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

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Title: ESSD–ESGAR best practice position statements on the technical performance of videofluoroscopic swallowing studies in adult patients with swallowing disorders.
Authors: Scharitzer, Martina1 (AUTHOR) martina.scharitzer@meduniwien.ac.at, Schima, Wolfgang2,3,4 (AUTHOR), Walshe, Margaret5 (AUTHOR), Verin, Eric6 (AUTHOR), Doratiotto, Stefano7 (AUTHOR), Ekberg, Olle8 (AUTHOR), Farneti, Daniele9 (AUTHOR), Pokieser, Peter10 (AUTHOR), Quaia, Emilio11 (AUTHOR), Woisard, Virginie12 (AUTHOR), Xinou, Ekaterini13 (AUTHOR), Speyer, Renée14,15,16,17 (AUTHOR)
Source: European Radiology. Jun2025, Vol. 35 Issue 6, p3169-3180. 12p.
Subjects: Videofluoroscopy, Deglutition disorders, Multidisciplinary practices, Pharyngeal diseases, Professional associations, Medical protocols, Standard operating procedure
Abstract: Objectives: Videofluoroscopic swallowing studies (VFSS) remain the gold standard for the instrumental assessment of oropharyngeal swallowing disorders alongside flexible endoscopic evaluation of swallowing (FEES), requiring a high standard of quality and correct implementation. The current best practice position statements aim to guide the clinical practice of VFSS in individuals experiencing swallowing disorders. Materials and methods: An international expert consensus panel with expertise in oropharyngeal dysphagia, comprised of radiologists, speech-language therapists, otolaryngologists, and other professionals in the field, convened by the European Society of Swallowing Disorders (ESSD) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), developed best practice position statements. They were established using an online Delphi methodology involving an online panel discussion and item preparation and three consecutive rounds. Consensus was reached when ≥ 80% of the participants agreed on a specific recommendation. Results: Eighteen best practice position statements were formulated, thereby establishing standard recommendations on the technical performance of VFSS. They cover VFSS planning, correct implementation, documentation, radiation protection, equipment and maintenance, and education and training. Conclusion: These position statements summarise the panel's deliberations and recommendations in performing VFSS, representing the agreed consensus of experts from ESSD and ESGAR. They provide a structured framework for optimising and standardising the performance of VFSS in patients with swallowing disorders. Key Points: QuestionSignificant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care. FindingsEighteen statements were developed by representatives of the ESSD and the ESGAR. Clinical relevanceThese best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: ESSD–ESGAR best practice position statements on the technical performance of videofluoroscopic swallowing studies in adult patients with swallowing disorders.
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  Data: <searchLink fieldCode="AR" term="%22Scharitzer%2C+Martina%22">Scharitzer, Martina</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> martina.scharitzer@meduniwien.ac.at</i><br /><searchLink fieldCode="AR" term="%22Schima%2C+Wolfgang%22">Schima, Wolfgang</searchLink><relatesTo>2,3,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Walshe%2C+Margaret%22">Walshe, Margaret</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Verin%2C+Eric%22">Verin, Eric</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Doratiotto%2C+Stefano%22">Doratiotto, Stefano</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ekberg%2C+Olle%22">Ekberg, Olle</searchLink><relatesTo>8</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Farneti%2C+Daniele%22">Farneti, Daniele</searchLink><relatesTo>9</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pokieser%2C+Peter%22">Pokieser, Peter</searchLink><relatesTo>10</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Quaia%2C+Emilio%22">Quaia, Emilio</searchLink><relatesTo>11</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Woisard%2C+Virginie%22">Woisard, Virginie</searchLink><relatesTo>12</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Xinou%2C+Ekaterini%22">Xinou, Ekaterini</searchLink><relatesTo>13</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Speyer%2C+Renée%22">Speyer, Renée</searchLink><relatesTo>14,15,16,17</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Jun2025, Vol. 35 Issue 6, p3169-3180. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Videofluoroscopy%22">Videofluoroscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition+disorders%22">Deglutition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Multidisciplinary+practices%22">Multidisciplinary practices</searchLink><br /><searchLink fieldCode="DE" term="%22Pharyngeal+diseases%22">Pharyngeal diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Professional+associations%22">Professional associations</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Standard+operating+procedure%22">Standard operating procedure</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objectives: Videofluoroscopic swallowing studies (VFSS) remain the gold standard for the instrumental assessment of oropharyngeal swallowing disorders alongside flexible endoscopic evaluation of swallowing (FEES), requiring a high standard of quality and correct implementation. The current best practice position statements aim to guide the clinical practice of VFSS in individuals experiencing swallowing disorders. Materials and methods: An international expert consensus panel with expertise in oropharyngeal dysphagia, comprised of radiologists, speech-language therapists, otolaryngologists, and other professionals in the field, convened by the European Society of Swallowing Disorders (ESSD) and the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), developed best practice position statements. They were established using an online Delphi methodology involving an online panel discussion and item preparation and three consecutive rounds. Consensus was reached when ≥ 80% of the participants agreed on a specific recommendation. Results: Eighteen best practice position statements were formulated, thereby establishing standard recommendations on the technical performance of VFSS. They cover VFSS planning, correct implementation, documentation, radiation protection, equipment and maintenance, and education and training. Conclusion: These position statements summarise the panel's deliberations and recommendations in performing VFSS, representing the agreed consensus of experts from ESSD and ESGAR. They provide a structured framework for optimising and standardising the performance of VFSS in patients with swallowing disorders. Key Points: QuestionSignificant regional and national differences in clinical practice when performing VFSS highlight the need for interdisciplinary recommendations to optimise patient care. FindingsEighteen statements were developed by representatives of the ESSD and the ESGAR. Clinical relevanceThese best practice position statements on the technical performance of VFSS may serve as a basis for standardising the procedure and ensuring high-quality service. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00330-024-11241-1
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        Text: English
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      – SubjectFull: Videofluoroscopy
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      – SubjectFull: Deglutition disorders
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      – SubjectFull: Multidisciplinary practices
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      – SubjectFull: Pharyngeal diseases
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              Text: Jun2025
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