A Systematic Review of Patient‐ or Proxy‐Reported Validated Instruments Assessing Pediatric Dysphagia

Myer, Charles M.; Howell, Rebecca J.; Cohen, Aliza P.; Willging, J. Paul; Ishman, Stacey L.

doi:10.1177/0194599816630531

Cited by 11 publications

(13 citation statements)

References 26 publications

(68 reference statements)

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“…Three systematic reviews examined questionnaires that assessed SwD in children [ 12 , 20 , 21 ]. Heckathorn et al and Speyer et al aimed to identify non-instrumental assessment tools for feeding and SwD in the pediatric population [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…The authors performed their search on two engines only (Medline and EMBASE), which limited their results. Subsequently, Myer et al took a more focused approach by searching for a validated patient- or proxy parent-reported outcome tool for pediatric SwD (up 18 years) [ 12 ]. These authors searched a variety of electronic databases (Scopus, EMBASE, PubMed, Cochrane Library, and CINAHL) [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…Subsequently, Myer et al took a more focused approach by searching for a validated patient- or proxy parent-reported outcome tool for pediatric SwD (up 18 years) [ 12 ]. These authors searched a variety of electronic databases (Scopus, EMBASE, PubMed, Cochrane Library, and CINAHL) [ 12 ]. However, as mentioned earlier, none of the four tools they identified were suitable or designed for OHIT’s.…”

Section: Discussionmentioning

confidence: 99%

“…The search strategy included both text words and controlled vocabulary (e.g. MeSH, EMTREE) for the concepts of “deglutition” and “screening methods.” To ensure comprehensive coverage of the literature, the search terms, and references of previous systematic reviews (Hackathon et al, Speyer et al, and Myers et al) were included [ 12 , 20 , 21 ]. All databases were searched up to August 2018, and retrieved articles were limited to the pediatric population.…”

Section: Methodsmentioning

confidence: 99%

“…Myer et al published a systematic review (2016) investigating valid PRO questionnaires for pediatric SwD [ 12 ]. The review included questionnaires assessing children up to 18 years old and included high-risk groups such as neurologically and anatomically affected children.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Systematic review of validated parent-reported questionnaires assessing swallowing dysfunction in otherwise healthy infants and toddlers

Baqays

Zenke

Campbell

et al. 2021

Journal of Otolaryngology - Head & Neck Surgery

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Objectives There has been increasing interest in the management of oropharyngeal swallowing dysfunction (SwD). Its prevalence, particularly in otherwise healthy infants and toddlers (OHITs), is underappreciated. As the standard diagnostic tests are either invasive or scarce, valid parent-reported outcome (PRO) questionnaires could play a pivotal role in the understanding and managing SwD in this group. This article reviewed the literature on PRO questionnaires pertaining to SwD in OHITs. Data source A librarian searched Prospero, Cochrane Library, Embase, Medline, PsycINFO, HaPI, CINAHL, and SCOPUS until February 2021 using the MeSH terms for deglutition and screening methods. Review method Questionnaires that examined disease-specific or eating and feeding concerns or difficulties were excluded. Two reviewers independently identified PRO questionnaires for SwD that were used in OHITs and extracted the author names, publication year, questionnaire name, the studied population, and the reported psychometric assessments. A quality assessment was performed based on consensus-based standards for the selection of health measurement instruments (COSMIN) and updated criteria for good measurement properties. Results Of the 3488 screened articles, we identified only two questionnaires, the pediatric version of the Eating Assessment Tool (PEDI-EAT-10) and the PRO questionnaire for Swallowing Dysfunction in OHITs. The PEDI-EAT-10 authors assessed the validity and reliability on children with cerebral palsy. However, concerns were identified regarding the developmental process and the internal structure validity. The PRO questionnaire for SwD in OHITs meets criteria but has not yet been validated in the population of interest nor its psychometric properties assessed. Conclusion Two instruments were identified. The PED-EAT-10 exhibits methodological flaws, while Edmonton PRO questionnaire for SwD in OHITs awaits construct validation and could fill the current knowledge gap.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Systematic review of validated parent-reported questionnaires assessing swallowing dysfunction in otherwise healthy infants and toddlers

Baqays

Zenke

Campbell

et al. 2021

Journal of Otolaryngology - Head & Neck Surgery

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Diagnosis and Management of Pediatric Dysphagia

Lawlor

Choi

2020

JAMA Otolaryngol Head Neck Surg

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ppropriate nutritional intake is essential for the rapid growth and development that occurs during infancy and childhood. 1 Feeding and swallowing dysfunction are diagnosed with increasing frequency, especially in children with a history of prematurity, neuromuscular disorders, cardiopulmonary disorders, anatomic anomalies of the upper aerodigestive tract, and gastrointestinal tract disorders. [2][3][4] Early diagnosis and intervention by a multidisciplinary team are essential to the management of swallowing disorders in children. 5 Physiologic Characteristics of SwallowingThe normal swallow is classically divided into 4 phases: the preparatory phase, the oral phase, the pharyngeal phase, and the esophageal phase. The preparatory phase is when food is taken into the oral cavity, moistened with saliva, chewed, and prepared into a bolus using the oral tongue and hard palate. This phase develops at approximately age 6 months. Before age 6 months, the preparatory phase consists of sucking from a nipple. The oral phase is the propulsion of the food bolus into the oropharynx by the oral tongue and the triggering of the swallow reflex. The soft palate elevates to prevent food from regurgitating into the nasopharynx. The pharyngeal phase is the passage of the food bolus through the oropharynx and hypopharynx toward the esophagus via coordinated muscle contraction. The velum approximates the pharyngeal musculature, the larynx elevates and the vocal folds adduct, and the tongue and pharyngeal muscles propel the bolus into the pharynx. 2,5,6 Respiration ceases during the pharyngeal phase; in fact, while eating, the respiratory rate becomes faster and more irregular than during tidal breathing. 7,8 The esophageal phase consists of cricopharyngeus relaxation, allowing the food bolus to enter the esophagus, and coordinated smooth muscle peristalsis passes the bolus into the stomach. 2,9 Development of the suck and swallow begins in utero as early as gestational week 10 or 11. Gestational age 34 to 38 weeks is typically when most children develop efficiency and tolerance of oral feeding. 5,10,11 In infants, all 4 phases are under involuntary reflex control. In children and adults, the preparatory and oral phases are under voluntary control, and the pharyngeal and esophageal phases remain involuntary. 2 A physiologic swallow is the result of the complex integration of more than 30 nerves and muscles and must progress with the child as their anatomy matures. 2 Dysphagia is defined as difficulty swallowing and must be distinguished from behavioral feeding disorders, such as oral aversion. 1 Dysphagia can be further categorized depending on the disordered phase of swallowing. Oral dysphagia can present as absent oral reflexes, immature or absent suck, uncoordinated biting/chewing, and poor handling of the food bolus. Pharyngeal dysphagia can present as laryngeal penetration, when the food bolus enters the laryngeal vestibule; aspiration, when the food enters the airway below the vocal folds; choking, when food obstructs the airway...

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Translation and validation of the Spanish version of the Pedi-EAT-10 questionnaire for screening of dysphagia

Hurtado¹,

Castilla²,

Coronado³

et al. 2023

Anales de Pediatría (English Edition)

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A Systematic Review of Patient‐ or Proxy‐Reported Validated Instruments Assessing Pediatric Dysphagia

Cited by 11 publications

References 26 publications

Systematic review of validated parent-reported questionnaires assessing swallowing dysfunction in otherwise healthy infants and toddlers

Systematic review of validated parent-reported questionnaires assessing swallowing dysfunction in otherwise healthy infants and toddlers

Diagnosis and Management of Pediatric Dysphagia

Translation and validation of the Spanish version of the Pedi-EAT-10 questionnaire for screening of dysphagia

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