Validation of a swallowing disturbance questionnaire for detecting dysphagia in patients with Parkinson's disease
Identifieur interne : 002049 ( Main/Corpus ); précédent : 002048; suivant : 002050Validation of a swallowing disturbance questionnaire for detecting dysphagia in patients with Parkinson's disease
Auteurs : Yael Manor ; Nir Giladi ; Alma Cohen ; Dan M. Fliss ; Jacob T. CohenSource :
- Movement Disorders [ 0885-3185 ] ; 2007-10-15.
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Abstract
Underreporting of swallowing disturbances by Parkinson's disease (PD) patients may lead to delay in diagnosis and treatment, alerting the physician to an existing dysphagia only after the first episode of aspiration pneumonia. We developed and validated a swallowing disturbance questionnaire (SDQ) for PD patients and compared its findings to an objective assessment. Fifty‐seven PD patients (mean age 69 ± 10 years) participated in this study. Each patient was queried about experiencing swallowing disturbances and asked to complete a self‐reported 15‐item “yes/no” questionnaire on swallowing disturbances (24 replied “no”). All study patients underwent a physical/clinical swallowing evaluation by a speech pathologist and an otolaryngologist. The 33 patients who complained of swallowing disturbances also underwent fiberoptic endoscopyic evaluation of swallowing (FEES). According to the ROC test, the “optimal” score (where the sensitivity and specificity curves cross) is 11 (sensitivity 80.5%, specificity 81.3%). Using the SDQ questionnaire substantially reduced Type I errors (specifically, an existing swallowing problem missed by the selected cutoff point). On the basis of the SDQ assessment alone, 12 of the 24 (50%) noncomplaining patients would have been referred to further evaluation that they otherwise would not have undergone. The SDQ emerged as a validated tool to detect early dysphagia in PD patients. © 2007 Movement Disorder Society
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DOI: 10.1002/mds.21625
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We developed and validated a swallowing disturbance questionnaire (SDQ) for PD patients and compared its findings to an objective assessment. Fifty‐seven PD patients (mean age 69 ± 10 years) participated in this study. Each patient was queried about experiencing swallowing disturbances and asked to complete a self‐reported 15‐item “yes/no” questionnaire on swallowing disturbances (24 replied “no”). All study patients underwent a physical/clinical swallowing evaluation by a speech pathologist and an otolaryngologist. The 33 patients who complained of swallowing disturbances also underwent fiberoptic endoscopyic evaluation of swallowing (FEES). According to the ROC test, the “optimal” score (where the sensitivity and specificity curves cross) is 11 (sensitivity 80.5%, specificity 81.3%). Using the SDQ questionnaire substantially reduced Type I errors (specifically, an existing swallowing problem missed by the selected cutoff point). On the basis of the SDQ assessment alone, 12 of the 24 (50%) noncomplaining patients would have been referred to further evaluation that they otherwise would not have undergone. The SDQ emerged as a validated tool to detect early dysphagia in PD patients. © 2007 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Yael Manor MA</name><affiliations><json:string>Department of Neurology, Movement Disorders Unit, Parkinson Center, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</json:string><json:string>Voice and Swallowing Disorders Clinic, Department of Otolaryngology Head and Neck Surgery, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</json:string></affiliations></json:item><json:item><name>Nir Giladi MD</name><affiliations><json:string>Department of Neurology, Movement Disorders Unit, Parkinson Center, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</json:string><json:string>Sackler Faculty of Medicine, Tel‐Aviv University, Tel‐Aviv, Israel</json:string></affiliations></json:item><json:item><name>Alma Cohen PhD</name><affiliations><json:string>The Berglas School of Economics, Tel‐Aviv University, Tel‐Aviv, Israel</json:string></affiliations></json:item><json:item><name>Dan M. 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We developed and validated a swallowing disturbance questionnaire (SDQ) for PD patients and compared its findings to an objective assessment. Fifty‐seven PD patients (mean age 69 ± 10 years) participated in this study. Each patient was queried about experiencing swallowing disturbances and asked to complete a self‐reported 15‐item “yes/no” questionnaire on swallowing disturbances (24 replied “no”). All study patients underwent a physical/clinical swallowing evaluation by a speech pathologist and an otolaryngologist. The 33 patients who complained of swallowing disturbances also underwent fiberoptic endoscopyic evaluation of swallowing (FEES). According to the ROC test, the “optimal” score (where the sensitivity and specificity curves cross) is 11 (sensitivity 80.5%, specificity 81.3%). Using the SDQ questionnaire substantially reduced Type I errors (specifically, an existing swallowing problem missed by the selected cutoff point). On the basis of the SDQ assessment alone, 12 of the 24 (50%) noncomplaining patients would have been referred to further evaluation that they otherwise would not have undergone. 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We developed and validated a swallowing disturbance questionnaire (SDQ) for PD patients and compared its findings to an objective assessment. Fifty‐seven PD patients (mean age 69 ± 10 years) participated in this study. Each patient was queried about experiencing swallowing disturbances and asked to complete a self‐reported 15‐item “yes/no” questionnaire on swallowing disturbances (24 replied “no”). All study patients underwent a physical/clinical swallowing evaluation by a speech pathologist and an otolaryngologist. The 33 patients who complained of swallowing disturbances also underwent fiberoptic endoscopyic evaluation of swallowing (FEES). According to the ROC test, the “optimal” score (where the sensitivity and specificity curves cross) is 11 (sensitivity 80.5%, specificity 81.3%). Using the SDQ questionnaire substantially reduced Type I errors (specifically, an existing swallowing problem missed by the selected cutoff point). On the basis of the SDQ assessment alone, 12 of the 24 (50%) noncomplaining patients would have been referred to further evaluation that they otherwise would not have undergone. The SDQ emerged as a validated tool to detect early dysphagia in PD patients. © 2007 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>swallowing disturbances</term></item><item><term>fiberoptic endoscopic evaluation of swallowing</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-01-13">Received</change><change when="2007-05-13">Registration</change><change when="2007-10-15">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/CB38CE677EF35B4A8B4F215FB53006192C756B0D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="short">Mov. 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xml:lang="en"><title type="main">Abstract</title><p>Underreporting of swallowing disturbances by Parkinson's disease (PD) patients may lead to delay in diagnosis and treatment, alerting the physician to an existing dysphagia only after the first episode of aspiration pneumonia. We developed and validated a swallowing disturbance questionnaire (SDQ) for PD patients and compared its findings to an objective assessment. Fifty‐seven PD patients (mean age 69 ± 10 years) participated in this study. Each patient was queried about experiencing swallowing disturbances and asked to complete a self‐reported 15‐item “yes/no” questionnaire on swallowing disturbances (24 replied “no”). All study patients underwent a physical/clinical swallowing evaluation by a speech pathologist and an otolaryngologist. The 33 patients who complained of swallowing disturbances also underwent fiberoptic endoscopyic evaluation of swallowing (FEES). According to the ROC test, the “optimal” score (where the sensitivity and specificity curves cross) is 11 (sensitivity 80.5%, specificity 81.3%). Using the SDQ questionnaire substantially reduced Type I errors (specifically, an existing swallowing problem missed by the selected cutoff point). On the basis of the SDQ assessment alone, 12 of the 24 (50%) noncomplaining patients would have been referred to further evaluation that they otherwise would not have undergone. The SDQ emerged as a validated tool to detect early dysphagia in PD patients. © 2007 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Validation of a swallowing disturbance questionnaire for detecting dysphagia in patients with Parkinson's disease</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Validation of a SDQ for Detecting Dysphagia</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Validation of a swallowing disturbance questionnaire for detecting dysphagia in patients with Parkinson's disease</title></titleInfo><name type="personal"><namePart type="given">Yael</namePart><namePart type="family">Manor</namePart><namePart type="termsOfAddress">MA</namePart><affiliation>Department of Neurology, Movement Disorders Unit, Parkinson Center, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><affiliation>Voice and Swallowing Disorders Clinic, Department of Otolaryngology Head and Neck Surgery, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><description>Correspondence: Movement Disorders Unit, Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv, Israel 642359</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nir</namePart><namePart type="family">Giladi</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Neurology, Movement Disorders Unit, Parkinson Center, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><affiliation>Sackler Faculty of Medicine, Tel‐Aviv University, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alma</namePart><namePart type="family">Cohen</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>The Berglas School of Economics, Tel‐Aviv University, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Dan M.</namePart><namePart type="family">Fliss</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Voice and Swallowing Disorders Clinic, Department of Otolaryngology Head and Neck Surgery, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><affiliation>Sackler Faculty of Medicine, Tel‐Aviv University, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jacob T.</namePart><namePart type="family">Cohen</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Voice and Swallowing Disorders Clinic, Department of Otolaryngology Head and Neck Surgery, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><affiliation>Sackler Faculty of Medicine, Tel‐Aviv University, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2007-10-15</dateIssued><dateCaptured encoding="w3cdtf">2007-01-13</dateCaptured><dateValid encoding="w3cdtf">2007-05-13</dateValid><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">4</extent><extent unit="references">23</extent><extent unit="words">3552</extent></physicalDescription><abstract lang="en">Underreporting of swallowing disturbances by Parkinson's disease (PD) patients may lead to delay in diagnosis and treatment, alerting the physician to an existing dysphagia only after the first episode of aspiration pneumonia. We developed and validated a swallowing disturbance questionnaire (SDQ) for PD patients and compared its findings to an objective assessment. Fifty‐seven PD patients (mean age 69 ± 10 years) participated in this study. Each patient was queried about experiencing swallowing disturbances and asked to complete a self‐reported 15‐item “yes/no” questionnaire on swallowing disturbances (24 replied “no”). All study patients underwent a physical/clinical swallowing evaluation by a speech pathologist and an otolaryngologist. The 33 patients who complained of swallowing disturbances also underwent fiberoptic endoscopyic evaluation of swallowing (FEES). According to the ROC test, the “optimal” score (where the sensitivity and specificity curves cross) is 11 (sensitivity 80.5%, specificity 81.3%). Using the SDQ questionnaire substantially reduced Type I errors (specifically, an existing swallowing problem missed by the selected cutoff point). On the basis of the SDQ assessment alone, 12 of the 24 (50%) noncomplaining patients would have been referred to further evaluation that they otherwise would not have undergone. The SDQ emerged as a validated tool to detect early dysphagia in PD patients. © 2007 Movement Disorder Society</abstract><note type="funding">National Parkinson Foundation (NPF)</note><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>swallowing disturbances</topic><topic>fiberoptic endoscopic evaluation of swallowing</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>22</number></detail><detail type="issue"><caption>no.</caption><number>13</number></detail><extent unit="pages"><start>1917</start><end>1921</end><total>5</total></extent></part></relatedItem><identifier type="istex">CB38CE677EF35B4A8B4F215FB53006192C756B0D</identifier><identifier type="DOI">10.1002/mds.21625</identifier><identifier type="ArticleID">MDS21625</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2007 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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