Screening Test for Dysphagia in Postoperative Oral Cancer Patients

Watanabe, Satoshi; Oh-Shige, Hideo; Miyachi, Hitoshi; Araki, Kazumasa; Kobayashi, Shogo; Oh-Iwa, Ichiro; Umemura, Masayuki; Ariji, Eiichiro; Goto, Masakazu; Sumi, Yasunori; Shimozato, Kazuo

doi:10.5981/jjhnc.32.34

Cited by 3 publications

(3 citation statements)

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“…Moreover, five articles determined aspiration by observing swallowing sounds using cervical auscultation. In the aforementioned study by Watanabe et al (2006), the sensitivity was low, at 0.55 (95% CI: 0.36–0.72), and the specificity was high, at 0.96 (95% CI: 0.88–1.00) (Sugimoto et al, 2010; Watanabe et al, 2006). Conversely, Nozue et al (2017) reported a high sensitivity of 0.72 (95% CI: 0.65–0.79) and low specificity of 0.50 (95% CI: 0.44–0.55).…”

Section: Resultsmentioning

confidence: 98%

“…[Description]. A total of 336 studies were identified, and 13 observational studies were used for the systematic review after screening (Borr et al, 2007;Caviedes et al, 2010;Leslie et al, 2004;Nozue et al, 2017;Oshige et al, 2012;Santamato et al, 2009;Stroud et al, 2002;Shaw et al, 2004;Tamura et al, 2008Watanabe et al, 2006.…”

Section: Cq6mentioning

confidence: 99%

“…The risk of selection bias was high, with a sensitivity of 0.93 (95% CI: 0.83-0.98) and specificity of 0.79 (95% CI: 0.60-0.90). Watanabe et al (2006) performed cervical auscultation while the patient was swallowing 3 mL of water on the same day as VFSS in 90 postoperative patients with oral cancer aged 64.5 ± 12.8 years, and they found that the aspiration prevalence was 37%, the sensitivity of detection was 0.91% (95% CI: 0.76-0.98), and the specificity was 0.86 (95% CI: 0.74-0.94) (Oshige et al, 2012; Watanabe et al, 2006). In a study by Sugimoto et al (2010) with small sample size, cervical auscultation was performed on 16 patients aged 13-91 years during VFSS using barium in jelly and liquid form.…”

Section: Cq6mentioning

confidence: 99%

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Japanese clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care

Sugama

Ishibasi

Ota

et al. 2022

Japan Journal Nursing Sci

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Aim: This clinical practice guideline aims to provide and recommend methods of assessing aspiration and pharyngeal residue during eating and swallowing and methods of selecting and implementing nursing care for adults to prevent the development of aspiration pneumonia through early and appropriate management of oropharyngeal dysphagia. Methods: In April 2018, the Japan Academy of Nursing Science established the Supervisory Committee in Nursing Care Development/Standardization Committee to develop clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care. This clinical practice guideline was developed according to the Minds Manual for Guideline Development 2017, with the aim of providing a specific pathway for nurses to determine the policy for selecting management for oropharyngeal dysphagia based on research evidence and multifaceted factors including the balance of benefits and harms and patients' values.Results: Based on the 10 clinical questions related to assessment by physical assessment, the Repetitive Saliva Swallowing Test, Modified Water Swallowing Test, Food Test, cervical auscultation, observation using an ultrasound diagnostic device, and an endoscope, 10 recommendations have been developed.Eight recommendations have been evaluated as the Grading of Recommendations Assessment, Development and Evaluation (GRADE) 2C, and the other two have been evaluated as no GRADE. Conclusion:The first reliable clinical practice guideline has been produced from an academic nursing organization that focuses on assessment for nursing care and incorporates the latest findings.

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Section: Resultsmentioning

confidence: 98%

Section: Cq6mentioning

confidence: 99%

Section: Cq6mentioning

confidence: 99%

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Japanese clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care

Sugama

Ishibasi

Ota

et al. 2022

Japan Journal Nursing Sci

View full text Add to dashboard Cite

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摂食嚥下時の誤嚥・咽頭残留アセスメントに関する看護ケアガイドライン

Sugama

Ishibashi

Ota

et al. 2022

J. Jpn. Acad. Nurs. Sci.

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Aim:The purpose of this clinical practice guideline is to provide and recommend methods of assessing aspiration and pharyngeal residue during eating and swallowing and methods of selecting and implementing nursing care for adults in order to prevent the development of aspiration pneumonia through early and appropriate management of oropharyngeal dysphagia.Methods: In April 2018, Japan Academy of Nursing Science established the Supervisory Committee in Nursing Care Development/Standardization Committee to develop clinical practice guidelines for aspiration and pharyngeal residual assessment during eating and swallowing for nursing care. This clinical practice guideline was developed in accordance with Minds Manual for Guideline Development 2017, with the aim of providing a specific pathway for nurses to determine the policy for selecting management for oropharyngeal dysphagia based on research evidence and multifaceted factors such as the balance of benefits and harms and patients' values.Results: Based on 10 clinical questions related to assessment by physical assessment, the Repetitive Saliva Swallowing Test, Modified Water Swallowing Test, Food Test, cervical auscultation, observation using an ultrasound diagnostic device, and an endoscope, 10 recommendations were developed. Eight recommendations were evaluated as GRADE 2C, and the other two were evaluated as no GRADE. Conclusion:We were able to produce the first reliable clinical practice guideline from an academic nursing organization that focuses on assessment for nursing care and incorporates the latest findings.

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