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Training to Analyze Functional Parameters with Fiberoptic Endoscopic Evaluation of Swallowing: A Sco** Review

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Abstract

Analyzing fiberoptic endoscopic evaluation of swallowing (FEES) is challenging and requires training to ensure the proficiency of health professionals and improve reliability. This sco** review aims to identify and map the available evidence on training health professionals to analyze FEES functional parameters. The method proposed by the Joanna Briggs Institute and the PRISMA-ScR guidelines were followed. The search was performed in MEDLINE, Cochrane Library, Embase, Web of Science, Scopus, CINAHL databases, and in the gray literature. Two blinded independent reviewers screened articles by title and abstract. Then, they read the full text of the included reports, considering the eligibility criteria. Data were extracted using a standardized form. Six studies met the established eligibility criteria, published between 2009 and 2022, with few participants. All these studies addressed training as part of the process to validate a rating scale. No standardized criteria were observed regarding the selection of experts and participants, training structure, and outcome measures to assess participants’ competence. The reviewed literature indicates that training must be developed to equip students and health professionals who treat dysphagia, enabling them to analyze the functional parameters of the FEES, considering variables that may influence the participants’ performance.

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References

  1. Langmore SE. History of fiberoptic endoscopic evaluation of swallowing for evaluation and management of pharyngeal dysphagia: changes over the years. Dysphagia. 2017;32:27–38. https://doi.org/10.1007/s00455-016-9775-x.

    Article  PubMed  Google Scholar 

  2. Langmore SE, Schatz K, Olsen N. Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia. 1988;2:216–9. https://doi.org/10.1007/BF02414429.

    Article  CAS  PubMed  Google Scholar 

  3. Krupinski EA. Current perspectives in medical image perception. Atten Percept Psychophys. 2010;72:1205–17. https://doi.org/10.3758/APP.72.5.1205.

    Article  PubMed  Google Scholar 

  4. Abernethy B, Neal RJ, Koning P, Wiley J. Visual-perceptual and cognitive differences between expert, intermediate, and novice snooker players. Appl Cogn Psychol. 1994;8:185–206. https://doi.org/10.1002/acp.2350080302.

    Article  Google Scholar 

  5. Pisegna JM, Langmore SE. Parameters of instrumental swallowing evaluations: describing a diagnostic dilemma. Dysphagia. 2016;31:462–72. https://doi.org/10.1002/acp.2350080302.

    Article  PubMed  Google Scholar 

  6. Swan K, Cordier R, Brown T, Speyer R. Psychometric properties of visuoperceptual measures of videofluoroscopic and fibre-endoscopic evaluations of swallowing: a systematic review. Dysphagia. 2019;34:2–33. https://doi.org/10.1007/s00455-018-9918-3.

    Article  PubMed  Google Scholar 

  7. Curtis JA, Borders JC, Perry SE, Dakin AE, Seikaly ZN, Troche MS. Visual Analysis of Swallowing Efficiency and Safety (VASES): a standardized approach to rating pharyngeal residue, penetration, and aspiration during FEES. Dysphagia. 2022;37:417–35. https://doi.org/10.1007/s00455-021-10293-5.

    Article  PubMed  Google Scholar 

  8. Sabry A, Coyle JL, Abou-Elsaad T. Mansoura fiberoptic endoscopic evaluation of swallowing residue rating scale (MFRRS): an anatomically based tool—a preliminary study. Folia Phoniatr Logop. 2021;73(6):478–90. https://doi.org/10.1159/000512158.

    Article  PubMed  Google Scholar 

  9. Warnecke T, Teismann I, Oelenberg S, Hamacher C, Ringelstein EB, Schäbitz WR, et al. Towards a basic endoscopic evaluation of swallowing in acute stroke—identification of salient findings by the inexperienced examiner. BMC Med Educ. 2009;9:13. https://doi.org/10.1186/1472-6920-9-13.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Yoshida M, Kagaya H, Kamakura Y, Miura Y, Saitoh E, Okawa Y, et al. Safety and the effectiveness of a new education program for nurses to assess swallowing function using fiberoptic endoscopic evaluation of swallowing (FEES). Jpn J Nurs Sci. 2020;17(2):e12313. https://doi.org/10.1111/jjns.12313.

    Article  PubMed  Google Scholar 

  11. Robinson HF. Enhancing the learning and supervision framework for training in flexible endoscopic evaluation of swallowing. Curr Opin Otolaryngol Head Neck Surg. 2021;29:204–12.

    Article  PubMed  Google Scholar 

  12. Borders JC, O’Dea MB, McNally E, Norberg E, Kitila M, Walsh M, et al. Inter- and intra-rater reliability of laryngeal sensation testing with the touch method during flexible endoscopic evaluations of swallowing. Ann Otol Rhinol Laryngol. 2020;129:565–71. https://doi.org/10.1177/0003489419901145.

    Article  PubMed  Google Scholar 

  13. Schindler A, Baijens LWJ, Geneid A, Pizzorni N. Phoniatricians and otorhinolaryngologists approaching oropharyngeal dysphagia: an update on FEES. Eur Arch Otorhinolaryngol. 2022;279(6):2727–42. https://doi.org/10.1007/s00405-021-07161-1.

    Article  PubMed  Google Scholar 

  14. Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or sco** review? Guidance for authors when choosing between a systematic or sco** review approach. BMC Med Res Methodol. 2018;18:143. https://doi.org/10.1186/s12874-018-0611-x.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic sco** reviews. Int J Evid Based Healthc. 2015;13:141–6. https://doi.org/10.1097/XEB.0000000000000050.

    Article  PubMed  Google Scholar 

  16. da Costa BOI, dos Machado L, Augusto MM, Alves TC, Pernambuco L. Training for fiberoptic endoscopic evaluation of swallowing parameter analysis: a sco** review protocol. Rev CEFAC. 2022. https://doi.org/10.1590/1982-0216/202224111021.

    Article  Google Scholar 

  17. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for sco** reviews (PRISMA-ScR): Checklist and explanation. Ann Intern Med. 2018;169:467–73. https://doi.org/10.7326/M18-0850.

    Article  PubMed  Google Scholar 

  18. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H (2020) Chapter 11: sco** reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI manual for evidence synthesis https://synthesismanual.jbi.global. Accessed 13 Sept 2022. https://doi.org/10.46658/JBIMES-20-12

  19. Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of sco** reviews. JBI Evid Synth. 2020;18:2119–26. https://doi.org/10.11124/JBIES-20-00167.

    Article  PubMed  Google Scholar 

  20. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Kaneoka AS, Langmore SE, Krisciunas GP, Field K, Scheel R, Mcnally E, et al. The Boston residue and clearance scale: Preliminary reliability and validity testing. Folia Phoniatr Logop. 2013;65:312–7. https://doi.org/10.1159/000365006.

    Article  PubMed  Google Scholar 

  22. Neubauer PD, Rademaker AW, Leder SB. The Yale pharyngeal residue severity rating scale: an anatomically defined and image-based tool. Dysphagia. 2015;30:521–8. https://doi.org/10.1007/s00455-015-9631-4.

    Article  PubMed  Google Scholar 

  23. Gerschke M, Schöttker-Königer T, Förster A, Netzebandt JF, Beushausen UM. Validation of the german version of the Yale pharyngeal residue severity rating scale. Dysphagia. 2019;34:308–14. https://doi.org/10.1007/s00455-018-9935-2.

    Article  PubMed  Google Scholar 

  24. Onofri SMM, Cola PC, Berti LC, Da Silva RG, Dantas RO. Correlation between laryngeal sensivity and penetration/aspiration after stroke. Dysphagia. 2014;29(2):256–61. https://doi.org/10.1007/s00455-013-9504-7.

    Article  PubMed  Google Scholar 

  25. Warnecke T, Ritter MA, Kröger B, Oelenberg S, Teismann I, Heuschmann PU, et al. Fiberoptic endoscopic dysphagia severity scale predicts outcome after acute stroke. Cerebrovas Dis. 2009;28(3):283–9. https://doi.org/10.1159/000228711.

    Article  Google Scholar 

  26. Shapira-Galitz Y, Shoffel-Havakuk H, Halperin D, Lahav Y. Association between laryngeal sensation, pre-swallow secretions and pharyngeal residue on fiberoptic endoscopic examination of swallowing. Dysphagia. 2019;34(4):548–55. https://doi.org/10.1007/s00455-019-10001-4.

    Article  PubMed  Google Scholar 

  27. Kelly AM, Leslie P, Beale T, Payten C, Drinnan MJ. Fibreoptic endoscopic evaluation of swallowing and videofluoroscopy: does examination type influence perception of pharyngeal residue severity? Clin Otolaryngol. 2006;31:425–32. https://doi.org/10.1111/j.1749-4486.2006.01292.x.

    Article  CAS  PubMed  Google Scholar 

  28. Murray J, Langmore SE, Ginsberg S, Dostie A. The Significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia. 1996;11:99–103. https://doi.org/10.1007/BF00417898.

    Article  CAS  PubMed  Google Scholar 

  29. Steele CM, Grace-Martin K. Reflections on clinical and statistical use of the penetration-aspiration scale. Dysphagia. 2017;32:601–16. https://doi.org/10.1007/s00455-017-9809-z.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Chan MKK, Cheng PPJ. A comparison of two rating protocols for videofluoroscopic swallowing study by inexperienced judges. Int J Speech Lang Pathol. 2017;19:562–8. https://doi.org/10.1080/17549507.2016.1254681.

    Article  PubMed  Google Scholar 

  31. Logemann JA, Lazarus CL, Keeley SP, Sanchez A, Rademaker AW. Effectiveness of four hours of education in interpretation of radiographic studies. Dysphagia. 2000;15:180–3. https://doi.org/10.1007/s004550000025.

    Article  CAS  PubMed  Google Scholar 

  32. Dziewas R, Baijens L, Schindler A, Verin E, Michou E, Clave P. European society for swallowing disorders FEES Accreditation Program for Neurogenic and Geriatric Oropharyngeal Dysphagia. Dysphagia. 2017;32(6):725–33. https://doi.org/10.1007/s00455-017-9828-9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Dziewas R, Glahn J, Helfer C, Ickenstein G, Keller J, Ledl C, et al. Flexible endoscopic evaluation of swallowing (FEES) for neurogenic dysphagia: training curriculum of the German Society of Neurology and the German stroke society. BMC Med Educ. 2016;16(1):1–9. https://doi.org/10.1186/s12909-016-0587-3.

    Article  Google Scholar 

  34. Langmore SE, Scarborough DR, Kelchner LN, Swigert NB, Murray J, Reece S, et al. Tutorial on clinical practice for use of the fiberoptic endoscopic evaluation of swallowing procedure with adult populations: part 1. Am J Speech Lang Pathol. 2022;31(1):163–87. https://doi.org/10.1044/2021_AJSLP-20-00348.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors like to thank to the Education Ministry’s Coordination for the Improvement of Higher Education Personnel (Ministério da Educação/Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – CAPES) for the scholarship granted to the first author (Social Demand Program/CAPES/MEC).

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All authors contributed to the study conception. BOIC, MMA and DDDM performed the literature search and data analysis. The first draft of the manuscript was written by BOIC. Review and editing were performed by LP, LM and TCA. LP was responsible for supervision. All authors read and approved the final manuscript.

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Correspondence to Leandro Pernambuco.

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Costa, B.O.I., Machado, L.S., Augusto, M.M. et al. Training to Analyze Functional Parameters with Fiberoptic Endoscopic Evaluation of Swallowing: A Sco** Review. Dysphagia 39, 198–207 (2024). https://doi.org/10.1007/s00455-023-10614-w

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