Highlights
- •Disparities exist between radiologists and speech-language pathologists in videofluoroscopic swallow study practice patterns.
- •Radiologists and speech-language pathologists agree on the need for a standardized videofluoroscopic swallow study protocol.
- •Disparities that have clear guidance on best practice are: AP view, esophageal sweep, frame rate, and initial aspiration.
Abstract
Purpose
The purpose of this study was to (a) examine the interprofessional relationship between
radiologists and speech-language pathologists (SLPs), and (b) explore viewpoints and
practice patterns of each profession regarding a videofluoroscopic swallow study (VFSS).
Methods
This IRB approved study utilized an online survey developed by the authors to gather
information from radiologists and SLPs who currently perform videofluoroscopic swallow
studies (VFSS) for the evaluation of swallow function. Surveys were primarily distributed
through the American Speech-Language-Hearing Association's (ASHA) Special Interest
Group 13 (Swallowing and Swallowing Disorders) forum, through LinkedIn and email networking
among professional radiology-focused businesses and organizations (Bracco Diagnostics,
Inc., Society of Abdominal Radiology), and via social media (e.g. Facebook). The survey
consisted of 7 demographic questions and 15 practice-related items, using a modified
Likert scale and multiple-choice items to assess agreement with statements regarding
VFSS procedures and opinions on professional roles.
Results
Radiologists and SLPs differed significantly (p < 0.05) in practices regarding nearly
all items surveyed, including preferences on: esophageal sweep, anteroposterior view,
fluoroscopy time limitation, termination following an aspiration event, frame rate,
as well as in defining the primary role of the SLP, the primary purpose of a VFSS,
the most valuable piece of information obtained from a VFSS, and training requirements.
Radiologists and SLPs agreed that a standardized protocol should exist for VFSS.
Conclusions
Radiologists and SLPs differ in their practice patterns and opinions on the roles
of team members in the performance of VFSS. However, both radiologists and SLPs agree
that a standardized protocol for VFSS should exist.
Keywords
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Article info
Publication history
Published online: January 05, 2022
Accepted:
December 27,
2021
Received in revised form:
December 13,
2021
Received:
September 16,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
