European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper

This position document has been developed by the Dysphagia Working Group, a committee of members from the European Society for Swallowing Disorders and the European Union Geriatric Medicine Society, and invited experts. It consists of 12 sections that cover all aspects of clinical management of orop...

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Autores: Baijens, Laura W. J.|||0000-0003-1406-6425, Clavé i Civit, Pere|||0000-0002-0696-8560, Cras, Patrick|||0000-0002-7265-7429, Ekberg, Olle, Forster, Alexandre, Kolb, Gerald F., Leners, Jean-Claude, Masiero, Stefano, Mateos-Nozal, Jesús, Ortega, Omar|||0000-0001-6178-3748, Smithard, David G., Speyer, Renée|||0000-0003-2828-8897, Walshe, Margaret|||0000-0003-3924-8073
Tipo de recurso: artículo
Fecha de publicación:2016
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:186013
Acceso en línea:https://ddd.uab.cat/record/186013
https://dx.doi.org/urn:doi:10.2147/CIA.S107750
Access Level:acceso abierto
Palabra clave:Swallowing disorders
Malnutrition
Aged
Frail elderly
Quality of life
Healthy aging
Sarcopenia
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spelling European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paperoropharyngeal dysphagia as a geriatric syndromeBaijens, Laura W. J.|||0000-0003-1406-6425Clavé i Civit, Pere|||0000-0002-0696-8560Cras, Patrick|||0000-0002-7265-7429Ekberg, OlleForster, AlexandreKolb, Gerald F.Leners, Jean-ClaudeMasiero, StefanoMateos-Nozal, JesúsOrtega, Omar|||0000-0001-6178-3748Smithard, David G.Speyer, Renée|||0000-0003-2828-8897Walshe, Margaret|||0000-0003-3924-8073Swallowing disordersMalnutritionAgedFrail elderlyQuality of lifeHealthy agingSarcopeniaThis position document has been developed by the Dysphagia Working Group, a committee of members from the European Society for Swallowing Disorders and the European Union Geriatric Medicine Society, and invited experts. It consists of 12 sections that cover all aspects of clinical management of oropharyngeal dysphagia (OD) related to geriatric medicine and discusses prevalence, quality of life, and legal and ethical issues, as well as health economics and social burden. OD constitutes impaired or uncomfortable transit of food or liquids from the oral cavity to the esophagus, and it is included in the World Health Organization's classification of diseases. It can cause severe complications such as malnutrition, dehydration, respiratory infections, aspiration pneumonia, and increased readmissions, institutionalization, and morbimortality. OD is a prevalent and serious problem among all phenotypes of older patients as oropharyngeal swallow response is impaired in older people and can cause aspiration. Despite its prevalence and severity, OD is still underdiagnosed and untreated in many medical centers. There are several validated clinical and instrumental methods (videofluoroscopy and fiberoptic endoscopic evaluation of swallowing) to diagnose OD, and treatment is mainly based on compensatory measures, although new treatments to stimulate the oropharyngeal swallow response are under research. OD matches the definition of a geriatric syndrome as it is highly prevalent among older people, is caused by multiple factors, is associated with several comorbidities and poor prognosis, and needs a multidimensional approach to be treated. OD should be given more importance and attention and thus be included in all standard screening protocols, treated, and regularly monitored to prevent its main complications. More research is needed to develop and standardize new treatments and management protocols for older patients with OD, which is a challenging mission for our societies.Universitat Autònoma de Barcelona 22016-01-0120162016-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/186013https://dx.doi.org/urn:doi:10.2147/CIA.S107750reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:1860132026-06-06T12:50:31Z
dc.title.none.fl_str_mv European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper
oropharyngeal dysphagia as a geriatric syndrome
title European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper
spellingShingle European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper
Baijens, Laura W. J.|||0000-0003-1406-6425
Swallowing disorders
Malnutrition
Aged
Frail elderly
Quality of life
Healthy aging
Sarcopenia
title_short European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper
title_full European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper
title_fullStr European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper
title_full_unstemmed European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper
title_sort European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper
dc.creator.none.fl_str_mv Baijens, Laura W. J.|||0000-0003-1406-6425
Clavé i Civit, Pere|||0000-0002-0696-8560
Cras, Patrick|||0000-0002-7265-7429
Ekberg, Olle
Forster, Alexandre
Kolb, Gerald F.
Leners, Jean-Claude
Masiero, Stefano
Mateos-Nozal, Jesús
Ortega, Omar|||0000-0001-6178-3748
Smithard, David G.
Speyer, Renée|||0000-0003-2828-8897
Walshe, Margaret|||0000-0003-3924-8073
author Baijens, Laura W. J.|||0000-0003-1406-6425
author_facet Baijens, Laura W. J.|||0000-0003-1406-6425
Clavé i Civit, Pere|||0000-0002-0696-8560
Cras, Patrick|||0000-0002-7265-7429
Ekberg, Olle
Forster, Alexandre
Kolb, Gerald F.
Leners, Jean-Claude
Masiero, Stefano
Mateos-Nozal, Jesús
Ortega, Omar|||0000-0001-6178-3748
Smithard, David G.
Speyer, Renée|||0000-0003-2828-8897
Walshe, Margaret|||0000-0003-3924-8073
author_role author
author2 Clavé i Civit, Pere|||0000-0002-0696-8560
Cras, Patrick|||0000-0002-7265-7429
Ekberg, Olle
Forster, Alexandre
Kolb, Gerald F.
Leners, Jean-Claude
Masiero, Stefano
Mateos-Nozal, Jesús
Ortega, Omar|||0000-0001-6178-3748
Smithard, David G.
Speyer, Renée|||0000-0003-2828-8897
Walshe, Margaret|||0000-0003-3924-8073
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Swallowing disorders
Malnutrition
Aged
Frail elderly
Quality of life
Healthy aging
Sarcopenia
topic Swallowing disorders
Malnutrition
Aged
Frail elderly
Quality of life
Healthy aging
Sarcopenia
description This position document has been developed by the Dysphagia Working Group, a committee of members from the European Society for Swallowing Disorders and the European Union Geriatric Medicine Society, and invited experts. It consists of 12 sections that cover all aspects of clinical management of oropharyngeal dysphagia (OD) related to geriatric medicine and discusses prevalence, quality of life, and legal and ethical issues, as well as health economics and social burden. OD constitutes impaired or uncomfortable transit of food or liquids from the oral cavity to the esophagus, and it is included in the World Health Organization's classification of diseases. It can cause severe complications such as malnutrition, dehydration, respiratory infections, aspiration pneumonia, and increased readmissions, institutionalization, and morbimortality. OD is a prevalent and serious problem among all phenotypes of older patients as oropharyngeal swallow response is impaired in older people and can cause aspiration. Despite its prevalence and severity, OD is still underdiagnosed and untreated in many medical centers. There are several validated clinical and instrumental methods (videofluoroscopy and fiberoptic endoscopic evaluation of swallowing) to diagnose OD, and treatment is mainly based on compensatory measures, although new treatments to stimulate the oropharyngeal swallow response are under research. OD matches the definition of a geriatric syndrome as it is highly prevalent among older people, is caused by multiple factors, is associated with several comorbidities and poor prognosis, and needs a multidimensional approach to be treated. OD should be given more importance and attention and thus be included in all standard screening protocols, treated, and regularly monitored to prevent its main complications. More research is needed to develop and standardize new treatments and management protocols for older patients with OD, which is a challenging mission for our societies.
publishDate 2016
dc.date.none.fl_str_mv 2
2016-01-01
2016
2016-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/186013
https://dx.doi.org/urn:doi:10.2147/CIA.S107750
url https://ddd.uab.cat/record/186013
https://dx.doi.org/urn:doi:10.2147/CIA.S107750
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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