Evidence map›Paper›PMID 42696491›Full record

ArticleFolia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP)2026

Transcultural Adaptation and Validation of the German DIGEST-FEES.

Susanne Bauer, Stephanie Rieser-Reetz, Jörg E Bohlender, Heather M Starmer, Katherine A Hutcheson, Erich Hartmann, Meike Brockmann-Bauser

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP), 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

7 authors.

Susanne BauerInstitute for Language and Communication, University of Teacher Education in Special Needs Zurich, Zurich, Switzerland, susanne.bauer@hfh.ch.
Stephanie Rieser-ReetzDivision of Phoniatrics and Speech Pathology, Clinic for Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Jörg E BohlenderDivision of Phoniatrics and Speech Pathology, Clinic for Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Heather M StarmerDepartment of Otolaryngology - Head and Neck Surgery, Stanford University, Palo Alto, USA.
Katherine A HutchesonDepartment of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, USA.
Erich HartmannDepartment of Special Needs Education, University of Fribourg, Fribourg, Switzerland.
Meike Brockmann-BauserDivision of Phoniatrics and Speech Pathology, Clinic for Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFlexible endoscopic evaluation of swallowing (FEES) is one of two diagnostic gold standards for pharyngeal dysphagia in patients with head and neck cancer (HNC). However, an evidence-based summary outcome measure was missing until recently. The Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) for FEES was adapted from DIGEST

methodsFirst, the transcultural translation included forward and backward translations, cognitive interviews, and consensus in an expert committee together with the original developers. Subsequently, the 100 endoscopic examination videos of the DIGEST-FEES original validation study were retrospectively analyzed with DIGEST-FEES-G.

resultsAfter a training phase, inter-rater reliability was almost perfect for overall DIGEST-FEES-G grade (Kw = 0.89), DIGEST-FEES-G safety (Kw = 0.9), and DIGEST-FEES-G efficiency (Kw = 0.88). Intra-rater reliability for the DIGEST-FEES-G rating was almost perfect (rater 1: Kw = 0.81-0.88) and substantial to almost perfect (rater 2: Kw = 0.78-0.92). Overall DIGEST-FEES-G grade correlated with the German Murray Secretion Scale (r = 0.47; p < 0.01), German Yale Vallecular Residue (r = 0.74; p < 19 0.01), and German Yale Pyriform Sinus Residue (r = 0.66; p < 0.01).

conclusionThe validation and reliability findings of the original study could be replicated for DIGEST-FEES-G which increases validity of the DIGEST-FEES scale. The translated version, DIGEST-FEES-G, provides a psychometrically sound analysis method for the severity grading of pharyngeal dysphagia in HNC for German-speaking practitioners.

Indexed as

Dynamic Imaging Grade of Swallowing ToxicityDysphagiaFlexible endoscopic evaluation of swallowingHead and neck cancerTranslation

Identifiers

PMID42696491
PMCPMC13688373

What OpenQuestion holds

Textmetadata
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.