Rater Reliability of the Modified Barium Swallow

1995 ◽  
Vol 23 (2) ◽  
pp. 54-60 ◽  
Author(s):  
Elizabeth Gibson ◽  
Debra Phyland ◽  
Ian Marschner
Keyword(s):  
Barium Swallow ◽  
Rater Reliability ◽  
Modified Barium Swallow

scholarly journals Reliability and validity of the neonatal feeding assessment scale (NFAS) for the early identification of dysphagia in moderate to late preterm neonates

2019 ◽  
Vol 19 (3) ◽  
pp. 2718-2727
Author(s):  
Mari Viviers ◽  
Alta Kritzinger ◽  
Marien Graham
Keyword(s):  
Early Identification ◽  
Oropharyngeal Dysphagia ◽  
Assessment Instrument ◽  
Assessment Scale ◽  
Barium Swallow ◽  
Rater Reliability ◽  
Modified Barium Swallow ◽  
Feeding Assessment ◽  
Swallow Study ◽  
Modified Barium Swallow Study

Background: A clinical feeding assessment instrument to assist with early identification of oropharyngeal dysphagia (OPD) in neonates was developed.Objective: To investigate the validity and reliability of the Neonatal Feeding Assessment Scale (NFAS) in comparison to the modified barium swallow study (MBSS) as gold standard.Method: A within-subject design was implemented. A group of 48 late premature neonates (mean gestational age 35.5 weeks) were sampled in the neonatal intensive care unit.Results: The NFAS consists of six subsections, including physiological stability, infant state, stress cues, screening of muscle tone and control, oral peripheral examination and feeding/swallowing assessment. 93% of participants (14/15) received confirmatory diagnosis of OPD on MBSS. The NFAS presented with high sensitivity (78.6%) and specificity (88.2%) scores. The positive predictive value was 78.6%. Subsequently the accuracy of the NFAS to identify the presence of OPD accurately was 85.4% when compared to MBSS. Inter-rater reliability was determined on 35% of the sample. The inter-rater agreement on overall instrument outcome was substantial beyond chance.Conclusion: The NFAS may be of use to clinicians to support the early identification of OPD in this population, especially in resource constrained settings working without access to MBSS and to reach under served neonates.Keywords: Inter-rater reliability, modified barium swallow study, Neonatal Feeding Assessment Scale (NFAS), oropharyngeal dysphagia diagnosis, validity.

scholarly journals Preliminary psychometric performance of the Neonatal Feeding Assessment Scale

2017 ◽  
Vol 64 (1) ◽  
Author(s):  
Mari Viviers ◽  
Alta Kritzinger ◽  
Bart Vinck ◽  
Marien Graham
Keyword(s):  
Gestational Age ◽  
Validation Study ◽  
Oropharyngeal Dysphagia ◽  
Assessment Scale ◽  
Barium Swallow ◽  
Substantial Agreement ◽  
Rater Reliability ◽  
Modified Barium Swallow ◽  
Psychometric Performance ◽  
Feeding Assessment

Objective: The objective was to determine the preliminary psychometric performance of a new clinical feeding scale to diagnose oropharyngeal dysphagia (OPD) in neonates.Methods: Twenty neonates with a median gestational age of 35 weeks were evaluated using the Neonatal Feeding Assessment Scale (NFAS) and modified barium swallow studies (MBSS). The results were compared.Results: Nine of the 20 participants presented with OPD on the NFAS. Comparison of the scale’s results with instrumental MBSS indicated that all participants without OPD were correctly excluded (100% sensitivity). The specificity was 78.6%, indicating that three participants were falsely identified with OPD on the scale. Inter-rater reliability was determined on 50% (n = 10) of the sample. Substantial agreement (80%) was obtained between two raters in five of the six sections of the scale and on the diagnostic outcome.Conclusion: The preliminary performance of the scale appears to be promising. A further validation study will take place.

scholarly journals ECOG-ACRIN 2399: analysis of patient related outcomes after Chemoradiation for locally advanced head and neck Cancer

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Anthony Cmelak ◽  
Mary S. Dietrich ◽  
Shuli Li ◽  
Sheila Ridner ◽  
Arlene Forastiere ◽  
...  
Keyword(s):  
Head And Neck ◽  
Performance Status ◽  
Locally Advanced ◽  
Surrogate Marker ◽  
Post Treatment ◽  
Self Report ◽  
Barium Swallow ◽  
Functional Communication ◽  
Swallowing Function ◽  
Modified Barium Swallow

Abstract Background We conducted a correlative study for E2399, a function preservation trial for resectable locally advanced oropharynx and larynx cancer, to prospectively assess effects of chemoradiation (CCR) on quality of life (QOL), swallowing and voice. We correlated the results of swallow assessments done via questionnaires and objective assessments by modified barium swallow (MBS). Methods The Functional Assessment of Cancer-HN (FACT-HN), the Performance Status Scale – Head and Neck (PSS-HN), swallow assessments (including modified barium swallow studies), and voice assessments: Voice Handicap Index (VHI), the Voice Disability Assessment (VDA), and American Speech-Language Hearing Association’s Functional Communication Measure (FCM) were conducted at baseline and periodically post-treatment for 2 years. Results Baseline QOL and swallowing function predicted overall survival. Patients experienced a marked decrease in QOL, swallowing, and speech post CCR although the decrease in vocal function was modest. Function and QOL returned towards baseline in the majority of patients by 12 months post treatment. Less than 10% of patients had severe dysphagia and were PEG dependent at 12 months post treatment. There was a high degree of correlation between the FACT-HN and PSS-HN swallow items. Statistically significant correlations were found between subjective and objective measures of swallow function. Conclusions Patients experience marked loss in swallowing function post CCR which returned to baseline in the majority of patients. The correlations between the FCM and self-report swallow items on the PSS and FACT-HN appear to be sufficiently strong to justify their use as a surrogate marker for swallowing disability in large therapeutic trials.

Reliability and Construct Validity of the Penetration-Aspiration Scale for Quantifying Pediatric Outcomes after Interarytenoid Augmentation

2019 ◽  
Vol 161 (5) ◽  
pp. 862-869 ◽  
Author(s):  
Elizabeth H. Wick ◽  
Kaalan Johnson ◽  
Kim Demarre ◽  
Amy Faherty ◽  
Sanjay Parikh ◽  
...  
Keyword(s):  
Construct Validity ◽  
Mixed Model ◽  
Mixed Linear Model ◽  
Barium Swallow ◽  
Time Interval ◽  
Modified Barium Swallow ◽  
Outcome Group ◽  
Scale Scores ◽  
Postoperative Time ◽  
Penetration Aspiration Scale

Objective To assess the reliability and construct validity of the Penetration-Aspiration Scale in children. Study Design This was a retrospective cohort study of pre- and postoperative video modified barium swallow studies from children who underwent interarytenoid injection augmentation for unexplained persistent pharyngeal dysphagia. Two pediatric speech and language pathologists reviewed each study twice in a blinded and randomized fashion. Setting Tertiary academic pediatric hospital. Subjects and Methods Thirty children were identified with adequate pre- and postoperative modified barium swallow studies within 4 weeks of intervention. Children were separated into clinical outcome groups based on ability to advance to thinner diet consistencies postoperatively. Construct validity was assessed with a mixed linear model to test the hypothesis that only the clinically improved group would receive better Penetration-Aspiration Scale scores after surgery. Reliability was assessed by calculating chance-corrected agreement between raters (interrater) and raters’ repeat evaluations (intrarater). Results Inter- and intrarater reliabilities (Cohen’s κ) were both excellent. Results of the mixed model revealed a significant interaction between outcome group and pre- and postoperative time interval. As hypothesized, this involved a significant improvement in Penetration-Aspiration Scale score only in the improved group. Conclusions These findings suggest that the Penetration-Aspiration Scale is a reliable and valid measure of clinical response to interarytenoid injection augmentation in children.

Retained Esophageal Contrast on Modified Barium Swallow Study Predicts Abnormal High Resolution Esophageal Manometry

2017 ◽  
Vol 152 (5) ◽  
pp. S697
Author(s):  
David Lin ◽  
Jeremy Wang ◽  
Andrew A. Erman ◽  
Dinesh Chhetri ◽  
Conklin Jeffrey
Keyword(s):  
High Resolution ◽  
Esophageal Manometry ◽  
Barium Swallow ◽  
Modified Barium Swallow ◽  
Swallow Study ◽  
Modified Barium Swallow Study

The Modified Barium Swallow Impairment Profile as a Predictor of Clinical Outcomes of Admission for Pneumonia or Choking in Dysphagic Patients with Parkinson’s Disease

Dysphagia ◽  
2019 ◽  
Vol 34 (6) ◽  
pp. 896-903 ◽  
Author(s):  
Amanda Hui-Juan Kooi ◽  
Jasmine Pei-Ling Boo ◽  
Samuel Yong-Ern Ng ◽  
Sanchalika Acharyya ◽  
Kwang-Hwee Goh ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Clinical Outcomes ◽  
Barium Swallow ◽  
Modified Barium Swallow ◽  
Dysphagic Patients

Consideration of Cough Reflex Development When Ordering Modified Barium Swallow Studies in Infants

Dysphagia ◽  
2019 ◽  
Vol 35 (3) ◽  
pp. 533-541
Author(s):  
Arcangela L. Balest ◽  
Katherine E. White ◽  
Amber D. Shaffer ◽  
Amanda S. Mahoney ◽  
Matthew Georg ◽  
...  
Keyword(s):  
Barium Swallow ◽  
Cough Reflex ◽  
Modified Barium Swallow

Trade-off between pulse rate and radiation dose during modified barium swallow examination: what is the reality?

2019 ◽  
Vol 74 (9) ◽  
pp. 736.e9-736.e12
Author(s):  
S.J. Galgano ◽  
D. Gauntt ◽  
M.R. Boyd ◽  
D. Trahan ◽  
B.E. Jackson ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Pulse Rate ◽  
Barium Swallow ◽  
Trade Off ◽  
Modified Barium Swallow
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