Evidence map›Paper›PMID 40622605›Full record

SynthesisDysphagia2026

Treatment of Dysphagia in Patients with Dementia: a Systematic Review and Meta-Analysis.

Lulu Tong, Lijiao Chen, Panpan Xiao, Yan Zhang, Qingqing Cao, Wei Zhu

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Dysphagia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Lulu TongDepartment of Rehabilitation, Encephalopathy Rehabilitation Ward, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.ORCID 0009-0003-1335-0966
Lijiao ChenNursing Department, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, No. 1 Wangjiangshan Road, Westlake District, Hangzhou, Zhejiang Province, China.
Panpan XiaoDepartment of Rehabilitation, Encephalopathy Rehabilitation Ward, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Yan ZhangDepartment of Rehabilitation, Encephalopathy Rehabilitation Ward, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Qingqing CaoCancer Center, Department of Medical Oncology, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.
Wei ZhuNursing Department, Affiliated People's Hospital, Zhejiang Provincial People's Hospital, Hangzhou Medical College, No. 1 Wangjiangshan Road, Westlake District, Hangzhou, Zhejiang Province, China. zw760130@163.com.

Funding

Medical Science and Technology Project of Zhejiang Province 2025KY607Zhejiang Traditional Chinese Medicine Science and Technology Plan 2024ZL010
6 · The paper itself

Abstract

To evaluate the effect of various treatment methods on improving swallowing function in patients with dementia dysphagia. Systematic review and meta-analysis. Dementia with dysphagia. A systematic search was conducted across eight databases, including Wanfang, CNKI, VIP, Sinomed, PubMed, Cochrane, Web of Science, and Embase, from inception to November 2024. Eligible studies included randomized controlled trials (RCTs) and quasi-experimental studies assessing treatment measures for dysphagia in dementia patients. Seventeen studies met the inclusion criteria, involving 1,593 participants. The methodological quality was moderate, with substantial baseline control and outcome evaluation, but there were weaknesses in randomization, allocation concealment, and blinding. Treatment measures include behavioral intervention therapy (swallowing training), physical therapy (electrical stimulation, cervical movement), nutritional intervention therapy (diet adjustment, intermittent oral to esophageal tube feeding), and comprehensive training. The meta-analysis results showed that compared with standard care, the overall effect of various treatment methods was significant (standardized mean differences (SMD) = -0.89; 95 % CI = -1.12 ~ -0.66, P < 0.0001). Subgroup analysis showed that the intervention effect of swallowing training was better among various treatment methods. (SMD = -1.56; 95% CI: -2.17 to -0.95, P < 0.0001). Improvements were more significant in patients with mild dysphagia (SMD = -1.06; 95% CI: -1.65 to -0.48, P = 0.0003) and interventions lasting 4-6 weeks (SMD = -0.99; 95% CI: -1.36 to -0.62, P < 0.00001). Various treatment methods can effectively improve the swallowing function of patients with dementia dysphagia. It may be best to carry out 4-6 weeks of swallowing training for patients with early dementia and dysphagia. In the future, higher-quality multicenter studies will be needed for verification.

Indexed as

Deglutition DisordersDementiaDeglutitionHumansPhysical Therapy ModalitiesRandomized Controlled Trials as TopicTreatment OutcomeDementiaDysphagiaMeta-AnalysisSystematic reviewTreatment

Identifiers

What OpenQuestion holds

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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.