Blog Post #2

I chose to create an outline rather than a literature map...

Potential Literature Review Outline

I. Introduction

The goal for a Speech Language Pathologist is to put patients with dysphagia on the safest, least restrictive diet possible. An area in need of more research is the level of consistency between practitioners in interpreting Fiberoptic Endoscopic Evaluations of Swallowing (FEES) in acute hospital settings. Inconsistency in interpretation can potentially result in patients being placed on inappropriate diets, either too restrictive or not restrictive enough.

II. Summary of articles supporting the need for inter rater reliability in instrumental swallowing exams (both FEES and MBS)

A)   Tohara, H., Nakane, A., Murata, S., Mikushi, S., Ouchi, Y., Wakasugi, Y., Takashima, M., Chiba, Y., Uematsu, H., (2010) Inter and intra rater reliability in fiberoptic evaluation of swallowing. Journal of Oral Rehabilitation. 37, 884-891.

B)   Hey, C., Pluschinski, P., Stanschus, S., Eular, H.A., Sader, R.A., Langmore, S., Neumann, K. (2011). A documentation system to save time and proper application of the fiberoptic endoscopic evaluation of swallowing (FEES). Folia Phoniatrica et Logopaedica. 63, 201-208.

C)   Umay, E.K., Unlu, E., Saylam, G.K., Cakci, A., Korkmaz, H. (2013). Evaluation of dysphagia in early stroke patients by bedside endoscopic and electrophysiological methods. Dysphagia. 28, 395-403.

D)   Brady, S., Donzelli, J. (2013). The modified barium swallow and the functional endoscopic evaluation of swallowing. Otolaryngology Clinic North America 46, 1009-1022

E)   Sia, I., Carvajal, P., Carnaby-Mann, G.D., Crary, M.A. (2012) Measurement of hyoid and laryngeal displacement in video fluoroscopic swallowing studies: variability, reliability and measurement error. Dysphagia. 27, 192-197

F)    Speyer, R. (2013). Oropharyngeal dysphagia screening and assessment. Otolaryngology Clinic North America 46, 989-1008

III. Summary of articles supporting standardization of instrumental exams to encourage reliability

A)   Benadom, E.M., Potter, N.L. (2011). The use of simulation in training graduate students to perform transnasal endoscopy. Dyphagia. 26, 352-360

B)   Martin Harris, B., Brodsky, M.B., Michel, Y., Castell, D.O., Schleicher, M., Sandidge, J., Maxwell, R., Blair, J. (2008). MBS measurement tool for swallow impairment- MBSImp establishing a standard. Dysphagia. 23, 392-405

IV. Argument and support for gap in the literature for inter rater reliability for FEES exams

A)   Colodny, N. (2002) Interjudge and intrajudge reliabilities in fiberoptic endoscopic evaluation of swallowing (FEES) using the penetration-aspiration scale. A replication study. Dysphagia. 17 (4), 308-315.

Key words: Dysphagia, endoscopy, fiberoptic, deglutition, inter rater reliability

I am really struggling with determining a theoretical framework for this topic. I don’t feel that focusing on a physiological theory fits this topic, as I am not looking at physiological improvement. Would it be appropriate to use some type of behavior theory that relates to the behavior and decision making of the SLP’s interpreting the study? I’d appreciate any feedback!