Ann Geriatr Med Res.
2022 Jun;26(2):94-124. 10.4235/agmr.21.0145.
Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H
- Umay E
1 - Eyigor S2
- Bahat G3
- Halil M4
- Giray E5
- Unsal P4
- Unlu Z6
- Tikiz C6
- Vural M7
- Cincin AT8
- Bengisu S9
- Gurcay E10
- Keseroglu K11
- Aydeniz B7
- Karaca EC12
- Karaca B13
- Yalcin A14
- Ozsurekci C15
- Seyidoglu D16
- Yilmaz O3
- Alicura S11
- Tokgoz S17
- Selcuk B18
- Sen EI19
- Karahan AY20
- Yaliman A19
- Ozkok S3
- Ilhan B21
- Oytun MG4
- Ozturk ZA22
- Akin S23
- Yavuz B24
- Akaltun MS25
- Sari A26
- Inanir M27
- Bilgilisoy M28
- Çaliskan Z29
- Saylam G11
- Ozer T11
- Eren Y30
- Bicakli DH16
- Keskin D31
- Ulger Z32
- Demirhan A33
- Calik Y34
- Saka B3
- Yigman ZA35
- Ozturk EA1
- Affiliations
-
- 1Department of Physical Medicine and Rehabilitation, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey
- 2Department of Physical Medicine and Rehabilitation, Ege University, Izmir, Turkey
- 3Division of Geriatrics, Department of Internal Medicine, Istanbul University, Istanbul, Turkey
- 4Division of Geriatrics, Department of Internal Medicine, Hacettepe University, Ankara, Turkey
- 5Department of Physical Medicine and Rehabilitation, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey
- 6Department of Physical Medicine and Rehabilitation, Celal Bayar University, Manisa, Turkey
- 7Department of Physical Medicine and Rehabilitation, Bakırköy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
- 8Department of Internal Medicine, Marmara University, Istanbul, Turkey
- 9Department of Speech and Language Therapy, Uskudar University, Istanbul, Turkey
- 10Gaziler Physical Medicine and Rehabilitation Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey
- 11Department of Otolaryngology, Head and Neck Surgery, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey
- 12Ministry of Health Eskisehir Provincial Health Directorate, Eskisehir, Turkey
- 13Ministry of Health Inonu Public Health Center, Eskisehir, Turkey
- 14Division of Geriatrics, Department of Internal Medicine, Ankara University, Ankara, Turkey
- 15Department of Physical Medicine and Rehabilitation, Trabzon Kanuni Training and Research Hospital, University of Health Sciences Turkey, Trabzon, Turkey
- 16Department of Dietitian, Ege University, Izmir, Turkey
- 17Department of General Surgery, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey
- 18Department of Physical Medicine, Goztepe Medicalpark Hospital, Bahcesehir University, Istanbul, Turkey
- 19Department of Physical Medicine and Rehabilitation, Istanbul University, Istanbul, Turkey
- 20Department of Physical Medicine and Rehabilitation, Usak University, Usak, Turkey
- 21Department of Internal Medicine, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
- 22Department Internal Medicine, Gaziantep University, Gaziantep, Turkey
- 23Department Internal Medicine, Erciyes University, Kayseri, Turkey
- 24Department of Physical Medicine and Rehabilitation, Istanbul Training and Research Hospital, Istanbul, Turkey
- 25Department of Physical Medicine and Rehabilitation, Gaziantep University, Gaziantep, Turkey
- 26Istanbul Erenkoy Physical Medicine and Rehabilitation Hospital, Istanbul, Turkey
- 27Department of Physical Medicine and Rehabilitation, Kocaeli University, Kocaeli, Turkey
- 28Department of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkey
- 29Department of Gastroenterology, Umraniye Training and Research Hospital, University of Health Sciences Turkey, Istanbul, Turkey
- 30Department of Neurology, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey
- 31Department of Physical Medicine and Rehabilitation, Kirikkale University, Kirikkale, Turkey
- 32Department of Internal Medicine, Kirikkale University, Kirikkale, Turkey
- 33Aylin Demirhan Physical Medicine and Rehabilitation Clinic, Izmir, Turkey
- 34Department of Physical Medicine and Rehabilitation, Bolu Izzet Baysal Training and Research Hospital, Bolu Turkey
- 35Department of Physical Medicine and Rehabilitation, Polatli City Hospital, Ministry of Health, Ankara, Turkey
- KMID: 2531901
- DOI: http://doi.org/10.4235/agmr.21.0145
Abstract
- Background
Dysphagia is a geriatric syndrome. Changes in the whole body that occur with aging also affect swallowing functions and cause presbyphagia. This condition may progress to oropharyngeal and/or esophageal dysphagia in the presence of secondary causes that increase in incidence with aging. However, no study has been published that provides recommendations for use in clinical practice that addresses in detail all aspects of the management of dysphagia in geriatric individuals. This study aimed to answer almost all potential questions and problems in the management of geriatric dysphagia in clinical practice.
Methods
A multidisciplinary team created this recommendation guide using the seven-step and three-round modified Delphi method via e-mail. The study included 39 experts from 29 centers in 14 cities.
Results
Based on the 5W and 1H method, we developed 216 detailed recommendations for older adults from the perspective of different disciplines dealing with older people.
Conclusion
This consensus-based recommendation is a useful guide to address practical clinical questions in the diagnosis, rehabilitation, and follow-up for the management of geriatric dysphagia and also contains detailed commentary on these issues.
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