TY - JOUR
T1 - Development of a simplified dysphagia assessment by dentists in older persons
AU - Rech, Rafaela Soares
AU - Hugo, Fernando Neves
AU - Baumgarten, Alexandre
AU - dos Santos, Karoline Weber
AU - de Goulart, Bárbara Niegia Garcia
AU - Hilgert, Juliana Balbinot
N1 - Publisher Copyright:
© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2018/6
Y1 - 2018/6
N2 - Objective: This study aimed to evaluate the diagnostic accuracy of a simplified clinical examination of swallowing by dentists and the Eating Assessment Tool (EAT-10), when compared with the diagnosis provided by a speech pathologist (gold standard). Methods: Three dentists and 1 speech pathologist clinically evaluated 265 older persons in southern Brazil, 123 were residents in long-term care and 142 were community-dwelling, all able to respond to the research protocol independently. Accuracy, sensitivity, specificity, positive and negative predictive values (+PV and −PV), and positive and negative likelihood ratios (+LR and −LR) were calculated according to standard methods. This study was approved by the Ethics Committee of the Federal University of Rio Grande do Sul. Results: Mean age of the participants was 73.5 (±8.9) years and most of them were women (N = 157, 59.2%). The prevalence of dysphagia as diagnosed by a speech pathologist was 45.3%. The accuracy of diagnosis was 0.84 for the clinical examination of swallowing by dentists. Furthermore, sensitivity was 0.77, specificity was 0.89, +PV was 0.85, −PV was 0.83, +LR was 7.02 and −LR was 0.25. The accuracy of EAT-10 was 0.72, the sensitivity was 0.45, specificity was 0.94, +PV was 0.87, −PV was 0.67, +LR was 8.31 and −LR was 0.57. Conclusions: Simplified clinical examination of swallowing by dentists was found to be an accurate method to screen dysphagia in older persons.
AB - Objective: This study aimed to evaluate the diagnostic accuracy of a simplified clinical examination of swallowing by dentists and the Eating Assessment Tool (EAT-10), when compared with the diagnosis provided by a speech pathologist (gold standard). Methods: Three dentists and 1 speech pathologist clinically evaluated 265 older persons in southern Brazil, 123 were residents in long-term care and 142 were community-dwelling, all able to respond to the research protocol independently. Accuracy, sensitivity, specificity, positive and negative predictive values (+PV and −PV), and positive and negative likelihood ratios (+LR and −LR) were calculated according to standard methods. This study was approved by the Ethics Committee of the Federal University of Rio Grande do Sul. Results: Mean age of the participants was 73.5 (±8.9) years and most of them were women (N = 157, 59.2%). The prevalence of dysphagia as diagnosed by a speech pathologist was 45.3%. The accuracy of diagnosis was 0.84 for the clinical examination of swallowing by dentists. Furthermore, sensitivity was 0.77, specificity was 0.89, +PV was 0.85, −PV was 0.83, +LR was 7.02 and −LR was 0.25. The accuracy of EAT-10 was 0.72, the sensitivity was 0.45, specificity was 0.94, +PV was 0.87, −PV was 0.67, +LR was 8.31 and −LR was 0.57. Conclusions: Simplified clinical examination of swallowing by dentists was found to be an accurate method to screen dysphagia in older persons.
KW - aged
KW - deglutition
KW - deglutition Disorders
KW - dentists
KW - diagnosis
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U2 - 10.1111/cdoe.12358
DO - 10.1111/cdoe.12358
M3 - Article
C2 - 29265407
AN - SCOPUS:85038436162
SN - 0301-5661
VL - 46
SP - 218
EP - 224
JO - Community Dentistry and Oral Epidemiology
JF - Community Dentistry and Oral Epidemiology
IS - 3
ER -