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Updated: Dec 3, 2025
08:32
Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
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Patient Reported Outcomes and Objective Swallowing Assessments in a Multidisciplinary Dysphagia Clinic
Karuna Dewan1, John O Clarke2, Afrin N Kamal2
1Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, U.S.A.
The Laryngoscope
|October 26, 2020
Summary
Patient-reported dysphagia symptoms correlate with objective swallowing test results. While useful for screening, subjective measures alone do not fully capture swallowing impairments in a clinical setting.
Area of Science:
- Otolaryngology
- Gastroenterology
- Speech-Language Pathology
Background:
- Dysphagia symptoms often do not align with objective swallowing evaluations.
- Multidisciplinary clinics evaluate patients with complex swallowing difficulties.
Purpose of the Study:
- To compare subjective patient-reported dysphagia measures with objective swallowing evaluation findings.
- To assess the utility of subjective surveys as screening tools for dysphagia.
Main Methods:
- Prospective cohort study of 75 patients in a multidisciplinary dysphagia clinic.
- Evaluations included videofluoroscopic swallowing study (VFSS), Eating Assessment Tool (EAT-10), and Reflux Symptom Index (RSI).
- Data analyzed for correlations between subjective scores and VFSS findings.
Main Results:
- Significant correlations found between abnormal pharyngeal VFSS findings and higher EAT-10 scores (P=.04).
- Abnormal oral phase VFSS findings were associated with lower Functional Oral Intake Scale (FOIS) scores (P=.03).
- VFSS revealed impairments in oral (40%), pharyngeal (59%), and esophageal (49%) phases.
Conclusions:
- Patient-reported dysphagia symptoms show a relationship with objective VFSS findings.
- Subjective swallowing assessments serve as valuable screening tools.
- Objective evaluations are necessary for a comprehensive characterization of swallowing impairment.
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