TY  - JOUR
A1  - Schlickewei, Ole
A1  - Nienstedt, Julie Cläre
A1  - Frank, Ulrike
A1  - Fründt, Odette
A1  - Pötter-Nerger, Monika
A1  - Gerloff, Christian
A1  - Buhmann, Carsten
A1  - Müller, Frank
A1  - Lezius, Susanne
A1  - Koseki, Jana-Christiane
A1  - Pflug, Christina
T1  - The ability of the eating assessment tool‑10 to detect penetration and aspiration in Parkinson’s disease
JF  - European archives of oto-rhino-laryngology and head & neck
N2  - Purpose:
Dysphagia is common in patients with Parkinson's disease (PD) and often leads to pneumonia, malnutrition, and reduced quality of life. This study investigates the ability of the Eating Assessment Tool-10 (EAT-10), an established, easy self-administered screening tool, to detect aspiration in PD patients. This study aims to validate the ability of the EAT-10 to detect FEES-proven aspiration in patients with PD.

Methods:
In a controlled prospective cross-sectional study, a total of 50 PD patients completed the EAT-10 and, subsequently, were examined by Flexible Endoscopic Evaluation of Swallowing (FEES) to determine the swallowing status. The results were rated through the Penetration-Aspiration Scale (PAS) and data were analyzed retrospectively. 

Results:
PAS and EAT-10 did not correlate significantly. Selected items of the EAT-10 could not predict aspiration or residues. 19 (38%) out of 50 patients with either penetration or aspiration were not detected by the EAT-10. The diagnostic accuracy was established at only a sufficient level (AUC 0.65). An optimal cut-off value of >= 6 presented a sensitivity of 58% and specificity of 82%.

Conclusions:
The EAT-10 is not suited for the detection of penetration and aspiration in PD patients. Therefore, it cannot be used as a screening method in this patient population. There is still a need for a valid, simple, and efficient screening tool to assist physicians in their daily diagnostics and to avoid clinical complications.
KW  - Parkinson's disease
KW  - dysphagia
KW  - questionnaire
KW  - screening
Y1  - 2020
U6  - https://doi.org/10.1007/s00405-020-06377-x
SN  - 0937-4477
SN  - 1434-4726
VL  - 278
IS  - 5
SP  - 1661
EP  - 1668
PB  - Springer
CY  - Berlin
ER  -