Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.msard.2021.102772 http://hdl.handle.net/11449/207360 |
Resumo: | Background: Oropharyngeal dysphagia is a common symptom of many neurological diseases, including Multiple Sclerosis (MS). Early identification of the risk of dysphagia in neurological patients is very important for early referral for specialized evaluations of oropharyngeal swallowing and treatments. The Dysphagia in Multiple Sclerosis (DYMUS) questionnaire has been translated and validated in different countries over the last 10 years. We aimed to analyze the accuracy of the Brazilian Portuguese version of the DYMUS (DYMUS-BR) questionnaire in identifying dysphagia in patients with MS. Methods: The DYMUS questionnaire and a videofluorographic swallowing study (VFSS) were conducted in 30 patients with MS. Dysphagia was identified by at least one abnormal response and was considered alarming when the DYMUS scores were equal to or higher than 3. Patients were considered to have dysphagia in the VFSS when one or more signs of impairment in the efficiency and/or safety of swallowing were detected. Results: According to the initial self-assessment, 37% (N = 11) of patients with MS self-reported with dysphagia. According to the DYMUS-BR scores, 53% (N = 16) of the patients with MS were classified as having dysphagia. The sensitivity, specificity, and positive and negative predictive values of the DYMUS-BR questionnaire for the detection of dysphagia as measured by the VFSS were 50% [95% confidence interval (CI) 29–71], 78% (95% CI 61–90), 60% (95% CI 42–76), and 70% (95% CI 60–78), respectively. The area under the receiver-operating characteristic curve for detecting dysphagia was 64% (95% CI 49–79). Conclusion: The accuracy of the DYMUS-BR questionnaire is poor to detect mild swallowing impairment in patients with MS. However, we suggest longitudinal follow-up in patients with low DYMUS-BR scores for early detection of oropharyngeal dysphagia. |
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Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosisDeglutition disordersDysphagiaMultiple sclerosisQuestionnaireBackground: Oropharyngeal dysphagia is a common symptom of many neurological diseases, including Multiple Sclerosis (MS). Early identification of the risk of dysphagia in neurological patients is very important for early referral for specialized evaluations of oropharyngeal swallowing and treatments. The Dysphagia in Multiple Sclerosis (DYMUS) questionnaire has been translated and validated in different countries over the last 10 years. We aimed to analyze the accuracy of the Brazilian Portuguese version of the DYMUS (DYMUS-BR) questionnaire in identifying dysphagia in patients with MS. Methods: The DYMUS questionnaire and a videofluorographic swallowing study (VFSS) were conducted in 30 patients with MS. Dysphagia was identified by at least one abnormal response and was considered alarming when the DYMUS scores were equal to or higher than 3. Patients were considered to have dysphagia in the VFSS when one or more signs of impairment in the efficiency and/or safety of swallowing were detected. Results: According to the initial self-assessment, 37% (N = 11) of patients with MS self-reported with dysphagia. According to the DYMUS-BR scores, 53% (N = 16) of the patients with MS were classified as having dysphagia. The sensitivity, specificity, and positive and negative predictive values of the DYMUS-BR questionnaire for the detection of dysphagia as measured by the VFSS were 50% [95% confidence interval (CI) 29–71], 78% (95% CI 61–90), 60% (95% CI 42–76), and 70% (95% CI 60–78), respectively. The area under the receiver-operating characteristic curve for detecting dysphagia was 64% (95% CI 49–79). Conclusion: The accuracy of the DYMUS-BR questionnaire is poor to detect mild swallowing impairment in patients with MS. However, we suggest longitudinal follow-up in patients with low DYMUS-BR scores for early detection of oropharyngeal dysphagia.Speech Language Pathology Doctor Degree in Neurology Master Degree In Neurology Federal University of the State of Rio de Janeiro (UNIRIO), Street Mariz e Barros 775 – 2o floor, TijucaPhD Professor of Graduate and Undergraduate of Speech Language Pathology and Hearing Sciences; Chief of Dysphagia Research Rehabilitation Center São Paulo University- UNESP- MaríliaPhD Neurology MD Neurology. University Hospital Gafree Guinle Pós-Graduate Program in NeurologyProfessor of Clinical Medicine Gastroenterology - University Hospital Gafree Guinle. Master degree in Neurology Federal University of the State of Rio de Janeiro (UNIRIO)PhD Coordination of Clinical Research - National Cancer Institute - INCAPhD Professor of Graduate and Undergraduate of Speech Language Pathology and Hearing Sciences; Chief of Dysphagia Research Rehabilitation Center São Paulo University- UNESP- MaríliaFederal University of the State of Rio de Janeiro (UNIRIO)Universidade Estadual Paulista (Unesp)Pós-Graduate Program in NeurologyCoordination of Clinical Research - National Cancer Institute - INCASales, Déborah Santosda Silva, Roberta Gonçalves [UNESP]Alvarenga, Regina MariaSindorf, Marcia LyrioVasconcelos, Claudia CristinaThuler, Luiz Claudio Santos2021-06-25T10:53:52Z2021-06-25T10:53:52Z2021-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.msard.2021.102772Multiple Sclerosis and Related Disorders, v. 50.2211-03562211-0348http://hdl.handle.net/11449/20736010.1016/j.msard.2021.1027722-s2.0-85101642271Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengMultiple Sclerosis and Related Disordersinfo:eu-repo/semantics/openAccess2021-10-23T16:58:12Zoai:repositorio.unesp.br:11449/207360Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T16:58:12Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis |
title |
Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis |
spellingShingle |
Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis Sales, Déborah Santos Deglutition disorders Dysphagia Multiple sclerosis Questionnaire |
title_short |
Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis |
title_full |
Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis |
title_fullStr |
Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis |
title_full_unstemmed |
Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis |
title_sort |
Accuracy of the Brazilian version of the DYMUS questionnaire for the screening of oropharyngeal dysphagia in multiple sclerosis |
author |
Sales, Déborah Santos |
author_facet |
Sales, Déborah Santos da Silva, Roberta Gonçalves [UNESP] Alvarenga, Regina Maria Sindorf, Marcia Lyrio Vasconcelos, Claudia Cristina Thuler, Luiz Claudio Santos |
author_role |
author |
author2 |
da Silva, Roberta Gonçalves [UNESP] Alvarenga, Regina Maria Sindorf, Marcia Lyrio Vasconcelos, Claudia Cristina Thuler, Luiz Claudio Santos |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Federal University of the State of Rio de Janeiro (UNIRIO) Universidade Estadual Paulista (Unesp) Pós-Graduate Program in Neurology Coordination of Clinical Research - National Cancer Institute - INCA |
dc.contributor.author.fl_str_mv |
Sales, Déborah Santos da Silva, Roberta Gonçalves [UNESP] Alvarenga, Regina Maria Sindorf, Marcia Lyrio Vasconcelos, Claudia Cristina Thuler, Luiz Claudio Santos |
dc.subject.por.fl_str_mv |
Deglutition disorders Dysphagia Multiple sclerosis Questionnaire |
topic |
Deglutition disorders Dysphagia Multiple sclerosis Questionnaire |
description |
Background: Oropharyngeal dysphagia is a common symptom of many neurological diseases, including Multiple Sclerosis (MS). Early identification of the risk of dysphagia in neurological patients is very important for early referral for specialized evaluations of oropharyngeal swallowing and treatments. The Dysphagia in Multiple Sclerosis (DYMUS) questionnaire has been translated and validated in different countries over the last 10 years. We aimed to analyze the accuracy of the Brazilian Portuguese version of the DYMUS (DYMUS-BR) questionnaire in identifying dysphagia in patients with MS. Methods: The DYMUS questionnaire and a videofluorographic swallowing study (VFSS) were conducted in 30 patients with MS. Dysphagia was identified by at least one abnormal response and was considered alarming when the DYMUS scores were equal to or higher than 3. Patients were considered to have dysphagia in the VFSS when one or more signs of impairment in the efficiency and/or safety of swallowing were detected. Results: According to the initial self-assessment, 37% (N = 11) of patients with MS self-reported with dysphagia. According to the DYMUS-BR scores, 53% (N = 16) of the patients with MS were classified as having dysphagia. The sensitivity, specificity, and positive and negative predictive values of the DYMUS-BR questionnaire for the detection of dysphagia as measured by the VFSS were 50% [95% confidence interval (CI) 29–71], 78% (95% CI 61–90), 60% (95% CI 42–76), and 70% (95% CI 60–78), respectively. The area under the receiver-operating characteristic curve for detecting dysphagia was 64% (95% CI 49–79). Conclusion: The accuracy of the DYMUS-BR questionnaire is poor to detect mild swallowing impairment in patients with MS. However, we suggest longitudinal follow-up in patients with low DYMUS-BR scores for early detection of oropharyngeal dysphagia. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-06-25T10:53:52Z 2021-06-25T10:53:52Z 2021-05-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.msard.2021.102772 Multiple Sclerosis and Related Disorders, v. 50. 2211-0356 2211-0348 http://hdl.handle.net/11449/207360 10.1016/j.msard.2021.102772 2-s2.0-85101642271 |
url |
http://dx.doi.org/10.1016/j.msard.2021.102772 http://hdl.handle.net/11449/207360 |
identifier_str_mv |
Multiple Sclerosis and Related Disorders, v. 50. 2211-0356 2211-0348 10.1016/j.msard.2021.102772 2-s2.0-85101642271 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Multiple Sclerosis and Related Disorders |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1797790023193460736 |