Observers' Agreement on Measurements in Fiberoptic Endoscopic Evaluation of Swallowing

Dysphagia
Walmari PilzLaura W J Baijens

Abstract

This study analyzed the effect that dysphagia etiology, different observers, and bolus consistency might have on the level of agreement for measurements in FEES images reached by independent versus consensus panel rating. Sixty patients were included and divided into two groups according to dysphagia etiology: neurological or head and neck oncological. All patients underwent standardized FEES examination using thin and thick liquid consistencies. Two observers scored the same exams, first independently and then in a consensus panel. Four ordinal FEES variables were analyzed. Statistical analysis was performed using a linear weighted kappa coefficient and Bayesian multilevel model. Intra- and interobserver agreement on FEES measurements ranged from 0.76 to 0.93 and from 0.61 to 0.88, respectively. Dysphagia etiology did not influence observers' agreement level. However, bolus consistency resulted in decreased interobserver agreement for all measured FEES variables during thin liquid swallows. When rating on the consensus panel, the observers deviated considerably from the scores they had previously given on the independent rating task. Observer agreement on measurements in FEES exams was influenced by bolus consistency, not by d...Continue Reading

References

Jan 1, 1996·Dysphagia·J C RosenbekJ L Wood
Aug 5, 2003·The Laryngoscope·Susan G Hiss, Gregory N Postma
Sep 19, 2006·Journal of Clinical Epidemiology·Henrica C W de VetLex M Bouter
Oct 4, 2006·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·A M KellyM J Drinnan
Jun 28, 2012·Statistics in Medicine·Sophie VanbelleEmmanuel Lesaffre
Apr 19, 2013·The Laryngoscope·Laura W J BaijensChristel Desjardins-Rombouts
Jun 19, 2013·European Journal of Radiology·Laura BaijensWalmari Pilz

❮ Previous
Next ❯

Citations

Jun 8, 2018·International Journal of Speech-language Pathology·Anna Miles, Alexandra Hunting
Jan 9, 2020·Dysphagia·Jessica M PisegnaSusan E Langmore
Nov 20, 2016·The Laryngoscope·Luis Fernando Giraldo-CadavidJorge E Abondano-Garavito
May 4, 2017·Biometrical Journal. Biometrische Zeitschrift·Sophie Vanbelle
Sep 11, 2019·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·D FarnetiL Bastiani
Apr 11, 2020·Degenerative Neurological and Neuromuscular Disease·Noureddin Nakhostin AnsariLeila Ghelichi
May 18, 2020·Dysphagia·Nicole E Schaen-HeacockTimothy M McCulloch
Jan 4, 2021·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·Bina TariqLaura W J Baijens
Oct 27, 2020·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·Daniele Farneti, Elisabetta Genovese
Dec 21, 2020·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·Laura W J BaijensPere Clavé
May 18, 2021·Annals of the American Thoracic Society·Gregory BurgErik B Hysinger
Jan 7, 2020·Journal of Voice : Official Journal of the Voice Foundation·Jan Wouter BruningsLaura W J Baijens
Aug 1, 2021·Clinical Nutrition ESPEN·Sorina R SimonLaura W J Baijens
Jul 31, 2021·International Journal of Speech-language Pathology·Liza Bergström, Julie Ay Cichero
Jul 6, 2020·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Iris KrebbersLaura W J Baijens
Nov 16, 2021·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·Antonio SchindlerNicole Pizzorni

❮ Previous
Next ❯

Software Mentioned

Windows Movie Maker
WinBUGS
R

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.