Insights Into Oropharyngeal Dysphagia From Administrative Data and Clinical Registries: A Literature Review Purpose The call for data-driven health care has been bolstered by the digitization of medical records, quality initiatives, and payment reform. Administrative databases and clinical registries are increasingly being used to study oropharyngeal dysphagia and to facilitate data-driven decision making. The objective of this work was to summarize key findings, ... Review Article
Review Article  |   May 03, 2018
Insights Into Oropharyngeal Dysphagia From Administrative Data and Clinical Registries: A Literature Review
 
Author Affiliations & Notes
  • Rebecca S. Bartlett
    Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin-Madison
  • Susan L. Thibeault
    Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Wisconsin-Madison
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Susan L. Thibeault: thibeault@surgery.wisc.edu
  • Editor-in-Chief: Krista Wilkinson
    Editor-in-Chief: Krista Wilkinson×
  • Editor: Julie Barkmeier-Kraemer
    Editor: Julie Barkmeier-Kraemer×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Special Populations / Older Adults & Aging / Review Articles
Review Article   |   May 03, 2018
Insights Into Oropharyngeal Dysphagia From Administrative Data and Clinical Registries: A Literature Review
American Journal of Speech-Language Pathology, May 2018, Vol. 27, 868-883. doi:10.1044/2018_AJSLP-17-0158
History: Received September 19, 2017 , Revised November 25, 2017 , Accepted December 27, 2017
 
American Journal of Speech-Language Pathology, May 2018, Vol. 27, 868-883. doi:10.1044/2018_AJSLP-17-0158
History: Received September 19, 2017; Revised November 25, 2017; Accepted December 27, 2017

Purpose The call for data-driven health care has been bolstered by the digitization of medical records, quality initiatives, and payment reform. Administrative databases and clinical registries are increasingly being used to study oropharyngeal dysphagia and to facilitate data-driven decision making. The objective of this work was to summarize key findings, etiologies studied, data sources used, study objectives, and quality of evidence of all original research articles that have investigated oropharyngeal dysphagia or aspiration pneumonia using administrative or clinical registry data to date.

Method A literature search was completed in MEDLINE, Scopus, and Google Scholar (January 1, 1990, to February 1, 2017). Each study that met inclusion criteria was rated for quality of evidence on a 5-point scale.

Results Eighty-four research articles were included in the final analysis (n = 221–1,649,871). Over the past 20 years, the number of new publications in this area has quintupled. Most of the administrative database and clinical registry studies of dysphagia have been retrospective cohort studies and cross-sectional studies and limited to quality of evidence levels of 3–4. In these studies, much has been learned about risk factors for dysphagia and pneumonia in defined populations and health care costs and usage. Little has been gleaned from these studies regarding swallowing physiology or dysphagia management.

Conclusions Investigators are just beginning to develop the methods to study oropharyngeal dysphagia using administrative data and clinical registries. Future research is needed in all areas, from the fundamental issue of how to identify individuals with dysphagia with high sensitivity in these data sets to evaluating treatment effectiveness.

Supplemental Material https://doi.org/10.23641/asha.6066515

Acknowledgment
This project was funded by the National Institutes of Health NIDCD grant R01 DC4336, which was awarded to Susan L. Thibeault.
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