Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study
To date, no consensus exists on the complex clinical decision-making processes involved in oropharyngeal dysphagia, or swallowing disorders. This study aimed to develop an international consensus on a clinical decision tree for the disease trajectory of oropharyngeal dysphagia in adults, taking into...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/20/6572 |
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| author | Renée Speyer Mathieu Balaguer Emmanuelle Cugy Clémence Devoucoux Sylvain Morinière Gaëlle Soriano Eric Vérin Virginie Woisard |
| author_facet | Renée Speyer Mathieu Balaguer Emmanuelle Cugy Clémence Devoucoux Sylvain Morinière Gaëlle Soriano Eric Vérin Virginie Woisard |
| author_sort | Renée Speyer |
| collection | DOAJ |
| description | To date, no consensus exists on the complex clinical decision-making processes involved in oropharyngeal dysphagia, or swallowing disorders. This study aimed to develop an international consensus on a clinical decision tree for the disease trajectory of oropharyngeal dysphagia in adults, taking into account physiological impairments of swallowing, risk factors for the development of complications from oropharyngeal dysphagia, and prognostic factors for treatment outcomes. Using the Delphi technique, consensus was achieved among dysphagia experts across 31 countries, resulting in a total of 10 physiological impairments, 23 risk factors and 21 prognostic factors identified as relevant factors in the clinical decision-making process. Factors most contributing to the severity of oropharyngeal dysphagia were ‘Aspiration’, ‘Incomplete ejection or failure to eject aspirated materials from the airways’, ‘Weak or absent cough’, ‘Choking’ and ‘Sensory deficits in the oropharynx’. To connect the existing theoretical framework to clinical practice, future research will develop the current findings by corroborating the domains based on relevant factors for clinical decision making and those that contribute to the severity of oropharyngeal dysphagia. |
| first_indexed | 2024-03-10T21:10:20Z |
| format | Article |
| id | doaj.art-edf9e493a0c24aeea0feb549746b9955 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:10:20Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-edf9e493a0c24aeea0feb549746b99552023-11-19T16:52:59ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220657210.3390/jcm12206572Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi StudyRenée Speyer0Mathieu Balaguer1Emmanuelle Cugy2Clémence Devoucoux3Sylvain Morinière4Gaëlle Soriano5Eric Vérin6Virginie Woisard7Department Special Needs Education, University of Oslo, 0318 Oslo, NorwayInstitut de Recherche en Informatique de Toulouse, Centre national de la Recherche Scientifique, University of Toulouse, 31062 Toulouse, FranceDepartment of Physical and Rehabilitation Medicine, Arcachon Hospital, 33260 La Teste de Buch, FranceDepartment of Medicine, Maieutic and Allied Health, Faculty of Health, University of Toulouse, Paul Sabatier Toulouse III, 133 Route de Narbonne, 31062 Toulouse, FranceDepartment of Otorhinolaryngology and Head and Neck Surgery, Tours University Hospital, 37000 Tours, FranceDepartment of Geriatrics, Toulouse University Hospital, 31000 Toulouse, FranceGRHVN UR 3830, Research Group on Ventilatory and Neurological Handicap, Laboratoire de Chirurgie Experimentale, University of Rouen Normandie, 76000 Rouen, FranceDepartment of Medicine, Maieutic and Allied Health, Faculty of Health, University of Toulouse, Paul Sabatier Toulouse III, 133 Route de Narbonne, 31062 Toulouse, FranceTo date, no consensus exists on the complex clinical decision-making processes involved in oropharyngeal dysphagia, or swallowing disorders. This study aimed to develop an international consensus on a clinical decision tree for the disease trajectory of oropharyngeal dysphagia in adults, taking into account physiological impairments of swallowing, risk factors for the development of complications from oropharyngeal dysphagia, and prognostic factors for treatment outcomes. Using the Delphi technique, consensus was achieved among dysphagia experts across 31 countries, resulting in a total of 10 physiological impairments, 23 risk factors and 21 prognostic factors identified as relevant factors in the clinical decision-making process. Factors most contributing to the severity of oropharyngeal dysphagia were ‘Aspiration’, ‘Incomplete ejection or failure to eject aspirated materials from the airways’, ‘Weak or absent cough’, ‘Choking’ and ‘Sensory deficits in the oropharynx’. To connect the existing theoretical framework to clinical practice, future research will develop the current findings by corroborating the domains based on relevant factors for clinical decision making and those that contribute to the severity of oropharyngeal dysphagia.https://www.mdpi.com/2077-0383/12/20/6572deglutitionswallowing disorderssurveyquestionnaireframeworkprognosis |
| spellingShingle | Renée Speyer Mathieu Balaguer Emmanuelle Cugy Clémence Devoucoux Sylvain Morinière Gaëlle Soriano Eric Vérin Virginie Woisard Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study Journal of Clinical Medicine deglutition swallowing disorders survey questionnaire framework prognosis |
| title | Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study |
| title_full | Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study |
| title_fullStr | Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study |
| title_full_unstemmed | Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study |
| title_short | Expert Consensus on Clinical Decision Making in the Disease Trajectory of Oropharyngeal Dysphagia in Adults: An International Delphi Study |
| title_sort | expert consensus on clinical decision making in the disease trajectory of oropharyngeal dysphagia in adults an international delphi study |
| topic | deglutition swallowing disorders survey questionnaire framework prognosis |
| url | https://www.mdpi.com/2077-0383/12/20/6572 |
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