ESSD–ESGAR best practice position statements on the technical performance of videofluoroscopic swallowing studies in adult patients with swallowing disorders

• DOI: 10.1007/s00330-024-11241-1
• Publication Date: 2024-12-05T12:27:42Z
• Authors: Martina Scharitzer; Wolfgang Schima; Margaret Walshe; Eric Verin; Stefano Doratiotto; Olle Ekberg; Daniele Farneti; Peter Pokieser; Emilio Quaia; Virginie Woisard; Ekaterini Xinou; Renée Speyer
• Keywords: Delphi Method; Best practice; Position paper; Nice; Clinical Practice

Abstract Objectives Videofluoroscopic swallowing studies (VFSS) remain the gold standard for instrumental assessment of oropharyngeal disorders alongside flexible endoscopic evaluation (FEES), requiring a high quality and correct implementation. The current best practice position statements aim to guide clinical VFSS in individuals experiencing disorders. Materials methods An international expert consensus panel with expertise dysphagia, comprised radiologists, speech-language therapists, otolaryngologists, other professionals field, convened by European Society Swallowing Disorders (ESSD) Gastrointestinal Abdominal Radiology (ESGAR), developed statements. They were established using an online Delphi methodology involving discussion item preparation three consecutive rounds. Consensus was reached when ≥ 80% participants agreed on specific recommendation. Results Eighteen formulated, thereby establishing recommendations technical performance VFSS. cover planning, implementation, documentation, radiation protection, equipment maintenance, education training. Conclusion These summarise panel’s deliberations performing VFSS, representing experts from ESSD ESGAR. provide structured framework optimising standardising patients Key Points Question Significant regional national differences highlight need interdisciplinary optimise patient care . Findings representatives ESGAR Clinical relevance may serve as basis procedure ensuring high-quality service