The American Broncho‐Esophagological Association Position Statement on Swallowing Fluoroscopy

Objectives To develop an expert consensus statement on the clinical use of swallowing fluoroscopy in adults that reduces practice variation and identifies opportunities for quality improvement in the care of patients suffering from swallowing impairment. Methodology A search strategist reviewed data...

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Vydané v:The Laryngoscope Ročník 133; číslo 2; s. 255 - 268
Hlavní autori: Dhar, Shumon Ian, Nativ‐Zeltzer, Nogah, Starmer, Heather, Morimoto, Linda Nayeli, Evangelista, Lisa, O'Rourke, Ashli, Fritz, Mark, Rameau, Anaïs, Randall, Derrick R., Cates, Daniel, Allen, Jacqueline, Postma, Gregory, Kuhn, Maggie, Belafsky, Peter
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Hoboken, USA John Wiley & Sons, Inc 01.02.2023
Wiley Subscription Services, Inc
Predmet:
Adult
barium swallow
Consensus
Deglutition
Deglutition Disorders - diagnostic imaging
Deglutition Disorders - therapy
dysphagia
esophagram
Fluoroscopy - methods
Humans
Laryngoscopy
modified barium swallow
Swallowing
dysphagia
esophagram
modified barium swallow
barium swallow
ISSN:0023-852X, 1531-4995, 1531-4995
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Popis
Shrnutí:Objectives To develop an expert consensus statement on the clinical use of swallowing fluoroscopy in adults that reduces practice variation and identifies opportunities for quality improvement in the care of patients suffering from swallowing impairment. Methodology A search strategist reviewed data sources (PubMed, Embase, Cochrane, Web of Science, Scopus) to use as evidence for an expert development group to compose statements focusing on areas of controversy regarding swallowing fluoroscopy. Candidate statements underwent two iterations of a modified Delphi protocol to reach consensus. Results A total of 2184 publications were identified for title and review with 211 publications meeting the criteria for full text review. Of these, 148 articles were included for review. An additional 116 publications were also included after reviewing the references of the full text publications from the initial search. These 264 references guided the authors to develop 41 candidate statements in various categories. Forty statements encompassing patient selection, fluoroscopic study choice, radiation safety, clinical team dynamics, training requirements, videofluoroscopic swallow study and esophagram techniques, and interpretation of swallowing fluoroscopy met criteria for consensus. One statement on esophagram technique reached near‐consensus. Conclusions These 40 statements pertaining to the comprehensive use of swallowing fluoroscopy in adults can guide the development of best practices, improve quality and safety of care, and influence policy in both the outpatient and inpatient settings. The lack of consensus on some aspects of esophagram technique likely reflects gaps in knowledge and clinical practice variation and should be a target for future research. Laryngoscope, 133:255–268, 2023
Bibliografia:Ashli O'Rourke is a consultant for GI‐Supply/Laborie Medical. Anaïs Rameau is a consultant for Perceptron Health, Inc. Gregory Postma is a consultant and speaker for Cook Medical LLC. Peter Belafsky is the co‐founder of Reflux Gourmet LLC. The authors have no other funding, financial relationships, or conflicts of interests to disclose.
th
Presented as a podium presentation at the American Broncho‐Esophagological Society Annual Meeting at COSM in Dallas, Texas on April 29
2022.
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ISSN:0023-852X
1531-4995
1531-4995
DOI:10.1002/lary.30177