SLPOtherDysphagia2024

Estimating the Incidence and Prevalence of Dysphagia in New Zealand.

Shnece Duncan, Andrea Menclova, Maggie-Lee Huckabee

PMID 38244042

WHAT IT FOUND

New cases are projected to rise from 9,250 in 2020 to 24,500 in 2073, and total people living with dysphagia from 74,600 to 177,600.

Most are projected to be aged 65 and over.

Key findings

01Projected total incidence of dysphagia in New Zealand rises from 9,250 (7000 to 12,500) in 2020 to 24,500 (18,700 to 32,850) in 2073.

02Projected total prevalence of dysphagia in New Zealand rises from 74,600 (56,000 to 102,100) in 2020 to 177,600 (134,700 to 240,900) in 2073.

03Projected new dysphagia cases are mostly in people aged 65 and over, 78% in 2020 and 91% in 2073.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study used existing literature rates and population projections rather than direct patient data, so the estimates depend on those sources. Demographic breakdowns were available only for part of the projected cases, so age, sex and ethnicity patterns are not complete for all dysphagia cases. The model assumed dysphagia begins at the same time as underlying conditions such as dementia or Parkinson's disease, which the authors say is unlikely to be true. The model assumed condition rates stay constant to 2073 and did not account for future healthcare improvements or medical innovations. The authors state confidence in incidence estimates is higher than in prevalence estimates because dysphagia onset timing is uncertain. The paper did not compare paediatric and adult dysphagia in detail.

Declared interests

The funding declaration names the University of Canterbury. No other conflicts of interest are reported in the supplied text.

The easy way to misread this

Do not treat these projections as observed rates or as evidence that dysphagia is already rising in a particular clinic. They are modelled estimates with wide bounds and assumptions about constant condition rates and onset.

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