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Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
Published on: March 1, 2015
Pediatric dysphagia overview: best practice recommendation study by multidisciplinary experts
Ebru Umay1, Sibel Eyigor2, Esra Giray3
1Department of Physical Medicine and Rehabilitation Ankara, University of Health Sciences Turkey, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Istanbul, Turkey. ebruumay@gmail.com.
Insights
This study provides comprehensive, multidisciplinary recommendations for managing pediatric dysphagia (PD). It offers practical guidance for clinicians worldwide on pediatric feeding and swallowing disorders.
Area of Science:
- Pediatric Gastroenterology
- Speech-Language Pathology
- Pediatric Otolaryngology
Background:
- Lack of comprehensive, multidisciplinary recommendations for pediatric dysphagia (PD).
- Need for evidence-based clinical practice guidelines for managing PD.
- Global gap in expert consensus on PD management strategies.
Purpose of the Study:
- To generate comprehensive, multidisciplinary recommendations for pediatric dysphagia management.
- To provide practical guidance for clinical application in diagnosing, treating, and following up on PD.
- To address the global need for expert consensus on PD.
Main Methods:
- Utilized a seven-step process with a three-round modified Delphi survey.
- Involved a multidisciplinary expert team to develop recommendations.
- Employed expert voting to establish consensus levels (strong, weak, not recommended).
Main Results:
- Developed 154 final recommendations after three Delphi rounds.
- Initial questionnaire comprised 414 items, refined through expert consensus.
- Recommendations cover diagnosis, management, treatment, and follow-up for PD.
Conclusions:
- Offers comprehensive solutions for clinical challenges in pediatric dysphagia.
- Provides recommendations applicable to both oropharyngeal and esophageal dysphagia in children.
- Establishes a valuable resource for clinicians managing pediatric feeding and swallowing disorders.
Background:
Currently, there is no comprehensive and multidisciplinary recommendation study covering all aspects of pediatric dysphagia (PD). This study aimed to generate PD management recommendations with methods that can be used in clinical practice to fill this gap in our country and in the world, from the perspective of experienced multidisciplinary experts.
Methods:
This recommendation paper was generated by a multidisciplinary team, using the seven-step process and a three-round modified Delphi survey via e-mail. First, ten open-ended questions were created, and then detailed recommendations including management, diagnosis, treatment, and follow-up were created with the answers from these questions. Each recommendation item was voted on by the experts as overall consensus (strong recommendation), approaching consensus (weak recommendation) and divergent consensus (not recommended).
Results:
In the 1st Delphi round, a questionnaire of 414 items was prepared based on the experts' responses to ten open-ended questions. In the 2nd Delphi round, 59.2% of these items were accepted as pre-recommendation. In the 3rd Delphi round, 62.6% of 246 items were accepted for inclusion in the proposals. The final version recommendations consisted of 154 items.
Conclusions:
This study includes comprehensive and detailed answers for every problem that could be posed in clinical practice for the management of PD, and recommendations are for all pediatric patients with both oropharyngeal and esophageal dysphagia.
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