ArticleJournal of general internal medicine2025
Perspectives of Hospital Medicine Providers on the Management of Oropharyngeal Dysphagia in Patients with Dementia.
Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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Who cites it
1 citing paper in PubMed.
- Dysphagia Management in Geriatric Medicine: Clinical Perspectives and Practice Patterns.American journal of speech-language pathology · 2026Article
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8 authors.
Funding
Abstract
backgroundOropharyngeal dysphagia (dysphagia) is a common (up to 86%) and devastating syndrome in hospitalized older adults with dementia.
objectiveTo describe the perspectives of dysphagia management in hospitalized patients with dementia among hospital medicine providers (i.e., hospitalists, internal medicine residents, and advanced practice providers, APPs).
designAn anonymous cross-sectional survey study across a large health system in the greater New York metropolitan area
participantsSurveys were distributed to hospitalists, internal medicine residents, and APPs via a multimodal approach. Survey questions were created by an interprofessional team consisting of hospitalists, a geriatrician, and a geriatrics-trained APP. MAIN MEASURES: Survey questions assessed current practices and perceptions of dysphagia management in patients with dementia. KEY
resultsOf 104 surveys completed, 62.1% were hospitalists, 24.3% were APPs, and 13.6% were residents. Nursing report (61.0%) was the most common way providers found out about suspected dysphagia. The vast majority (85.0%) always/often consulted a Speech-Language Pathologist (SLP) for suspected dysphagia evaluation. Over a third (39.8%) rarely/never discussed goals of care before consulting a SLP. Provider perceptions of the risks/benefits of dysphagia diets varied widely: dysphagia diets in patients with dementia improve quality of life (strongly disagree/disagree 33.0%, neither agree or disagree 31.1%, strongly agree/agree 35.9%); dysphagia diets in patients with dementia reduce the risk of mortality (strongly disagree/disagree 33.0%, neither agree or disagree 22.3%, strongly agree/agree 44.7%). Lastly, only 64% thought there was enough evidence to recommend against a PEG in patients with advanced dementia.
conclusionOur study highlights the need for standardizing dysphagia management best practices in hospitalized patients with dementia, the importance of addressing goals of care, and provider education on the risks and benefits of dysphagia diets and artificial nutrition via PEG tube.
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