Evidence map›Paper›PMID 40810807›Full record

ArticleDysphagia2026

Preliminary Validation of Dynamic Imaging Grade of Swallowing Toxicity (DIGEST

Brittany N Krekeler, Anna Hopkins, Claudia Vollman, Kate Davidson, Erin Broderick, Mekibib Altaye, Meredith Tabangin, Bonnie Martin-Harris, Katherine A Hutcheson

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article 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

9 authors.

Brittany N KrekelerDepartment of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0528, Room 6307C, Cincinnati, OH, 45267, USA. krekelby@ucmail.uc.edu.ORCID 0000-0003-0469-9181
Anna HopkinsDepartment of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0528, Room 6307C, Cincinnati, OH, 45267, USA.
Claudia VollmanDepartment of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0528, Room 6307C, Cincinnati, OH, 45267, USA.
Kate DavidsonDepartment of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, USA.
Erin BroderickDepartment of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0528, Room 6307C, Cincinnati, OH, 45267, USA.
Mekibib AltayeCincinnati Children's Hospital and Medical Center, Division of Biostatistics and Epidemiology, Cincinnati, USA.
Meredith TabanginCincinnati Children's Hospital and Medical Center, Division of Biostatistics and Epidemiology, Cincinnati, USA.
Bonnie Martin-HarrisDepartment of Communication Sciences and Disorders, School of Communication, Northwestern University Roxelyn and Richard Pepper, Evanston, USA.
Katherine A HutchesonDepartment of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, USA.

Funding

Training Swallowing Initiation during Expiration: Impact on Safety and Efficiency Following Treatment for Oropharyngeal Head and Neck CancerR01CA262502 · NCI · NORTHWESTERN UNIVERSITY · PI BONNIE J MARTIN-HARRIS · 2021 to 2026
$2.9M
Dissemination and implementation of DIGEST™ as an evidence-based measurement tool for dysphagia in cancerR01CA271223 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Katherine Arnold Hutcheson · 2023 to 2026
$2.6M
Research and Mentoring on Swallowing Impairment and Respiratory-Swallow CoordinatK24DC012801 · NIDCD · NORTHWESTERN UNIVERSITY · PI MARTIN-HARRIS, BONNIE J · 2013 to 2024
$1.8M
Impact of Lingual Endurance Exercise on Rehabilitation of Swallowing Impairments after lschemic StrokeK01HD111680 · NICHD · UNIVERSITY OF CINCINNATI · PI Brittany Nicole Krekeler · 2023 to 2026
$710k
Eunice Kennedy Shriver National Institute of Child Health and Human Development K01HD111680NCI NIH HHS R01 CA262502NCI NIH HHS R01 CA271223NCI NIH HHS R01CA271223NICHD NIH HHS K01 HD111680NIDCD NIH HHS K24 DC012801NIDCD NIH HHS K24DC012801
6 · The paper itself

Abstract

The Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) rating method was developed in head and neck cancer populations to describe severity of aspiration and residue. The purpose of this study was to assess criterion validity of DIGEST in a post-stroke cohort. In this retrospective analysis, two raters (using version two criteria) performed DIGEST

Indexed as

DeglutitionDeglutition DisordersStrokeAgedAged, 80 and overFemaleHumansMaleMiddle AgedObserver VariationReproducibility of ResultsRetrospective StudiesSeverity of Illness IndexAssessmentDysphagiaPost-strokeSwallow efficiencySwallow safety

Identifiers

PMID40810807
PMCPMC12950017

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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.