Interjudge agreement in videofluoroscopic studies of swallowing.
Videofluoroscopic swallowing examinations of 3 patients with dysphagia were reviewed independently by 10 speech-language pathologists. Prior to viewing each video, clinicians were provided with information about the patient's history, the results of a bedside swallow examination, and oral-facial and oral motor control examinations. Clinicians completed a swallowing observation protocol as they viewed each video. They then recommended, from a list of treatment strategies, intervention techniques that would be most appropriate for each patient. Interjudge agreement was calculated by determining how many clinicians observed a given swallowing event or deficit, and how many recommended a given treatment strategy. Results suggest that the level of interjudge agreement for videofluoroscopic evaluations is not encouragingly high.
Wilcox
F
F
University of Minnesota, Minneapolis, USA.
Liss
J M
JM
Siegel
G M
GM
D001464:Barium; D003680:Deglutition Disorders / Q000175:diagnosis*; D005471:Fluoroscopy; D006801:Humans; D015588:Observer Variation; D011361:Professional Competence; D013066:Speech-Language Pathology; D014743:Videotape Recording; D000078329:Workforce
D001464:Barium