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Screening for oropharyngeal dysphagia in older adults: A systematic review of self‐reported questionnaires
Author(s) -
Magalhães Junior Hipólito V.,
Pernambuco Leandro de Araújo,
Lima Kenio C.,
Ferreira Maria Angela F.
Publication year - 2018
Publication title -
gerodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 54
eISSN - 1741-2358
pISSN - 0734-0664
DOI - 10.1111/ger.12333
Subject(s) - medicine , cinahl , psycinfo , medline , oropharyngeal dysphagia , checklist , cochrane library , dysphagia , population , scopus , swallowing , family medicine , quality of life (healthcare) , physical therapy , psychiatry , meta analysis , dentistry , pathology , surgery , nursing , environmental health , psychological intervention , psychology , political science , law , cognitive psychology
Background Oropharyngeal dysphagia is a swallowing disorder with signs and symptoms which may be present in older adults, but they are rarely noticed as a health concern by older people. The earliest possible identification of this clinical condition is needed by self‐reported population‐based screening questionnaire, which are valid and reliable for preventing risks to nutritional status, increased morbidity and mortality. Objective The aim of this systematic review was to identify self‐reported screening questionnaires for oropharyngeal dysphagia in older adults to evaluate their methodological quality for population‐based studies. Methods An extensive search of electronic databases ( PubMed ( MEDLINE ), Ovid MEDLINE (R), Scopus, Cochrane Library, CINAHL , Web of Science ( WOS ), Psyc INFO ( APA ), Lilacs and Scielo) was conducted in the period from April to May 2017 using previously established search strategies by the two evaluators. The methodological quality and the psychometric properties of the included studies were evaluated by the COSMIN ( Consensus based Standards for the selection of health Measurement Instruments) checklist and the quality criteria of Terwee and colleagues, respectively. Results The analysed information was extracted from three articles which had conducted studies on the prevalence of oropharyngeal dysphagia by self‐reported screening questionnaires, showing poor methodological quality and flaws in the methodological description to demonstrate its psychometric properties. Conclusion This study did not find any self‐reported screening questionnaires for oropharyngeal dysphagia with suitable methodological quality and appropriate evidence in its psychometric properties for elders. Therefore, the self‐reported questionnaires within the diagnostic proposal require greater details in its process for obtaining valid and reliable evidence.