Videofluoroscopy Practice in India: A Survey of Speech-Language Pathologists.
Rahul Krishnamurthy, Bhavana Bhat, Priyanka Suresh Nayak and 1 others
PMID 35802175WHAT IT FOUND
Indian SLPs reported variable VFSS practice: 56% used a standard protocol, but 85% of those used an in-house one; 97% of barium users did not know contrast concentration; none screened for esophageal dysphagia.
Key findings
0156% reported using a standard VFSS assessment protocol, but 85% of those who responded used an in-house protocol.
0297% of participants who used barium did not know the contrast concentration used.
03None of the participants screened for esophageal dysphagia during VFSS.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The sample was a non-randomized convenience survey, and the true response rate was unknown because the survey was circulated through social media. Responses were self-reported, so they may reflect knowledge or intended practice rather than observed practice. 89 of 218 responses were discarded because participants were not currently involved in swallowing assessment. The survey did not collect geographical location, and 48% had less than two years of experience. Multiple responses from individuals at the same facility or university could have occurred. Patterns in reporting VFSS findings were not investigated. The survey did not collect information on knowledge of using analysis protocols. The survey did not probe why participants did not use lead collars and suits or lead collars only. Only descriptive percentages and counts were reported.
Declared interests
The paper names Manipal Academy of Higher Education, Manipal as the funder.
The easy way to misread this
Do not read these percentages as measured patient outcomes or proof of harm. They are self-reported practice patterns from a convenience sample of SLPs, and 89 of the 218 responses were discarded because the respondents were not currently involved in swallowing assessment.