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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/17141

Title: Oropharyngeal dysphagia assessment and treatment efficacy: setting the record straight (response to Campbell-Taylor).
Authors: Coyle, JL
Davis, LA
Easterling, C
Graner, DE
Langmore, S
Leder, SB
Lefton-Greif, MA
Leslie, P
Logemann, JA
Mackay, MA
Martin-Harris, B
Murray, JT
Sonies, B
Steele, CM
Department: Speech-Language Pathology
Keywords: Dysphagia
Evidence-Based Medicine
Speech Language Pathology
Issue Date: 10-Jan-2009
Publisher: Journal of the American Medical Directors Association
Citation: Coyle JL, Davis LA, Easterling C, Graner DE, Langmore S, Leder SB, Lefton-Greif MA, Leslie P, Logemann JA, Mackay L, Martin-Harris B, Murray JT, Sonies B, Steele CM. Oropharyngeal dysphagia assessment and treatment efficacy: setting the record straight (response to Campbell-Taylor). J Am Med Dir Assoc. 2009 Jan;10(1):62-6; discussion 79-83. Epub 2008 Dec 10.
Abstract: In September 2008, an article was published in the Journal of the American Medical Directors Association criticizing current dysphagia assessment and management practices performed by speech-language pathologists in Long-Term Care (LTC) settings. In the same issue, an editorial invited dialogue on the points raised by Campbell-Taylor. We are responding to this call for dialogue. We find Campbell-Taylor's interpretation of the literature to be incomplete and one-sided, leading to misleading and pessimistic conclusions. We offer a complementary perspective to balance this discussion on the 4 specific questions raised: (1) Is the use of videofluoroscopy warranted for evaluating dysphagia in the LTC population? (2) How effective are thickened liquids and other interventions for preventing aspiration and do they contribute to reduction of morbidity? (3) Can aspiration be prevented and is its prevention important? and (4) Is there sufficient evidence to justify dysphagia intervention by speech language pathologists?
URI: http://hdl.handle.net/1807/17141
ISSN: 1538-9375 1525-8610
Appears in Collections:Faculty Publications
Toronto Rehab Publications

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