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The Dysphagia Handicap Index (DHI)—Normative Values. Systematic Review and Meta-Analysis

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Abstract

As the dysphagia handicap index (DHI) becomes more commonly used in clinical practice as a diagnostic tool, it is essential to establish the normative value of DHI. The main purpose of this study is to determine the normative value of DHI among subjects who had no history of dysphagia or neurological disease as well as no history of head or neck malignancy. A systematic literature search was performed using PubMed, Scopus and ScienceDirect to access relevant databases and to locate outcome studies. Eligibility criteria included type of publication, participant characteristics and report of outcomes. Data analysis were conducted using meta-analysis method. Five articles were included for the final analysis. The normative value of DHI was 2.49 with confidence interval of 0.51–4.48 for a group of 323 subjects, age range of 20–86 years.

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References

  1. Carucci LR, Turner MA. Dysphagia revisited: common and unusual causes. RadioGraphics. 2015;35(1):105–22.

    Article  Google Scholar 

  2. Barzegar-Bafrooei E, Bakhtiary J, Khatoonabadi AR, Fatehi F, Maroufizadeh S, Fathali M. Validation of the Persian version of the dysphagia handicap index in patients with neurological disorders. Iran J Neurol. 2016;15(3):128–32.

    PubMed  PubMed Central  Google Scholar 

  3. Gustafsson B, Tibbling L. Dysphagia, An Unrecognized Handicap. Dysphagia. 1991;6:193–9.

    Article  CAS  Google Scholar 

  4. Silbergleit AK, Schultz L, Jacobson BH, Beardsley T, Johnson AF. The dysphagia handicap index: Development and validation. Dysphagia. 2012;27(1):46–52.

    Article  Google Scholar 

  5. Krishnamurthy R, Balasubramanium RK. Translation and validation of Kannada version of the dysphagia handicap index. Am J Speech Lang Pathol. 2020;29(1):255–62.

    Article  Google Scholar 

  6. Asadollahpour F, Baghban K, Asadi M. Validity and reliability of the persian version of the Dysphagia Handicap Index (DHI). Iran J Otorhinolaryngol. 2015;27(80):185–91.

    PubMed  PubMed Central  Google Scholar 

  7. Shapira-Galitz Y, Drendel M, Yousovich-Ulriech R, Shtreiffler-Moskovich L, Wolf M, Lahav Y. Translation and validation of the Dysphagia Handicap Index in Hebrew-speaking patients. Dysphagia. 2019;34(1):63–72.

    Article  Google Scholar 

  8. Farahat M, Malki KH, Mesallam TA, Bukhari M, Alharethy S. Development of the Arabic version of Dysphagia Handicap Index (DHI). Dysphagia. 2014;29(4):459–67.

    Article  Google Scholar 

  9. Oda C, Yamamoto T, Fukumoto Y, Nakayama K, Sato M, Murata M, Kobayashi Y. Patient Validation of the Japanese translation of the dysphagia handicap index. Patient Prefer Adherence. 2017;11:193–8.

    Article  Google Scholar 

  10. Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H. The Development and Validation of a Dysphagia-Specific Quality-of-Life Questionnaire for Patients with Head and Neck Cancer: The MD Anderson Dysphagia Inventory. Arch Otolaryngol Head Neck Surg. 2001;127(7):870–6.

    CAS  PubMed  Google Scholar 

  11. Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P. Social and Psychological Burden of Dysphagia: Its Impact on Diagnosis and Treatment. Dysphagia. 2002;17(2):139–46.

    Article  Google Scholar 

  12. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.

    Article  Google Scholar 

  13. Lechien JR, Cavelier G, Thill MP, Huet K, et al. Validity and reliability of the French version of Eating Assessment Tool (EAT-10). Eur Arch Otorhinolaryngol. 2019;276(6):1727–36.

    Article  Google Scholar 

  14. Garand KL, Strange C, Paoletti L, Hopkins-Rossabi T, Martin-Harris B. Oropharyngeal swallow physiology and swallowing-related quality of life in underweight patients with concomitant advanced chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2018;13:2663–71.

    Article  Google Scholar 

  15. Mulheren RW, Azola AM, Kwiatkowski S, et al. Swallowing Changes in Community-Dwelling Older Adults. Dysphagia. 2018;33:848–56.

    Article  Google Scholar 

  16. Speyer R, Cordier R, Kertscher B, Heijnen BJ. Psychometric properties of questionnaires on functional health status in oropharyngeal dysphagia: A systematic literature review. BioMed Res Int. 2014;2014:1–11.

    Article  Google Scholar 

  17. Schindler A, Ginocchio D, Ruoppolo G. What we don’t know about dysphagia complications? Rev Laryng Otol Rhinol. 2008;129(2):75–8.

    CAS  Google Scholar 

  18. Rofes L, Arreola V, Almirall J, et al. Diagnosis and Management of Oropharyngeal Dysphagia and Its Nutritional and Respiratory Complications in the Elderly. Gastroenterol Res Pract. 2010;2011:818979.

    PubMed  PubMed Central  Google Scholar 

  19. Yang EJ, Kim MH, Lim J, Paik N-J. Oropharyngeal Dysphagia in a Community-Based Elderly Cohort: the Korean Longitudinal Study on Health and Aging. J Korean Med Sci. 2013;28(10):1534–9.

    Article  Google Scholar 

  20. Chen PH, Golub JS, Hapner ER, Johns MM. Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Dysphagia. 2009;24(1):1–6.

    Article  Google Scholar 

  21. Holland G, Jayasekeran V, Pendleton N, Horan M, Jones M, Hamdy S. Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: a self-reporting questionnaire survey. Dis Esophagus. 2011;24(7):476–80.

    Article  CAS  Google Scholar 

  22. González-Fernández M, Ottenstein L, Atanelov L, Christian AB. Dysphagia after Stroke: An Overview. Curr Phys Med Rehabil Rep. 2013;1(3):187–96.

    Article  Google Scholar 

  23. Clavé P, Terré R, de Kraa M, Serra M. Approaching oropharyngeal dysphagia. Rev Esp Enferm Dig. 2004;96(2):119–31.

    Article  Google Scholar 

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The authors of the manuscript report no biomedical financial interests. The present work had no financial support.

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Correspondence to Maria Sobol.

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The authors have not performed any research on humans nor animals—all data used in the above manuscript were taken from published papers.

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Sobol, M., Kober, A.M. & Sielska-Badurek, E.M. The Dysphagia Handicap Index (DHI)—Normative Values. Systematic Review and Meta-Analysis. Dysphagia 36, 1005–1009 (2021). https://doi.org/10.1007/s00455-020-10231-x

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