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Ausbildungscurriculum zum Zertifikat „Diagnostik und Therapie oropharyngealer Dysphagien, inklusive FEES“ der Deutschen Gesellschaft für Phoniatrie und Pädaudiologie und der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie

Published on Oct 1, 2019in Laryngo-rhino-otologie0.853
· DOI :10.1055/a-0987-0517
Simone Graf2
Estimated H-index: 2
(TUM: Technische Universität München),
Annerose Keilmann4
Estimated H-index: 4
+ 6 AuthorsChristina Pflug1
Estimated H-index: 1
Abstract
Hintergrund In Deutschland leiden ca. 5 Millionen Menschen jeden Lebensalters an einer Dysphagie. Durch den demografischen Wandel und die verbesserte medizinische Versorgung ist mit einer Zunahme der Inzidenz von Schluckstorungen zu rechnen. Die Dysphagie ist mit einer erhohten Morbiditats- und Mortalitatsrate assoziiert und fuhrt zu einer erheblichen finanziellen Belastung der Gesundheitssysteme. Die zwei haufigsten Ursachen einer Schluckstorung sind neurologische Erkrankungen und Kopf-Hals-Tumore. Die Diagnostik und Therapie haben sich in den letzten Jahrzehnten kontinuierlich weiterentwickelt. Insbesondere die flexibel-endoskopische Beurteilung des Schluckaktes (FEES) ist zu einem festen Bestand in der Abklarung von Schluckstorungen geworden. Ergebnisse Das Zertifikat „Diagnostik und Therapie oropharyngealer Dysphagien, inkl. FEES“ wurde von der Deutschen Gesellschaft fur Phoniatrie und Padaudiologie (DGPP) und der Deutschen Gesellschaft fur Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO KHC) in Zusammenarbeit mit dem Deutschen Berufsverband fur Phoniatrie und Padaudiologie und dem Deutschen Berufsverband der Hals-Nasen-Ohrenarzte entwickelt. Es besteht aus drei Teilen: den Modulen (A, B und C), der indirekten Supervision und einer praktischen Prufung. Aufbau, detaillierte Inhalte und die Anforderungen zur Erlangung des Zertifikates werden im folgenden Artikel beschrieben. Ebenso werden die Qualifikationen der Dozenten und Prufer festgesetzt. Fazit Die systematische Ausbildung dient der Qualitatssicherung und Etablierung von Standards in der Diagnostik und Therapie von oropharyngealen Dysphagien in der Phoniatrie und Padaudiologie und in der Hals-, Nasen- Ohrenheilkunde.
  • References (45)
  • Citations (1)
References45
Newest
: Increasing age leads to a number of physiological as well as disease-related pathological changes that among others also affect structures involved in swallowing. These changes not only increase the risk of developing dysphagia but as a result can lead to pneumonia, malnutrition, exsiccosis, a relevant impairment of the quality of life and increased mortality. To evaluate the nature and extent of dysphagia, clinical swallowing tests as well as instrumental approaches, such as the endoscopic ev...
1 CitationsSource
#1Carsten Buhmann (UHH: University of Hamburg)H-Index: 23
#2Moritz Bihler (Augsburg College)H-Index: 2
Last. Christina Pflug (UHH: University of Hamburg)H-Index: 3
view all 11 authors...
Abstract Background This study evaluates the prevalence, characteristics, and predictors of the difficulty of swallowing medication in Parkinson's disease (PD). Methods In this prospective controlled, cross-sectional cohort study, the ability to swallow four different placebos was assessed using flexible endoscopic evaluation of swallowing (FEES) in 118 PD patients and 32 controls. The association between a patient's swallowing ability for each pill and water, patient characteristics and dopamin...
2 CitationsSource
#1Ming-Chu Feng (FYU: Fooyin University)
#2Yi-Ching Lin (KMU: Kaohsiung Medical University)
Last. Chih-Hsing HungH-Index: 1
view all 8 authors...
Abstract Background: Dysphagia may result in poor outcomes in stroke patients due to aspiration pneumonia and malnutrition. Goal: The aim of the study was to investigate aspiration pneumonia and the mortality rate in stroke patients with dysphagia in Taiwan. Methods: We selected 1220 stroke patients, divided them into dysphagia and nondysphagia groups, and matched them according to age; covariates and comediations from 2000 to 2005 were identified from the NHIRD 2000 database. The date of the di...
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#1Miriam ReuschenbachH-Index: 24
#2Ingeborg Tinhofer (Charité)H-Index: 18
Last. Jens Peter Klussmann (University of Cologne)H-Index: 29
view all 5 authors...
: The prevalence of oropharyngeal squamous cell carcinoma (OPSCC) is increasing globally while the prevalence of other head and neck cancers is decreasing. The most likely reasons for this are a decreasing influence of smoking and the growing relevance of infections with the human papilloma virus (HPV) as a risk factor. A rise in the HPV-attributable fraction (HPV-AF) of OPSCC has been observed in many countries, yet a comprehensive review of prevalence rates and trends in Germany is lacking. To...
1 CitationsSource
#1Patrick Zuercher (University of Bern)H-Index: 1
#2Céline S. Moret (University of Bern)
Last. Joerg C. Schefold (University of Bern)H-Index: 26
view all 4 authors...
Dysphagia may present in all critically ill patients and large-scale clinical data show that e.g. post-extubation dysphagia (PED) is commonly observed in intensive care unit (ICU) patients. Recent data demonstrate that dysphagia is mostly persisting and that its presence is independently associated with adverse patient-centered clinical outcomes. Although several risk factors possibly contributing to dysphagia development were proposed, the underlying exact mechanisms in ICU patients remain inco...
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#1Natalia MuehlemannH-Index: 1
#2Baptiste JouanetonH-Index: 1
Last. Marcel ArnoldH-Index: 53
view all 8 authors...
INTRODUCTION: Oropharyngeal dysphagia is frequent in hospitalized post-stroke patients and is associated with increased mortality and comorbidities. The aim of our analysis was to evaluate the impact of dysphagia on Length of Hospital Stay (LOS) and costs. The hospital perspective was used to assess costs. METHODS: Hospital discharge databases comparing hospital stays for ischemic stroke associated with dysphagia vs stroke without dysphagia in France and Switzerland were analyzed. The French Med...
1 CitationsSource
#1Christina PflugH-Index: 3
#2Till FlügelH-Index: 2
Last. Julie Cläre NienstedtH-Index: 3
view all 3 authors...
Demographic developments and medical progress will cause the already high prevalence of swallowing disorders to increase further in the future. With the same number of specialists and economic resources, it is necessary to improve the efficiency of dysphagia diagnostics and continue to offer patients a treatment concept tailored to their needs. Manifold and often co-existing causes of dysphagia require interdisciplinary cooperation in this area. Endoscopic swallowing diagnostics play a prominent...
2 CitationsSource
#1Joshua Horton (Sewanee: The University of the South)H-Index: 1
#2Carlyn M. Atwood (Sewanee: The University of the South)H-Index: 1
Last. Clarice Clemmens (Sewanee: The University of the South)H-Index: 1
view all 5 authors...
The objective of this study was to determine temporal trends of dysphagia diagnoses in hospitalized children. This is a retrospective observational study from the 1997–2012 Kids’ Inpatient Database (KID) conducted in the setting of weighted hospitalizations in a KID participating center. More than 6 million pediatric admissions were captured in each triennial KID report. Main outcomes included triennial rates of dysphagia diagnosis in hospitalized pediatric patients, and secondary outcomes inclu...
8 CitationsSource
#1Christina Pflug (UHH: University of Hamburg)H-Index: 3
#2Moritz Bihler (UHH: University of Hamburg)H-Index: 2
Last. Carsten Buhmann (UHH: University of Hamburg)H-Index: 23
view all 11 authors...
To assess the prevalence of dysphagia and its typical findings in unselected “real-world” Parkinson patients using an objective gold-standard method. This was a prospective, controlled, cross-sectional study conducted in 119 consecutive Parkinson patients of all stages independent of subjective dysphagia. Patients and 32 controls were clinically and endoscopically examined by flexible endoscopic evaluation of swallowing (FEES) to evaluate the deglutition with regard to three consistencies (water...
19 CitationsSource
#1Maria Schwarz (Logan Hospital)H-Index: 1
#2Anne Coccetti (Logan Hospital)H-Index: 1
Last. Elizabeth Cardell (Griffith University)H-Index: 7
view all 4 authors...
Aims and objectivesTo determine presence of clinical complications related to dysphagia and to explore their operational outcomes.BackgroundDysphagia is a common complication of stroke. The management of poststroke dysphagia is multidisciplinary with nurses playing a key role in screening for dysphagia risk, monitoring tolerance of food and fluids and checking for the development of complications such as fever, dehydration and change in medical status. Dysphagia often results in further complica...
5 CitationsSource
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