Evidence map›Paper›PMID 39636423›Full record

GuidelineEuropean radiology2025

ESSD-ESGAR best practice position statements on the technical performance of videofluoroscopic swallowing studies in adult patients with swallowing disorders.

Martina Scharitzer, Wolfgang Schima, Margaret Walshe, Eric Verin, Stefano Doratiotto, Olle Ekberg, Daniele Farneti, Peter Pokieser, Emilio Quaia, Virginie Woisard and 2 more

Abstract readPractice Guideline
In one paragraph

Guideline in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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

12 authors.

Martina ScharitzerDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria. martina.scharitzer@meduniwien.ac.at.ORCID http://orcid.org/0000-0003-4427-5463
Wolfgang SchimaDepartment of Diagnostic and Interventional Radiology, Goettlicher Heiland Krankenhaus, Vienna, Austria.
Margaret WalsheDepartment of Clinical Speech and Language Studies, Trinity College Dublin, University of Dublin, Dublin, Ireland.
Eric VerinDepartment of Pulmonary Rehabilitation, UNIROUEN, Normandie University, Rouen, France.
Stefano DoratiottoDepartment of Diagnostic and Interventional Radiology, Ca' Foncello Hospital, Treviso, Italy.
Olle EkbergDivision of Medical Radiology, Department of Translational Medicine, Lund University, Skåne University Hospital, Malmö, Sweden.
Daniele FarnetiAudiologic Phoniatric Service, ENT Department AUSL Romagna, Infermi Hospital, Rimini, Italy.
Peter PokieserTeaching Center, Medical University of Vienna, Vienna, Austria.
Emilio QuaiaRadiology Department, Padova University Hospital, University of Padova, Padova, Italy.
Virginie WoisardVoice and Deglutition Unit, Department of Otorhinolaryngology and Head and Neck Surgery, Larrey Hospital, University Hospital of Toulouse, Toulouse, France.
Ekaterini XinouRadiology Department, Theagenio Cancer Hospital, Thessaloniki, Greece.
Renée SpeyerDepartment Special Needs Education, University of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesVideofluoroscopic swallowing studies (VFSS) remain the gold standard for the instrumental assessment of oropharyngeal swallowing disorders alongside flexible endoscopic evaluation of swallowing (FEES), requiring a high standard of quality and correct implementation. The current best practice position statements aim to guide the clinical practice of VFSS in individuals experiencing swallowing disorders. MATERIALS AND

methodsAn international expert consensus panel with expertise in oropharyngeal dysphagia, comprised of radiologists, speech-language therapists, otolaryngologists, and other professionals in the field, convened by the European Society of Swallowing Disorders (ESSD) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), developed best practice position statements. They were established using an online Delphi methodology involving an online panel discussion and item preparation and three consecutive rounds. Consensus was reached when ≥ 80% of the participants agreed on a specific recommendation.

resultsEighteen best practice position statements were formulated, thereby establishing standard recommendations on the technical performance of VFSS. They cover VFSS planning, correct implementation, documentation, radiation protection, equipment and maintenance, and education and training.

conclusionThese position statements summarise the panel's deliberations and recommendations in performing VFSS, representing the agreed consensus of experts from ESSD and ESGAR. They provide a structured framework for optimising and standardising the performance of VFSS in patients with swallowing disorders. KEY POINTS: Question Significant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care. Findings Eighteen statements were developed by representatives of the ESSD and the ESGAR. Clinical relevance These best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service.

Indexed as

Deglutition DisordersVideo RecordingAdultConsensusDeglutitionEuropeFluoroscopyHumansBariumConsensus developmentDeglutition disordersDysphagiaFluoroscopy

Identifiers

PMID39636423
PMCPMC12081525

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.