Prevalence and clinical correlation of dysphagia in Parkinson disease: a study on Chinese patients

Abstract

Our results suggest that dysphagia is common in Chinese PD patients. Older patients or those in higher H&Y stages are more likely to experience dysphagia. There is no correlation between dysphagia and PD duration.

A multinational consensus on dysphagia in Parkinson's disease: screening, diagnosis and prognostic value

“…What instrumental investigations should be used to detect the presence of dysphagia ? Statements are based on core literature consisting of Class I [ 5 , 98 ], II [ 62 ], III [ 23 , 55 , 61 , 74 , 75 ] and IV [ 20 , 31 , 56 – 59 , 63 – 69 , 73 , 76 , 77 , 80 , 82 – 84 , 99 – 105 ] level studies and expert opinion. - When the clinical evaluation suggests the presence of dysphagia, patients should undergo an instrumental investigation for the assessment of swallowing.…”

“…Several instrumental investigations detect swallowing abnormalities with higher sensitivity than the clinical swallowing examination. Swallowing abnormalities of swallow have been observed in almost all patients using different diagnostic techniques, even in the early stages of disease in studies performed by different groups [23,24,[54][55][56][57][58][59]. There is no consensus on whether these investigations should be carried out in all patients with PD regardless of the presence of signs and symptoms associated with dysphagia.…”

Aspiration predictors in Parkinson's disease: Is there a relation between disease severity, disease duration and age of onset?

“…The muscular and neurological changes related to aging process can be responsible for the higher prevalence of dysphagia in patients with PD, and this find is confirmed by other studies. 4 With respect to clinical data, the authors 1 did not find disease duration as a predictive factor of dysphagia, but it was pointed out as a significant factor to discriminate between patients with both normal and abnormal swallowing safety. 5 Disease severity, assessed by Hoehn and Yahr stage, is controversial regarding association with dysphagia.…”

“…5 Disease severity, assessed by Hoehn and Yahr stage, is controversial regarding association with dysphagia. 4,6 Later-onset PD patients are associated with more dysphagia symptoms. 7 This find may be associated with worse symptoms and a differential progression and may be explained by a faster neuronal loss in older-onset patients with reduced compensatory mechanisms.…”

Effects of Transcutaneous Neuromuscular Electrical Stimulation on Swallowing Disorders

“… 2 , 3 The prevalence of dysphagia After Parkinson is estimated to vary from 11% to 87%. 4 , 5 Between 31% and 79% of head and neck cancer patients experience dysphagia followed radiotherapy, 6 , 7 and 8%–80% of patients with stroke experience swallowing disorders. 8 Dysphagia is a major cause of mortality and morbidity due to life-threatening complications, including dehydration, malnutrition, and aspiration pneumonia.…”