What Information Do Clinicians Use in Recommending Oral versus Nonoral Feeding in Oropharyngeal Dysphagic Patients?

Jeri A Logemann; Alfred Rademaker; Barbara Roa Pauloski; Jodi Antinoja; Mary Bacon; Michelle Bernstein; Joy Gaziano; Barbara Grande; Lisa Kelchner; Amy Kelly; Bernice Klaben; Donna Lundy; Lisa Newman; Daphne Santa; Linda Stachowiak; Carrie Stangl-McBreen; Cory Atkinson; Heidi Bassani; Melissa Czapla; Julie Farquharson; Kristin Larsen; Vicki Lewis; Heather Logan; Teri Nitschke; Sharon Veis

doi:10.1007/s00455-008-9152-5

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What Information Do Clinicians Use in Recommending Oral versus Nonoral Feeding in Oropharyngeal Dysphagic Patients?

Journal article

Open access

Peer reviewed

What Information Do Clinicians Use in Recommending Oral versus Nonoral Feeding in Oropharyngeal Dysphagic Patients?

Jeri A Logemann, Alfred Rademaker, Barbara Roa Pauloski, Jodi Antinoja, Mary Bacon, Michelle Bernstein, Joy Gaziano, Barbara Grande, Lisa Kelchner, Amy Kelly, …

Dysphagia, Vol.23(4), pp.378-384

2008-12

DOI: https://doi.org/10.1007/s00455-008-9152-5

PMCID: PMC2893042

PMID: 18670808

Abstract

Videofluoroscopy

Deglutition

Nonoral feeding

Oropharyngeal dysphagia

Deglutition disorders

Oral feeding

There is little evidence regarding the type(s) of information clinicians use to make the recommendation for oral or nonoral feeding in patients with oropharyngeal dysphagia. This study represents a first step toward identifying data used by clinicians to make this recommendation and how clinical experience may affect the recommendation. Thirteen variables were considered critical in making the oral vs. nonoral decision by the 23 clinicians working in dysphagia. These variables were then used by the clinicians to independently recommend oral vs. nonoral feeding or partial oral with nonoral feeding for the 20 anonymous patients whose modified barium swallows were sent on a videotape to each clinician. Clinicians also received data on the 13 variables for each patient. Results of clinician agreement on the recommendation of full oral and nonoral only were quite high, as measured by Kappa statistics. In an analysis of which of the 13 criteria clinicians used in making their recommendations, amount of aspiration was the criterion with the highest frequency. Recommendations for use of postures and maneuvers and the effect of clinician experience on these choices were also analyzed.

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.235 Throat & Voice Disorders; 1.235.1617 Deglutition
Web Of Science research areas: Otorhinolaryngology
ESI research areas: Clinical Medicine

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Title: What Information Do Clinicians Use in Recommending Oral versus Nonoral Feeding in Oropharyngeal Dysphagic Patients?
Creators: Jeri A Logemann - Department of Communication Sciences and Disorders, Northwestern University, Frances Searle Building, 2240 Campus Drive, Evanston, Illinois 60208, USA, Northwestern University, 2240 North Campus Drive, Room 3-358, Evanston, IL 60208, USA
Alfred Rademaker - Department of Preventive Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois 60611, USA
Barbara Roa Pauloski - Department of Communication Sciences and Disorders, Northwestern University, Frances Searle Building, 2240 Campus Drive, Evanston, Illinois 60208, USA
Jodi Antinoja - Froedtert Memorial Hospital, 9200 W. Wisconsin Avenue, Milwaukee, Wisconsin 53226, USA
Mary Bacon - Audiology and Speech Pathology , Hines VA Medical Center, Building 1, Room E-260, Hines, Illinois 60141, USA
Michelle Bernstein - Department of Otolaryngology, University of Miami Hospital Medical Center, UHMC Room 4025, 1475 12th Avenue NW, Miami, Florida 33136, USA
Joy Gaziano - H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, Florida 33612, USA
Barbara Grande - St. Joseph Regional Medical Center, 5000 W. Chambers Street, Milwaukee, Wisconsin 53210, USA
Lisa Kelchner - CAHS-Communication Sciences and Disorders, University of Cincinnati, French – East, P.O. Box 670379, Cincinnati, Ohio 45267-0379, USA
Amy Kelly - Speech Pathology Department, Evanston Northwestern Healthcare, 2650 Ridge Avenue, Room 2206, Evanston, Illinois 60201, USA
Bernice Klaben - Blaine Block Institute for Voice Analysis and Rehabilitation, 369 W. First Street, Suite 408, Dayton, Ohio 45402-3065, USA
Donna Lundy - Department of Otolaryngology, University of Miami Hospital Medical Center, UHMC Room 4025, 1475 12th Avenue NW, Miami, Florida 33136, USA
Lisa Newman - Army Audiology & Speech Center, Walter Reed Army Medical Center, 6900 Georgia Avenue, Washington, DC 20307-5001, USA
Daphne Santa - Audiology and Speech , Miami VA Medical Center, 1201 NW 16th Street, Miami, Florida 33125, USA
Linda Stachowiak - H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, Florida 33612, USA
Carrie Stangl-McBreen - Northwestern Memorial Hospital, 201 E. Huron, Suite 10-205, Chicago, Illinois 60611, USA
Cory Atkinson - Northwestern Memorial Hospital, 201 E. Huron, Suite 10-205, Chicago, Illinois 60611, USA
Heidi Bassani - Army Audiology & Speech Center, Walter Reed Army Medical Center, 6900 Georgia Avenue, Washington, DC 20307-5001, USA
Melissa Czapla - H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, Florida 33612, USA
Julie Farquharson - Northwestern Memorial Hospital, 201 E. Huron, Suite 10-205, Chicago, Illinois 60611, USA
Kristin Larsen - Northwestern Memorial Hospital, 201 E. Huron, Suite 10-205, Chicago, Illinois 60611, USA
Vicki Lewis - H. Lee Moffitt Cancer Center and Research Institute, 12902 Magnolia Drive, Tampa, Florida 33612, USA
Heather Logan - Northwestern Memorial Hospital, 201 E. Huron, Suite 10-205, Chicago, Illinois 60611, USA
Teri Nitschke - Zablocki VA Medical Center, 5000 National Avenue, Milwaukee, Wisconsin 53295, USA
Sharon Veis - Northwestern Memorial Hospital, 201 E. Huron, Suite 10-205, Chicago, Illinois 60611, USA
Publication Details: Dysphagia, Vol.23(4), pp.378-384
Academic Unit: Miller School of Medicine; UMMG Department of Otolaryngology
Language: English
Resource Type: Journal article
PMID: 18670808
PMCID: PMC2893042
Record Identifier: 991031576575402976