Characterization of Geriatric Dysphagia Diagnoses in Age-Based Cohorts

OTO Open : the Official Open Access Journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation
Jeremy ApplebaumLee M Akst

Abstract

An aging population requires increased focus on geriatric otolaryngology. Patients aged ≥65 years are not a homogenous population, and important physiologic differences have been documented among the young-old (65-74 years), middle-old (75-84), and old-old (≥85). We aim to analyze differences in dysphagia diagnoses and swallowing-related quality-of-life among these age subgroups. Retrospective chart review. Tertiary care laryngology clinic. We identified chief complaint, diagnosis, and self-reported swallowing handicap (Eating Assessment Tool [EAT-10] score) of all new patients aged ≥65 years presenting to the Johns Hopkins Voice Center between April 2015 and March 2017. Dysphagia diagnoses were classified by physiologic etiology and anatomic source. Diagnostic categories and EAT-10 score were evaluated as functions of patient age and sex. Of 839 new patients aged ≥65 years, 109 (13.0%) reported a chief complaint of dysphagia and were included in this study. The most common dysphagia etiologies were neurologic and esophageal. Most common diagnoses were diverticula (15.6%), reflux (13.8%), and radiation induced (8.3%). Diverticula, cricopharyngeal hypertonicity, and radiation-induced changes were associated with higher EAT-10 sc...Continue Reading

References

Jan 24, 2007·CA: a Cancer Journal for Clinicians·Ahmedin JemalMichael J Thun
Dec 14, 2007·The Annals of Otology, Rhinology, and Laryngology·Nelson RoyLisa Thomas
Jan 15, 2009·The Annals of Otology, Rhinology, and Laryngology·Peter C BelafskyRebecca J Leonard
Jan 7, 2011·Radiation Oncology·Evangelia PeponiGabriela Studer
Mar 27, 2013·Geriatric Nursing·Yeon-Hwan ParkHeeKyung Chang
Jul 3, 2013·The Annals of Otology, Rhinology, and Laryngology·Monica HoyPeter Belafsky
Sep 24, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Ryan LawTodd H Baron
Nov 19, 2013·International Journal of Nursing Studies·Claar D van der Maarel-WierinkJos M G A Schols
Nov 26, 2013·Clinics in Geriatric Medicine·Abraham KhanMorris Traube
Sep 2, 2014·The Journal of Investigative Dermatology·Heidy SierraMilind Rajadhyaksha
Nov 8, 2014·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S Y ChoN J Talley
Apr 15, 2015·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Katina SwanReinie Cordier
Nov 12, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kathryn M Van AbelDale C Ekbom
Mar 27, 2016·Archives of Gerontology and Geriatrics·Tsung-Ju ChuangDee Pei
Apr 7, 2016·Journal of Voice : Official Journal of the Voice Foundation·Nancy JiangEdward J Damrose
Oct 6, 2016·Journal of Neurogastroenterology and Motility·Young Sun KimGwang Ha Kim
Jan 5, 2017·The Laryngoscope·Naren N VenkatesanPeter C Belafsky
Mar 1, 2017·Clinical Oncology : a Journal of the Royal College of Radiologists·I PetkarC Nutting
May 21, 2017·Journal of the American Medical Directors Association·Michelle A Payne, John E Morley
May 26, 2017·Dysphagia·Stephen SchoeffJames Daniero
Jun 13, 2018·Journal of Speech, Language, and Hearing Research : JSLHR·Sonja M MolfenterCathy Lazarus
Jul 11, 2018·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Stefano UrsinoBruno Fattori
Jul 14, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Tary YinJacqui Allen
Aug 11, 2018·Current Psychiatry Reports·Rebecca L Ashare, Reagan R Wetherill
Sep 21, 2018·Current Opinion in Otolaryngology & Head and Neck Surgery·Marie JardineJacqui E Allen
Nov 6, 2018·Nursing for Women's Health·Ann R Lurati
Jan 27, 2019·The Annals of Otology, Rhinology, and Laryngology·Jeremy ApplebaumLee M Akst
Mar 17, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Attapon JunlapanEdward J Damrose
Apr 23, 2019·The Annals of Otology, Rhinology, and Laryngology·Liuba Soldatova, Natasha Mirza
May 31, 2019·Journal of Korean Medical Science·Sang Yoon KimSung Ae Jung
Sep 7, 2019·Dysphagia·Marie JardineJacqueline Allen
Nov 16, 2019·American Journal of Otolaryngology·K K BommakantiP A Weissbrod
Nov 17, 2019·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Sumalee NuchitDunyaporn Trachootham
May 10, 2020·Dysphagia·Marie JardineJacqueline Allen

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Citations

Sep 18, 2020·Geriatrics·Christopher BolingerKimberly Mory

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Software Mentioned

R Foundation for Statistical Computing RStudio
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