Ole Schlickewei, Julie Cläre Nienstedt, Ulrike Frank, Odette Fründt, Monika Pötter-Nerger, Christian Gerloff, Carsten Buhmann, Frank Müller, Susanne Lezius, Jana-Christiane Koseki, Christina Pflug
- 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 aPurpose:
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.…
MetadatenAuthor details: | Ole SchlickeweiORCiDGND, Julie Cläre NienstedtORCiDGND, Ulrike FrankORCiDGND, Odette FründtORCiDGND, Monika Pötter-NergerORCiDGND, Christian GerloffORCiDGND, Carsten BuhmannORCiDGND, Frank Müller, Susanne LeziusORCiDGND, Jana-Christiane KosekiORCiDGND, Christina PflugORCiDGND |
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DOI: | https://doi.org/10.1007/s00405-020-06377-x |
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ISSN: | 0937-4477 |
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ISSN: | 1434-4726 |
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Pubmed ID: | https://pubmed.ncbi.nlm.nih.gov/32978686 |
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Title of parent work (English): | European archives of oto-rhino-laryngology and head & neck |
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Publisher: | Springer |
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Place of publishing: | Berlin |
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Publication type: | Article |
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Language: | English |
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Date of first publication: | 2020/09/26 |
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Publication year: | 2021 |
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Release date: | 2023/04/21 |
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Tag: | Parkinson's disease; dysphagia; questionnaire; screening |
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Volume: | 278 |
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Issue: | 5 |
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Number of pages: | 8 |
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First page: | 1661 |
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Last Page: | 1668 |
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Funding institution: | transnational E-RARE grant `CCMCURE (DFG)European Commission [SFB958]; E-RARE [ERL 138397]; Canadian; Institutes for Health ResearchCanadian Institutes of Health Research; (CIHR) [PJT 153000]; the E-RARE grant `CCMCURE |
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Organizational units: | Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Linguistik |
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DDC classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
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Peer review: | Referiert |
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Publishing method: | Open Access / Hybrid Open-Access |
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