| Oropharyngeal dysphagia assessment and treatment efficacy: setting the record straight (response to Campbell-Taylor). | |
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MedLine Citation:
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PMID: 19111855 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In September 2008, an article was published in the Journal of the American Medical Directors Association criticizing current dysphagia assessment and management practices performed by speech-language pathologists in Long-Term Care (LTC) settings. In the same issue, an editorial invited dialogue on the points raised by Campbell-Taylor. We are responding to this call for dialogue. We find Campbell-Taylor's interpretation of the literature to be incomplete and one-sided, leading to misleading and pessimistic conclusions. We offer a complementary perspective to balance this discussion on the 4 specific questions raised: (1) Is the use of videofluoroscopy warranted for evaluating dysphagia in the LTC population? (2) How effective are thickened liquids and other interventions for preventing aspiration and do they contribute to reduction of morbidity? (3) Can aspiration be prevented and is its prevention important? and (4) Is there sufficient evidence to justify dysphagia intervention by speech language pathologists? |
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Authors:
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James L Coyle; Lori A Davis; Caryn Easterling; Darlene E Graner; Susan Langmore; Steven B Leder; Maureen A Lefton-Greif; Paula Leslie; Jeri A Logemann; Linda Mackay; Bonnie Martin-Harris; Joseph T Murray; Barbara Sonies; Catriona M Steele |
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Publication Detail:
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Type: Comment; Journal Article Date: 2008-12-10 |
Journal Detail:
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Title: Journal of the American Medical Directors Association Volume: 10 ISSN: 1538-9375 ISO Abbreviation: J Am Med Dir Assoc Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2008-12-29 Completed Date: 2009-03-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100893243 Medline TA: J Am Med Dir Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 62-6; discussion 79-83 Citation Subset: IM |
Affiliation:
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Communication Science and Disorders, University of Pittsburgh, Pittsburgh, PA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Deglutition Disorders
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diagnosis*,
therapy* Evidence-Based Medicine Fluoroscopy Humans Long-Term Care Nursing Homes* Treatment Outcome Video Recording |
| Comments/Corrections | |
Comment On:
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J Am Med Dir Assoc. 2009 Jan;10(1):79-83
[PMID:
19111864
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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