Reliability and Confidence of Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) Rating Among Research and Clinical Speech Pathologists Before and After Implementation of a Training Manual: A Multi-site Study

Starmer HM, et al. Adaptation and validation of the dynamic imaging grade of swallowing toxicity for flexible endoscopic evaluation of swallowing: DIGEST-FEES. J Speech Lang Hear Res. 2021;64(6):1802–10.

Article  PubMed  Google Scholar 

Martin-Harris B, et al. Best practices in modified barium swallow studies. Am J Speech Lang Pathol. 2020;29(2s):1078–93.

Article  PubMed  PubMed Central  Google Scholar 

Hutcheson KA, et al. Dynamic Imaging Grade of Swallowing Toxicity (DIGEST): scale development and validation. Cancer. 2017;123(1):62–70.

Article  PubMed  Google Scholar 

Rosenbek JC, et al. A penetration-aspiration scale. Dysphagia. 1996;11(2):93–8.

Article  CAS  PubMed  Google Scholar 

Steele CM, et al. Measurement of pharyngeal residue from lateral view videofluoroscopic images. J Speech Lang Hear Res. 2020;63(5):1404–15.

Article  PubMed  PubMed Central  Google Scholar 

Han TR, Paik NJ, Park JW. Quantifying swallowing function after stroke: a functional dysphagia scale based on videofluoroscopic studies. Arch Phys Med Rehabil. 2001;82(5):677–82.

Article  CAS  PubMed  Google Scholar 

Martin-Harris B, et al. MBS measurement tool for swallow impairment–MBSImp: establishing a standard. Dysphagia. 2008;23(4):392–405.

Article  PubMed  PubMed Central  Google Scholar 

Goepfert RP, et al. Grading dysphagia as a toxicity of head and neck cancer: differences in severity classification based on MBS DIGEST and clinical CTCAE grades. Dysphagia. 2018;33(2):185–91.

Article  PubMed  Google Scholar 

Hutcheson KA, et al. Expiratory muscle strength training for radiation-associated aspiration after head and neck cancer: a case series. Laryngoscope. 2018;128(5):1044–51.

Article  PubMed  Google Scholar 

Hutcheson KA, et al. Cough strength and expiratory force in aspirating and nonaspirating postradiation head and neck cancer survivors. Laryngoscope. 2018;128(7):1615–21.

Article  PubMed  Google Scholar 

Kirsh E, et al. Patient-reported versus physiologic swallowing outcomes in patients with head and neck cancer after chemoradiation. Laryngoscope. 2019;129(9):2059–64.

Article  PubMed  Google Scholar 

Lazarus CL, et al. Prospective instrumental evaluation of swallowing, tongue function, and QOL measures following transoral robotic surgery alone without adjuvant therapy. Head Neck. 2019;41(2):322–8.

Article  PubMed  Google Scholar 

Plowman EK, et al. Impact of expiratory strength training in amyotrophic lateral sclerosis: results of a randomized, sham-controlled trial. Muscle Nerve. 2019;59(1):40–6.

Article  PubMed  Google Scholar 

Noorani M, et al. The association between dysphagia symptoms, DIGEST scores, and severity ratings in individuals with Parkinson’s disease. Dysphagia. 2023;38(5):1295–307.

Article  PubMed  Google Scholar 

Simon SR, et al. Intra and interobserver agreement of the Dynamic Imaging Grade of Swallowing Toxicity Scale (DIGEST) in fiberoptic endoscopic evaluation of swallowing (FEES): the importance of observer-tailored training. Eur Arch Otorhinolaryngol. 2023;280(6):2865–76.

Article  PubMed  PubMed Central  Google Scholar 

Hutcheson KA, et al. Refining measurement of swallowing safety in the Dynamic Imaging Grade of Swallowing Toxicity (DIGEST) criteria: validation of DIGEST version 2. Cancer. 2022;128(7):1458–66.

Article  CAS  PubMed  Google Scholar 

Harris PA, et al. The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019;95: 103208.

Article  PubMed  PubMed Central  Google Scholar 

Harris PA, et al. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.

Article  PubMed  Google Scholar 

McHugh ML. Interrater reliability: the kappa statistic. Biochem Med. 2012;22(3):276–82.

Article  Google Scholar 

Barbon C, Sheila B, Hutcheson K. DIGEST rater survey results PA19-0261. figshare. Journal contribution (2024). https://doi.org/10.6084/m9.figshare.25495024.v1

Clain AE, et al. Structural validity, internal consistency, and rater reliability of the modified barium swallow impairment profile: breaking ground on a 52,726-patient, clinical data set. J Speech Lang Hear Res. 2022;65(5):1659–70.

Article  PubMed  PubMed Central  Google Scholar 

Eisenhuber E, et al. Videofluoroscopic assessment of patients with dysphagia. Am J Roentgenol. 2002;178(2):393–8.

Article  Google Scholar 

Logemann JA, et al. The benefit of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil. 1989;70(10):767–71.

CAS  PubMed  Google Scholar 

Steele CM, et al. Reference values for healthy swallowing across the range from thin to extremely thick liquids. J Speech Lang Hear Res. 2019;62(5):1338–63.

Article  PubMed  PubMed Central  Google Scholar 

Steele CM, et al. Development of a non-invasive device for swallow screening in patients at risk of oropharyngeal dysphagia: results from a prospective exploratory study. Dysphagia. 2019;34(5):698–707.

Article  PubMed  PubMed Central  Google Scholar 

Pearson WG Jr, et al. Image-based measurement of post-swallow residue: the normalized residue ratio scale. Dysphagia. 2013;28(2):167–77.

Article  PubMed  Google Scholar 

Leonard R. Two methods for quantifying pharyngeal residue on fluoroscopic swallow studies: reliability assessment. Ann Otolaryngol Rhinol. 2017;4(3):1168.

Google Scholar 

Donohue C, et al. Comparison of validated videofluoroscopic outcomes of pharyngeal residue: concordance between a perceptual, ordinal, and bolus-based rating scale and a normalized pixel-based quantitative outcome. J Speech Lang Hear Res. 2022;65(7):2510–7.

Article  PubMed  PubMed Central  Google Scholar 

Dharmarathna I, et al. A comparison of pixel-based measures of bolus clearance and DIGEST efficiency ratings. In: Dysphagia Research Society. San Juan, Puerto Rico; 2024.

Barbon CEA, et al. Exploring the relationship between IDDSI and DIGEST as evidence of clinical utility of the tools in oncology practice. In: Dysphagia Research Society. San Juan, Puerto Rico; 2024.

Barbon CEA, et al. Exploring clinical utility of the DIGEST grading method for staging severity of pharyngeal dysphagia from the modified barium swallow study in head and neck cancer patients. In: International Academy of Oral Oncology. Incheon, Korea; 2023.

Korivi BR, et al. Correlating fluoroscopy time of modified barium swallow exams with dynamic grade of swallowing toxicity criteria: a 3-year single institution analysis. In: Dysphagia Research Society. San Juan, Puerto Rico; 2024.

Comments (0)

No login
gif