Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults

Detalhes bibliográficos
Autor(a) principal: Magalhães Junior, Hipólito Virgilio
Data de Publicação: 2021
Outros Autores: Pernambuco, Leandro de Araújo, Cavalcanti, Renata Veiga Andersen, Silva, Roberta Gonçalves da [UNESP], Lima, Kenio Costa, Ferreira, Maria Angela Fernandes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1111/ger.12613
http://hdl.handle.net/11449/230078
Resumo: Objective: The aim of this study was to determine the accuracy of an epidemiological screening questionnaire for oropharyngeal dysphagia in older people. Background: Determining the cut-off point and the accuracy of the self-reported epidemiological questionnaire for screening oropharyngeal dysphagia in older adults is important for mass screening, which may estimate the prevalence of oropharyngeal dysphagia. Materials and Methods: This was a cross-sectional diagnostic study with a convenience sample of 70 older adults over 60 years of age of both sexes, aged between 60 and 90 years (mean age 69.2; SD, 7.6). It used a screening questionnaire with nine ordered items response options resulted in a score ranging from 0 to 18. The criterion test was the fiberoptic endoscopic evaluation of swallowing, with analysis of the receiver operating characteristic (ROC), with a 5% significance level. Results: Oropharyngeal dysphagia frequency by the criterion test was 73%, with no significant difference between age and sex. The area under the ROC curve was 0.88 (95% confidence interval: 0.79-0.98) above the cut-off point 3. This screening questionnaire showed good parameters of sensitivity (80%), specificity (89%), positive predictive value (95%), negative predictive value (63%), positive likelihood ratio (7.64), negative likelihood ratio (0.22) and accuracy (83%). Conclusions: This questionnaire may be a satisfactory screening tool for estimating the prevalence of oropharyngeal dysphagia in older adults.
id UNSP_23f60b4e16848413a9ee87ab6687e639
oai_identifier_str oai:repositorio.unesp.br:11449/230078
network_acronym_str UNSP
network_name_str Repositório Institucional da UNESP
repository_id_str 2946
spelling Accuracy of an epidemiological oropharyngeal dysphagia screening for older adultsageingdeglutition disordershealth promotionquestionnairescreening testObjective: The aim of this study was to determine the accuracy of an epidemiological screening questionnaire for oropharyngeal dysphagia in older people. Background: Determining the cut-off point and the accuracy of the self-reported epidemiological questionnaire for screening oropharyngeal dysphagia in older adults is important for mass screening, which may estimate the prevalence of oropharyngeal dysphagia. Materials and Methods: This was a cross-sectional diagnostic study with a convenience sample of 70 older adults over 60 years of age of both sexes, aged between 60 and 90 years (mean age 69.2; SD, 7.6). It used a screening questionnaire with nine ordered items response options resulted in a score ranging from 0 to 18. The criterion test was the fiberoptic endoscopic evaluation of swallowing, with analysis of the receiver operating characteristic (ROC), with a 5% significance level. Results: Oropharyngeal dysphagia frequency by the criterion test was 73%, with no significant difference between age and sex. The area under the ROC curve was 0.88 (95% confidence interval: 0.79-0.98) above the cut-off point 3. This screening questionnaire showed good parameters of sensitivity (80%), specificity (89%), positive predictive value (95%), negative predictive value (63%), positive likelihood ratio (7.64), negative likelihood ratio (0.22) and accuracy (83%). Conclusions: This questionnaire may be a satisfactory screening tool for estimating the prevalence of oropharyngeal dysphagia in older adults.Department of Speech Language and Hearing Sciences Federal University of Rio Grande of Norte (UFRN)Department of Speech Language and Hearing Sciences Federal University of Paraíba (UFPB)Department of Speech Language and Hearing Sciences São Paulo State University (Unesp) School of Philosophy and Sciences Marília Universtiy of São PauloDepartment of Dentistry Postgraduate Public Health Program (PPGSCol-UFRN) Federal University of Rio Grande of Norte (UFRN)Department of Speech Language and Hearing Sciences São Paulo State University (Unesp) School of Philosophy and Sciences Marília Universtiy of São PauloFederal University of Rio Grande of Norte (UFRN)Universidade Federal da Paraíba (UFPB)Universidade Estadual Paulista (UNESP)Magalhães Junior, Hipólito VirgilioPernambuco, Leandro de AraújoCavalcanti, Renata Veiga AndersenSilva, Roberta Gonçalves da [UNESP]Lima, Kenio CostaFerreira, Maria Angela Fernandes2022-04-29T08:37:32Z2022-04-29T08:37:32Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1111/ger.12613Gerodontology.1741-23580734-0664http://hdl.handle.net/11449/23007810.1111/ger.126132-s2.0-85121372365Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengGerodontologyinfo:eu-repo/semantics/openAccess2024-08-09T17:39:45Zoai:repositorio.unesp.br:11449/230078Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-09T17:39:45Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults
title Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults
spellingShingle Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults
Magalhães Junior, Hipólito Virgilio
ageing
deglutition disorders
health promotion
questionnaire
screening test
title_short Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults
title_full Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults
title_fullStr Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults
title_full_unstemmed Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults
title_sort Accuracy of an epidemiological oropharyngeal dysphagia screening for older adults
author Magalhães Junior, Hipólito Virgilio
author_facet Magalhães Junior, Hipólito Virgilio
Pernambuco, Leandro de Araújo
Cavalcanti, Renata Veiga Andersen
Silva, Roberta Gonçalves da [UNESP]
Lima, Kenio Costa
Ferreira, Maria Angela Fernandes
author_role author
author2 Pernambuco, Leandro de Araújo
Cavalcanti, Renata Veiga Andersen
Silva, Roberta Gonçalves da [UNESP]
Lima, Kenio Costa
Ferreira, Maria Angela Fernandes
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Federal University of Rio Grande of Norte (UFRN)
Universidade Federal da Paraíba (UFPB)
Universidade Estadual Paulista (UNESP)
dc.contributor.author.fl_str_mv Magalhães Junior, Hipólito Virgilio
Pernambuco, Leandro de Araújo
Cavalcanti, Renata Veiga Andersen
Silva, Roberta Gonçalves da [UNESP]
Lima, Kenio Costa
Ferreira, Maria Angela Fernandes
dc.subject.por.fl_str_mv ageing
deglutition disorders
health promotion
questionnaire
screening test
topic ageing
deglutition disorders
health promotion
questionnaire
screening test
description Objective: The aim of this study was to determine the accuracy of an epidemiological screening questionnaire for oropharyngeal dysphagia in older people. Background: Determining the cut-off point and the accuracy of the self-reported epidemiological questionnaire for screening oropharyngeal dysphagia in older adults is important for mass screening, which may estimate the prevalence of oropharyngeal dysphagia. Materials and Methods: This was a cross-sectional diagnostic study with a convenience sample of 70 older adults over 60 years of age of both sexes, aged between 60 and 90 years (mean age 69.2; SD, 7.6). It used a screening questionnaire with nine ordered items response options resulted in a score ranging from 0 to 18. The criterion test was the fiberoptic endoscopic evaluation of swallowing, with analysis of the receiver operating characteristic (ROC), with a 5% significance level. Results: Oropharyngeal dysphagia frequency by the criterion test was 73%, with no significant difference between age and sex. The area under the ROC curve was 0.88 (95% confidence interval: 0.79-0.98) above the cut-off point 3. This screening questionnaire showed good parameters of sensitivity (80%), specificity (89%), positive predictive value (95%), negative predictive value (63%), positive likelihood ratio (7.64), negative likelihood ratio (0.22) and accuracy (83%). Conclusions: This questionnaire may be a satisfactory screening tool for estimating the prevalence of oropharyngeal dysphagia in older adults.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
2022-04-29T08:37:32Z
2022-04-29T08:37:32Z
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/10.1111/ger.12613
Gerodontology.
1741-2358
0734-0664
http://hdl.handle.net/11449/230078
10.1111/ger.12613
2-s2.0-85121372365
url http://dx.doi.org/10.1111/ger.12613
http://hdl.handle.net/11449/230078
identifier_str_mv Gerodontology.
1741-2358
0734-0664
10.1111/ger.12613
2-s2.0-85121372365
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Gerodontology
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
_version_ 1808128179174375424