Journal Article

Pediatric dysphagia overview: best practice recommendation study by multidisciplinary experts

Ayranci Sucakli, Iclal, Karadag, Bulent, Cikili Uytun, Merve, Demir, Arzu Meltem, Umay, Ebru, Durmus Kocaaslan, Nihal, Aydın, Resa, Gurcay, Eda, Karadag Saygi, Evrim, Mengu, Guven, Alicura, Sibel, Bagcier, Fatih, Yuksel, Deniz, Tikiz, Canan, Yekteusaklari, Nida, Nazli, Fatma, Unlu, Zeliha, Eyigor, Sibel, Uz, Cuma, Unver, Necati, Tarihci, Elif, Cankurtaran, Damla, Tutar, Engin, Bengisu, Serkan, Giray, Esra, Celik, Pelin, Unlu Akyuz, Ece, Akaltun, Mazlum Serdar, Aykın, Zeynep

2022

Overview

Background Currently, there is no comprehensive and multidisciplinary recommendation study covering all aspects of pediatric dysphagia (PD). This study aimed to generate PD management recommendations with methods that can be used in clinical practice to fill this gap in our country and in the world, from the perspective of experienced multidisciplinary experts. Methods This recommendation paper was generated by a multidisciplinary team, using the seven-step process and a three-round modified Delphi survey via e-mail. First, ten open-ended questions were created, and then detailed recommendations including management, diagnosis, treatment, and follow-up were created with the answers from these questions. Each recommendation item was voted on by the experts as overall consensus (strong recommendation), approaching consensus (weak recommendation) and divergent consensus (not recommended). Results In the 1st Delphi round, a questionnaire of 414 items was prepared based on the experts’ responses to ten open-ended questions. In the 2nd Delphi round, 59.2% of these items were accepted as pre-recommendation. In the 3rd Delphi round, 62.6% of 246 items were accepted for inclusion in the proposals. The final version recommendations consisted of 154 items. Conclusions This study includes comprehensive and detailed answers for every problem that could be posed in clinical practice for the management of PD, and recommendations are for all pediatric patients with both oropharyngeal and esophageal dysphagia.

• Publisher: Springer Nature Singapore,Springer Nature B.V,Department of Physical Medicine and Rehabilitation Ankara,University of Health Sciences Turkey,Ankara Diskapi Yildirim Beyazit Training and Research Hospital,Istanbul,Turkey%Department of Physical Medicine and Rehabilitation,Ege University,Izmir,Turkey%Department of Physical Medicine and Rehabilitation,Fatih Sultan Mehmet Training and Research Hospital,Istanbul,Turkey%Department of Physical Medicine and Rehabilitation,Marmara University,Istanbul,Turkey%Department of Pediatric Pulmonology,Marmara University,Istanbul,Turkey%Department of Plastic,Reconstructive and Aesthetic Surgery,Marmara University,Istanbul,Turkey%Department of Pediatric Neurology,University of Health Sciences,Ankara Dr Sami Ulus Maternity,Children's Health and Diseases Training and Research Hospital,Ankara,Turkey%Department of Pediatric Gastroenterology,Ankara City Hospital,Ankara,Turkey%Department of Pediatric Gastroenterology,Marmara University,Ankara,Turkey%Department of Physical Medicine and Rehabilitation,Celal Bayar University,Manisa,Turkey%University of Health Sciences Turkey,Gaziler Physical Medicine and Rehabilitation Training and Research Hospital,Ankara,Turkey%Department of Developmental Pediatric,Ankara City Hospital,Ankara,Turkey%Department of Western Languages and Literatures,Ankara Haci Bayram Veli University,English Language and Literature Division,Ankara,Turkey%Department of Speech and Language Therapy,Uskudar University,Istanbul,Turkey%Department of Otolaryngology,Head and Neck Surgery,University of Health Sciences,Ankara Diskapi Yildirim Beyazit Training and Research Hospital,Ankara,Turkey%Department of Otolaryngology,Head and Neck Surgery,Marmara University,Istanbul,Turkey%Department of Child and Adolescent Psychiatry,Ankara University,Ankara,Turkey%Department of Physical Medicine and Rehabilitation,Istanbul Basaksehir Cam and Sakura City Hospital,Istanbul,Turkey%Department of Physical Medicine and Rehabilitation,Istanbul University,Istanbul,Turkey%Department of Physical Medicine and Rehabilitation,Gaziantep University,Gaziantep,Turkey%Ministry of Health,Mamak Public Hospital,Ankara,Turkey%Department of Physical Medicine and Rehabilitation,Kirikkale University,Kirikkale,Turkey
• Subject: Agreements / Children & youth / Clinical medicine / Critical Care Medicine / Dysphagia / Imaging / Intensive / Maternal and Child Health / Medicine / Medicine & Public Health / Otolaryngology / Pediatric Surgery / Pediatrics / Questionnaires / Radiology / Rehabilitation / Review Article / Statistical analysis / Surgery / Swallowing