Evaluations of Swallowing (FEES).

Johanna Fransson, Sofia Thorén, Jenny Selg, Liza Bergström, Patricia Hägglund

Abstract readValidation Study
In one paragraph

Article in Dysphagia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. The Dysphagia Outcome and Severity Scale (DOSS) and non-instrumental swallowing measures in amyotrophic lateral sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Article
  5. Article
  6. Multimodal Neural Assessment for Predicting Post-Stroke Dysphagia: Identifying Critical Risk Factors Using Combined Indicators.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  7. 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

5 authors.

Johanna FranssonSpeech and Language Pathology, Department of Clinical Sciences, Faculty of Medicine, Umeå University, 90187, Umeå, Sweden. johanna.fransson@umu.se.ORCID 0009-0000-9591-2464
Sofia ThorénSpeech and Language Pathology, Department of Clinical Sciences, Faculty of Medicine, Umeå University, 90187, Umeå, Sweden.ORCID 0009-0004-1033-9654
Jenny SelgSpeech and Language Pathology, Department of Clinical Sciences, Faculty of Medicine, Umeå University, 90187, Umeå, Sweden.ORCID 0009-0006-7107-392X
Liza BergströmDivision of Neurology, Department of Clinical Sciences, Karolinska Institute, Danderyd University Hospital, Stockholm, Sweden.ORCID 0000-0002-6749-9390
Patricia HägglundSpeech and Language Pathology, Department of Clinical Sciences, Faculty of Medicine, Umeå University, 90187, Umeå, Sweden.ORCID 0000-0002-2254-7862

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Dysphagia Outcome and Severity Scale is used both clinically and within dysphagia research, internationally. Although it was developed using videofluoroscopic swallowing studies, it is frequently used to rate Flexible Endoscopic Evaluations of Swallowing. The validity and reliability of DOSS-use with FEES, however, has not previously been evaluated. This study investigated the validity and rater reliability of clinicians using DOSS to rate FEES. Eleven Speech-Language Pathologists (SLPs) with varied dysphagia experience were recruited to review and DOSS-rate 17 soundless FEES (198 bolus swallows) recorded from 11 heterogenic dysphagic patients (2 cases with repeat FEES) and 4 healthy adults. The SLPs DOSS-ratings were compared against the initial comprehensive dysphagia evaluation (including patient diagnosis, interview, cranial nerve and complete FEES assessment) with Functional Oral Intake Scale (FOIS) and DOSS outcome measures. The SLPs were blinded to patient details and comprehensive dysphagia examination. Re-randomised rating of FEES cases occurred two weeks later (intra rater reliability). Criterion validity for DOSS-ratings (compared against comprehensive dysphagia evaluation with FOIS and DOSS) were strong-very strong (r

Indexed as

DeglutitionDeglutition DisordersSeverity of Illness IndexAdultAgedFemaleHumansMaleMiddle AgedReproducibility of ResultsSpeech-Language PathologyAssessmentDeglutitionFunctioningICFOropharyngeal dysphagia

Identifiers

PMID39046477
PMCPMC11893719

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.