Loading…
The Association Between Dysphagia Symptoms, DIGEST Scores, and Severity Ratings in Individuals with Parkinson’s Disease
The Swallow Disturbance Questionnaire (SDQ) is a screening tool developed to identify patients with Parkinson’s Disease (PD) in need of objective swallowing evaluation. In a previous investigation, the SDQ did not predict abnormal airway protection on a videofluoroscopic swallowing study (VFSS). Thi...
Saved in:
Published in: | Dysphagia 2023-10, Vol.38 (5), p.1295-1307 |
---|---|
Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c442t-9c4a5d73cc8a8f4c5b7db3bc3172d67e4a3760e1df354bf62d120253c7ba66743 |
---|---|
cites | cdi_FETCH-LOGICAL-c442t-9c4a5d73cc8a8f4c5b7db3bc3172d67e4a3760e1df354bf62d120253c7ba66743 |
container_end_page | 1307 |
container_issue | 5 |
container_start_page | 1295 |
container_title | Dysphagia |
container_volume | 38 |
creator | Noorani, Mehak Bolognone, Rachel K. Graville, Donna J. Palmer, Andrew D. |
description | The Swallow Disturbance Questionnaire (SDQ) is a screening tool developed to identify patients with Parkinson’s Disease (PD) in need of objective swallowing evaluation. In a previous investigation, the SDQ did not predict abnormal airway protection on a videofluoroscopic swallowing study (VFSS). This investigation was undertaken to determine whether SDQ scores were more accurate when a global measure was used. The Dynamic Imaging Grade for Swallowing Toxicity (DIGEST) is a validated measure that provides a safety, efficiency, and total severity grade based on VFSS. A secondary analysis was performed using data from 20 patients with PD who had participated in a standardized VFSS protocol. The study sample was predominantly male (80%) with an average age of 71 years, and an average PD duration of 9 years. Using an established cut-off score, participants were subdivided into those with “normal” (
n
= 10) and “abnormal” SDQ scores (
n
= 10). Recordings were scored using the DIGEST protocol by two blinded raters who also rated overall dysphagia severity from the VFSS. There was good agreement between the two raters on the DIGEST and strong correlations between DIGEST scores and clinician perceptions of dysphagia severity. Higher SDQ scores were associated with poorer Efficiency on the DIGEST but not Safety or Total scores. Consistent with other PD studies, subjective perceptions of dysphagia were poorly predictive of objective findings on VFSS. There is little information about the validity of the DIGEST for rating neurogenic dysphagia. Our study provides preliminary support for the use of the DIGEST in the PD population. |
doi_str_mv | 10.1007/s00455-023-10555-4 |
format | article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_2859373060</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A762972019</galeid><sourcerecordid>A762972019</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-9c4a5d73cc8a8f4c5b7db3bc3172d67e4a3760e1df354bf62d120253c7ba66743</originalsourceid><addsrcrecordid>eNp9kctuEzEUhi0EoqHwAiyQJbZM8d2ZZWhKiVQJRILEzvLYZxKXjh3sSavseA1ejyfBJYUKCSEvfPv-42N9CD2n5IQSol8XQoSUDWG8oUTWlXiAJlRw1hChyEM0IVS3DZH08xF6UsolIZS1ij9GR1yplikpJmi_2gCelZJcsGNIEb-B8QYg4vm-bDd2HSxe7oftmIbyCs8X52fLFV66lKFubfR4CdeQw7jHH2s8rgsOES-iD9fB7-xVwTdh3OAPNn8JsaT449v3guehgC3wFD3qKwHP7uZj9Ont2er0XXPx_nxxOrtonBBsbFonrPSaOze101442Wnf8c5xqplXGoTlWhGgvudSdL1injLCJHe6s0ppwY_Ry0PdbU5fd1BGc5l2OdYnDZvKlmtOFLmn1vYKTIh9GrN1QyjOzLRirWaEtpU6-QdVh4chuBShD_X8rwA7BFxOpWTozTaHwea9ocTcSjQHiaZKNL8kmtuOX9x1vOsG8H8iv61VgB-AUq_iGvL9l_5T9id1Wqci</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2859373060</pqid></control><display><type>article</type><title>The Association Between Dysphagia Symptoms, DIGEST Scores, and Severity Ratings in Individuals with Parkinson’s Disease</title><source>Springer Link</source><creator>Noorani, Mehak ; Bolognone, Rachel K. ; Graville, Donna J. ; Palmer, Andrew D.</creator><creatorcontrib>Noorani, Mehak ; Bolognone, Rachel K. ; Graville, Donna J. ; Palmer, Andrew D.</creatorcontrib><description>The Swallow Disturbance Questionnaire (SDQ) is a screening tool developed to identify patients with Parkinson’s Disease (PD) in need of objective swallowing evaluation. In a previous investigation, the SDQ did not predict abnormal airway protection on a videofluoroscopic swallowing study (VFSS). This investigation was undertaken to determine whether SDQ scores were more accurate when a global measure was used. The Dynamic Imaging Grade for Swallowing Toxicity (DIGEST) is a validated measure that provides a safety, efficiency, and total severity grade based on VFSS. A secondary analysis was performed using data from 20 patients with PD who had participated in a standardized VFSS protocol. The study sample was predominantly male (80%) with an average age of 71 years, and an average PD duration of 9 years. Using an established cut-off score, participants were subdivided into those with “normal” (
n
= 10) and “abnormal” SDQ scores (
n
= 10). Recordings were scored using the DIGEST protocol by two blinded raters who also rated overall dysphagia severity from the VFSS. There was good agreement between the two raters on the DIGEST and strong correlations between DIGEST scores and clinician perceptions of dysphagia severity. Higher SDQ scores were associated with poorer Efficiency on the DIGEST but not Safety or Total scores. Consistent with other PD studies, subjective perceptions of dysphagia were poorly predictive of objective findings on VFSS. There is little information about the validity of the DIGEST for rating neurogenic dysphagia. Our study provides preliminary support for the use of the DIGEST in the PD population.</description><identifier>ISSN: 0179-051X</identifier><identifier>EISSN: 1432-0460</identifier><identifier>DOI: 10.1007/s00455-023-10555-4</identifier><identifier>PMID: 36692654</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Deglutition disorders ; Dysphagia ; Gastroenterology ; Hepatology ; Imaging ; Medicine ; Medicine & Public Health ; Movement disorders ; Neurodegenerative diseases ; Neurotoxicity ; Original Article ; Otorhinolaryngology ; Parkinson's disease ; Radiology ; Swallowing</subject><ispartof>Dysphagia, 2023-10, Vol.38 (5), p.1295-1307</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>COPYRIGHT 2023 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-9c4a5d73cc8a8f4c5b7db3bc3172d67e4a3760e1df354bf62d120253c7ba66743</citedby><cites>FETCH-LOGICAL-c442t-9c4a5d73cc8a8f4c5b7db3bc3172d67e4a3760e1df354bf62d120253c7ba66743</cites><orcidid>0000-0002-9676-5950</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36692654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Noorani, Mehak</creatorcontrib><creatorcontrib>Bolognone, Rachel K.</creatorcontrib><creatorcontrib>Graville, Donna J.</creatorcontrib><creatorcontrib>Palmer, Andrew D.</creatorcontrib><title>The Association Between Dysphagia Symptoms, DIGEST Scores, and Severity Ratings in Individuals with Parkinson’s Disease</title><title>Dysphagia</title><addtitle>Dysphagia</addtitle><addtitle>Dysphagia</addtitle><description>The Swallow Disturbance Questionnaire (SDQ) is a screening tool developed to identify patients with Parkinson’s Disease (PD) in need of objective swallowing evaluation. In a previous investigation, the SDQ did not predict abnormal airway protection on a videofluoroscopic swallowing study (VFSS). This investigation was undertaken to determine whether SDQ scores were more accurate when a global measure was used. The Dynamic Imaging Grade for Swallowing Toxicity (DIGEST) is a validated measure that provides a safety, efficiency, and total severity grade based on VFSS. A secondary analysis was performed using data from 20 patients with PD who had participated in a standardized VFSS protocol. The study sample was predominantly male (80%) with an average age of 71 years, and an average PD duration of 9 years. Using an established cut-off score, participants were subdivided into those with “normal” (
n
= 10) and “abnormal” SDQ scores (
n
= 10). Recordings were scored using the DIGEST protocol by two blinded raters who also rated overall dysphagia severity from the VFSS. There was good agreement between the two raters on the DIGEST and strong correlations between DIGEST scores and clinician perceptions of dysphagia severity. Higher SDQ scores were associated with poorer Efficiency on the DIGEST but not Safety or Total scores. Consistent with other PD studies, subjective perceptions of dysphagia were poorly predictive of objective findings on VFSS. There is little information about the validity of the DIGEST for rating neurogenic dysphagia. Our study provides preliminary support for the use of the DIGEST in the PD population.</description><subject>Deglutition disorders</subject><subject>Dysphagia</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Movement disorders</subject><subject>Neurodegenerative diseases</subject><subject>Neurotoxicity</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Parkinson's disease</subject><subject>Radiology</subject><subject>Swallowing</subject><issn>0179-051X</issn><issn>1432-0460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kctuEzEUhi0EoqHwAiyQJbZM8d2ZZWhKiVQJRILEzvLYZxKXjh3sSavseA1ejyfBJYUKCSEvfPv-42N9CD2n5IQSol8XQoSUDWG8oUTWlXiAJlRw1hChyEM0IVS3DZH08xF6UsolIZS1ij9GR1yplikpJmi_2gCelZJcsGNIEb-B8QYg4vm-bDd2HSxe7oftmIbyCs8X52fLFV66lKFubfR4CdeQw7jHH2s8rgsOES-iD9fB7-xVwTdh3OAPNn8JsaT449v3guehgC3wFD3qKwHP7uZj9Ont2er0XXPx_nxxOrtonBBsbFonrPSaOze101442Wnf8c5xqplXGoTlWhGgvudSdL1injLCJHe6s0ppwY_Ry0PdbU5fd1BGc5l2OdYnDZvKlmtOFLmn1vYKTIh9GrN1QyjOzLRirWaEtpU6-QdVh4chuBShD_X8rwA7BFxOpWTozTaHwea9ocTcSjQHiaZKNL8kmtuOX9x1vOsG8H8iv61VgB-AUq_iGvL9l_5T9id1Wqci</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Noorani, Mehak</creator><creator>Bolognone, Rachel K.</creator><creator>Graville, Donna J.</creator><creator>Palmer, Andrew D.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0002-9676-5950</orcidid></search><sort><creationdate>20231001</creationdate><title>The Association Between Dysphagia Symptoms, DIGEST Scores, and Severity Ratings in Individuals with Parkinson’s Disease</title><author>Noorani, Mehak ; Bolognone, Rachel K. ; Graville, Donna J. ; Palmer, Andrew D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-9c4a5d73cc8a8f4c5b7db3bc3172d67e4a3760e1df354bf62d120253c7ba66743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Deglutition disorders</topic><topic>Dysphagia</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Movement disorders</topic><topic>Neurodegenerative diseases</topic><topic>Neurotoxicity</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Parkinson's disease</topic><topic>Radiology</topic><topic>Swallowing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Noorani, Mehak</creatorcontrib><creatorcontrib>Bolognone, Rachel K.</creatorcontrib><creatorcontrib>Graville, Donna J.</creatorcontrib><creatorcontrib>Palmer, Andrew D.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Dysphagia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Noorani, Mehak</au><au>Bolognone, Rachel K.</au><au>Graville, Donna J.</au><au>Palmer, Andrew D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Association Between Dysphagia Symptoms, DIGEST Scores, and Severity Ratings in Individuals with Parkinson’s Disease</atitle><jtitle>Dysphagia</jtitle><stitle>Dysphagia</stitle><addtitle>Dysphagia</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>38</volume><issue>5</issue><spage>1295</spage><epage>1307</epage><pages>1295-1307</pages><issn>0179-051X</issn><eissn>1432-0460</eissn><abstract>The Swallow Disturbance Questionnaire (SDQ) is a screening tool developed to identify patients with Parkinson’s Disease (PD) in need of objective swallowing evaluation. In a previous investigation, the SDQ did not predict abnormal airway protection on a videofluoroscopic swallowing study (VFSS). This investigation was undertaken to determine whether SDQ scores were more accurate when a global measure was used. The Dynamic Imaging Grade for Swallowing Toxicity (DIGEST) is a validated measure that provides a safety, efficiency, and total severity grade based on VFSS. A secondary analysis was performed using data from 20 patients with PD who had participated in a standardized VFSS protocol. The study sample was predominantly male (80%) with an average age of 71 years, and an average PD duration of 9 years. Using an established cut-off score, participants were subdivided into those with “normal” (
n
= 10) and “abnormal” SDQ scores (
n
= 10). Recordings were scored using the DIGEST protocol by two blinded raters who also rated overall dysphagia severity from the VFSS. There was good agreement between the two raters on the DIGEST and strong correlations between DIGEST scores and clinician perceptions of dysphagia severity. Higher SDQ scores were associated with poorer Efficiency on the DIGEST but not Safety or Total scores. Consistent with other PD studies, subjective perceptions of dysphagia were poorly predictive of objective findings on VFSS. There is little information about the validity of the DIGEST for rating neurogenic dysphagia. Our study provides preliminary support for the use of the DIGEST in the PD population.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36692654</pmid><doi>10.1007/s00455-023-10555-4</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-9676-5950</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0179-051X |
ispartof | Dysphagia, 2023-10, Vol.38 (5), p.1295-1307 |
issn | 0179-051X 1432-0460 |
language | eng |
recordid | cdi_proquest_journals_2859373060 |
source | Springer Link |
subjects | Deglutition disorders Dysphagia Gastroenterology Hepatology Imaging Medicine Medicine & Public Health Movement disorders Neurodegenerative diseases Neurotoxicity Original Article Otorhinolaryngology Parkinson's disease Radiology Swallowing |
title | The Association Between Dysphagia Symptoms, DIGEST Scores, and Severity Ratings in Individuals with Parkinson’s Disease |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T07%3A19%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Association%20Between%20Dysphagia%20Symptoms,%20DIGEST%20Scores,%20and%20Severity%20Ratings%20in%20Individuals%20with%20Parkinson%E2%80%99s%20Disease&rft.jtitle=Dysphagia&rft.au=Noorani,%20Mehak&rft.date=2023-10-01&rft.volume=38&rft.issue=5&rft.spage=1295&rft.epage=1307&rft.pages=1295-1307&rft.issn=0179-051X&rft.eissn=1432-0460&rft_id=info:doi/10.1007/s00455-023-10555-4&rft_dat=%3Cgale_proqu%3EA762972019%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c442t-9c4a5d73cc8a8f4c5b7db3bc3172d67e4a3760e1df354bf62d120253c7ba66743%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2859373060&rft_id=info:pmid/36692654&rft_galeid=A762972019&rfr_iscdi=true |