Consensus on the treatment of dysphagia in Parkinson's disease

被引：44

作者：

Schindler, Antonio ^{[1
]}

Pizzorni, Nicole ^{[1
]}

Cereda, Emanuele ^{[2
]}

Cosentino, Giuseppe ^{[3
,4
]}

Avenali, Micol ^{[3
,5
]}

Montomoli, Cristina ^{[6
]}

Abbruzzese, Giovanni ^{[7
]}

Antonini, Angelo ^{[8
]}

Barbiera, Filippo ^{[9
]}

Benazzo, Marco ^{[10
]}

Benarroch, Eduardo ^{[11
]}

Bertino, Giulia ^{[10
]}

Clave, Pere ^{[12
,13
]}

Cortelli, Pietro ^{[14
,15
]}

Eleopra, Roberto ^{[16
]}

Ferrari, Chiara ^{[1
]}

Hamdy, Shaheen ^{[17
]}

Huckabee, Maggie-Lee ^{[18
]}

Lopiano, Leonardo ^{[19
]}

Marchese-Ragona, Rosario ^{[20
]}

Masiero, Stefano ^{[21
]}

Michou, Emilia ^{[22
]}

Occhini, Antonio ^{[9
]}

Pacchetti, Claudio ^{[23
]}

Pfeiffer, Ronald F. ^{[24
]}

Restivo, Domenico A. ^{[25
]}

Rondanelli, Mariangela ^{[26
,33
]}

Ruoppolo, Giovanni ^{[27
]}

Sandrini, Giorgio ^{[3
]}

Schapira, Anthony ^{[28
]}

Stocchi, Fabrizio ^{[29
]}

Tolosa, Eduardo ^{[30
]}

Valentino, Francesca ^{[23
]}

Zamboni, Mauro ^{[31
]}

Zangaglia, Roberta ^{[23
]}

Zappia, Mario ^{[32
]}

Tassorelli, Cristina ^{[3
,5
]}

Alfonsi, Enrico ^{[4
]}

机构：

[1] Univ Milan, Dept Biomed & Clin Sci Luigi Sacco, Milan, Italy

[2] Fdn IRCCS Policlin San Matteo, Clin Nutr & Dietet Unit, Pavia, Italy

[3] Univ Pavia, Dept Brain & Behav Sci, Pavia, Italy

[4] IRCCS Mondino Fdn, Clin Neurophysiol Unit, Pavia, Italy

[5] IRCCS Mondino Fdn, Neurorehabil Unit, Pavia, Italy

[6] Univ Pavia, Dept Publ Hlth Expt & Forens Med, Unit Biostat & Clin Epidmiol, Pavia, Italy

[7] Univ Genoa, IRCCS Osped Policlin San Martino, Dept Neurosci Rehabil Ophthalmol Genet & Maternal, Genoa, Italy

[8] Univ Padua, Dept Neurosci, Ctr Neurodegenerat Dis CENSE, Parkinson & Movement Disorders Unit, Padua, Italy

[9] Presidio Osped Sciacca AG, Azienda Sanitaria Prov Agrigento, UO Complessa Radiol Distretto Ag Sciacca Ribera 2, Sciacca, Agrigento, Italy

[10] Univ Pavia, IRCCS Policlin San Matteo Fdn, Dept Otolaryngol Head Neck Surg, Pavia, Italy

[11] Mayo Clin, Dept Neurol, Rochester, MN USA

[12] Univ Autonoma Barcelona, Hosp Mataro, Gastrointestinal Physiol Lab, Mataro, Spain

[13] Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Barcelona, Spain

[14] IRCCS, Ist Sci Neurol Bologna, Bologna, Italy

[15] Univ Bologna, DIBINEM, Bologna, Italy

[16] Fdn IRCCS Ist Neurol Carlo Besta, Milan, Italy

[17] Univ Manchester, Div Diabet Endocrinol & Gastroenterol, Salford Royal Hosp, Salford, Lancs, England

[18] Univ Canterbury, Rose Ctr Stroke Recovery & Res, Dept Commun Disorders, Christchurch, New Zealand

[19] Univ Torino, Dept Neurosci Rita Levi Montalcini, Turin, Italy

[20] Univ Padua, ENT Dept, Padua, Italy

[21] Univ Padua, Dept Neuroscie, Rehabil Unit, Padua, Italy

[22] Univ Patras, Sch Hlth Rehabil Sci, Dept Speech & Language Therapy, Patras, Greece

[23] IRCCS Mondino Fdn, Parkinsons Dis & Movement Disorders Unit, Pavia, Italy

[24] Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR USA

[25] Garibaldi Hosp, Dept Neurol, Catania, Italy

[26] Univ Pavia, Dept Publ Hlth Expt & Forens Med, Unit Human & Clin Nutr, Pavia, Italy

[27] Sapienza Univ Rome, Dept Sense Organs, Rome, Italy

[28] UCL, Queen Sq Inst Neurol, Dept Clin & Movement Neurosci, London, England

[29] Univ & Inst Res Med Care IRCCS San Raffaele, Rome, Italy

[30] Univ Barcelona, Hosp Clin Barcelona,Parkinson Dis & Movement Diso, Inst Invest Biomed August Pi & Sunyer IDIBAPS,Neu, Ctr Invest Biomed Red Enfermedades Neurodegenerat, Barcelona, Spain

[31] Univ Verona, Hlth Aging Ctr, Dept Med, Div Geriatr, Verona, Italy

[32] Univ Catania, Dept GF Ingrassia, Catania, Italy

[33] IRCCS Mondino Fdn, Pavia, Italy

来源：

JOURNAL OF THE NEUROLOGICAL SCIENCES | 2021年 / 430卷

关键词：

Parkinson's disease; Deglutition disorders; Rehabilitation; Nutrition; Consensus development conference; DEEP-BRAIN-STIMULATION; QUALITY-OF-LIFE; NEUROMUSCULAR ELECTRICAL-STIMULATION; INTENSIVE VOICE TREATMENT; OROPHARYNGEAL DYSPHAGIA; SWALLOWING DISORDERS; SUBTHALAMIC NUCLEUS; PULMONARY-FUNCTION; TREATMENT LSVT(R); ESPEN GUIDELINES;

D O I：

10.1016/j.jns.2021.120008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Dysphagia is common in Parkinson's disease (PD). The effects of antiparkinsonian drugs on dysphagia are controversial. Several treatments for dysphagia are available but there is no consensus on their efficacy in PD. Objective: To conduct a systematic review of the literature and to define consensus statements on the treatment of dysphagia in PD and related nutritional management. Methods: A multinational group of experts in the field of neurogenic dysphagia and/or Parkinson's disease conducted a systematic evaluation of the literature and reported the results according to PRISMA guidelines. The evidence from the retrieved studies was analyzed and discussed in a consensus conference organized in Pavia, Italy, and the consensus statements were drafted. The final version of statements was subsequently achieved by email consensus. Results: The literature review retrieved 64 papers on treatment and nutrition of patients with PD and dysphagia, mainly of Class IV quality. Based on the literature and expert opinion in cases where the evidence was limited or lacking, 26 statements were developed. Conclusions: The statements developed by the Consensus panel provide a guidance for a multi-disciplinary treatment of dysphagia in patients with PD, involving neurologists, otorhinolaryngologists, gastroenterologists, phoniatricians, speech-language pathologists, dieticians, and clinical nutritionists.

引用

页数：13

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