Development and validation of a new screening questionnaire for dysphagia in early stages of Parkinson's disease

Simons, Janine Anja; Fietzek, Urban; Waldmann, Annika; Warnecke, Tobias; Schuster, Tibor; Ceballos-Baumann, Andrés

doi:10.1016/j.parkreldis.2014.06.008

Cited by 68 publications

(47 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…So far, no simple, noninvasive screening procedure exists to detect aspiration endangered PD patients . The only questionnaire on PD dysphagia that has been validated in German, the Munich dysphagia test‐Parkinson's disease (MDT‐PD), is time consuming in the survey, and therefore, not routinely used in the daily general medical or outpatient‐neurological practice . The Swallowing Disturbance Questionnaire (SDQ) for PD is only validated in English language, and also has been criticized for its insufficient validation .…”

Section: Discussionmentioning

confidence: 99%

Predictive clinical factors for penetration and aspiration in Parkinson's disease

Nienstedt

Bihler

Niessen

et al. 2018

Neurogastroenterology Motil

View full text Add to dashboard Cite

Background Do the current swallow‐specific subquestions of neurological diagnostic tools reflect the objective swallowing function in Parkinson's disease (PD) patients or are clinical factors superior to predict critical aspiration? Methods In a cross‐sectional, observational study a total of 119 Parkinson outpatients were examined clinically and by flexible‐endoscopic evaluation of swallowing (FEES). Self‐reported dysphagia by subquestions of the MDS‐UPDRS and NMS questionnaire and history of subjective aspiration signs were collected. Key Results Nearly, all PD patients showed deglutition abnormalities in FEES (113/119) while only 12%‐27% of them reported swallowing problems in the swallow‐specific subquestions of neurological standard diagnostic tools (MDS‐UPDRS and NMS‐Quest), and the answers were heterogeneous and poorly reproducible. With a sensitivity of up to a maximum of 50%, self‐reported dysphagia is therefore no reliable tool for identifying dysphagia in PD. While most clinical parameters were linked to dysphagia to some extent, logistic regression analysis revealed high age (Odds Ratio (OR) 1.1 in years, 95% CI 1.03‐1.18, P < 0.01), gender (OR 0.3 for females, 95% CI 0.08‐0.97, P = 0.04), and affirmed subjective aspiration signs (OR 8.6, 95% CI 3.05‐26.52, P < 0.001) as the most significant predictors for critical dysphagia. Conclusions and Inferences Self‐perception of swallowing is no reliable tool for identifying dysphagia and questionnaires are insufficient for detecting previous aspiration. Consequent and specific asking for previous subjective aspiration signs is the single most important measure for identifying PD patients at risk for critical aspiration.

show abstract

Section: Discussionmentioning

confidence: 99%

Predictive clinical factors for penetration and aspiration in Parkinson's disease

Nienstedt

Bihler

Niessen

et al. 2018

Neurogastroenterology Motil

View full text Add to dashboard Cite

show abstract

“…Kalf et al, 2011 (17) Reproducibility There was no instrument that had performed a clinical evaluation of dysphagia with the food supply.…”

Section: Resultsmentioning

confidence: 99%

“…After the full analysis of the articles, only the self-perception of swallowing questionnaires for the assessment of dysphagia in patients with PD was verified (16,17,18,19) in the period of the literature review of this study. However, it is known that, in this population, dysphagia may be subclinical or asymptomatic (patient does not report symptoms).…”

Section: Discussionmentioning

confidence: 99%

Instrumentos de avaliação clínica para disfagia orofaríngea na doença de Parkinson: revisão sistemática

Ayres

Jacinto-Scudeiro

Olchik

2017

Audiol., Commun. Res.

View full text Add to dashboard Cite

Introduction: Parkinson's disease (PD) is the second most prevalent neurodegenerative disease in the world, with a predominance of motor and non-motor symptoms. Among these, dysphagia stands out. Purpose: Systematically review the non-instrumental clinical evaluations available for the screening and assessment of dysphagia in individuals with PD. Research strategy: For the selection of the studies, we used the descriptors: Parkinson disease, swallowing, dysphagia, deglutition disorders, questionnaire, health surveys, evaluation, screening, and evaluation, in a variety of combinations, aiming at a greater number of studies. The databases were PubMed, Cochrane Library, and SciELO. Selection criteria: Articles published in English, Portuguese, and Spanish that were published between January 2006 and July 2016 were selected, whose methodological approach met the objective of this review. A descriptive analysis was performed. Two independent reviewers reviewed the articles in order to verify the eligibility. When there was disagreement, a consensus was reached by the evaluation of a judge who did not know the previous evaluations. Results: Eight hundred forty-six articles were founded. After considering the inclusion/exclusion criteria and the judge's analysis, only four studies were analyzed, which were four different instruments, and all of the instruments were self-perception questionnaires of dysphagia. There was no instrument that performed a clinical evaluation of dysphagia with the food supply. Conclusion: It has been verified there are no instruments for the screening and clinical evaluation of dysphagia in patients with PD who use a food supply and not only the self-perception of the patient in the period that included the bibliographic survey of this study.

show abstract

“…Further assessment can be achieved by rating tools designed specifically for dysphagia, such as Sydney swallow questionnaire, and Munich Dysphagia Test -Parkinson's disease (MDT-PD). Finally, we can adopt some objective tests in dysphagia assessment such as fiberoptic endoscopic evaluation of swallowing (FEES) and videofluoroscopy of swallowing (VFS) [3,[98][99][100][101].…”

Section: Dysphagia and Droolingmentioning

confidence: 99%

Recognition and treatment of autonomic disturbances in Parkinson’s disease

Reichmann

Ziemssen

2015

Expert Review of Neurotherapeutics

View full text Add to dashboard Cite

Symptoms of dysautonomia are common in Parkinson's disease (PD), and almost all the functional autonomic subsystems can be involved in PD. However, they are still under-recognized in everyday clinical practice. Autonomic dysfunction can be observed in the early stages of PD, affect a substantial proportion of patients, impact quality of life and can also help in differential diagnosis. This review aims to provide an overview of the pathophysiology, clinical manifestations, relevant examination and treatment of cardiovascular, gastrointestinal, urogenital, thermoregulatory and pupil autonomic dysfunctions in Parkinson's disease.

show abstract

Development and validation of a new screening questionnaire for dysphagia in early stages of Parkinson's disease

Cited by 68 publications

References 30 publications

Predictive clinical factors for penetration and aspiration in Parkinson's disease

Predictive clinical factors for penetration and aspiration in Parkinson's disease

Instrumentos de avaliação clínica para disfagia orofaríngea na doença de Parkinson: revisão sistemática

Recognition and treatment of autonomic disturbances in Parkinson’s disease

Contact Info

Product

Resources

About