Søgeprotokol for Opdatering På NKR for Øvre Dysfagi

Søgeprotokol for opdatering på NKR for øvre dysfagi

Projekttitel/aspekt NKR for Dysfagi - Guidelines Projektgruppe Elisabeth og Mina Händel Søgespecialist Kirsten Birkefoss Senest opdateret 17.09.2018

Baggrund Dysfagi er den overordnede betegnelse for problemer i en eller flere synkefunktioner. Årsagerne til dysfagi er mangfoldige og omfatter både motoriske, sensoriske og/eller kognitive funktionsnedsættelser. Der skelnes mellem øvre og nedre dysfagi. Øvre dysfagi er relateret til mund og svælg, mens nedre dysfagi er relateret til spiserør og mavesækken. Denne retningslinje handler om øvre dysfagi. Dysfagi giver mange og også alvorlige problemer for patienten. Dysfagi er associeret med øget risiko for sygelighed og død, reduceret livskvalitet og risiko for social isolation.

Søgetermer Engelske: Dysphagia, Deglutition, Deglutition disorders, Swallowing disorders, Aphagia, Aspiration, Aspiration pneumonia, Pulmonary aspiration, Ingestion functions, Eating difficulties Danske: Dysfagi, Synkebesvær, Synkebevægelse, Synkeproblemer, Synkning, Synkeforstyrrelse, Manglende synkeevne, Afagi, Synkefunktion, Aspiration, Aspirationspneumoni, Aspirationslungebetændelse, Næringsindtag, Spisevanskeligheder Norske: Dysfagi, Svelgevansker, Svelging, Ätsvårigheter, Svelgeproblemer, Svelgeforstyrrelser, Svelgefunksjon, Afagi, Aspirasjon, Aspirasjonspneumoni, Spisevanskeligheter; Svenske: Dysfagi, Sväljningssvårigheter, Sväljsvårigheter, Sväljfunktion, Sväljning, Ätsvårigheter, Sväljstöringar, Aspiration, Aspirationspneumoni Inklusions- og Sprog: Engelsk, tysk, dansk, norsk og svensk eksklusionskriterier År: 2015-18 Population: Alle med øvre dysfagi Publikationstyper: Guidelines, MTV, Cochrane Reviews

Informationskilder

Dato for Databaser Interface Fund søgning G-I-N International http://www.g-i-n.net/ 0 17.09.2018 TRIP database https://www.tripdatabase.com 1 17.09.2018 NICE (UK) http://www.nice.org.uk/ 3 17.09.2018 Scottish Intercollegiate Guidelines Network http://sign.ac.uk 0 17.09.2018 (SIGN) HTA Databasen (CRD http://www.crd.york.ac.uk/CRDWeb/ 18 17.09.2018 database) SBU, Sverige http://www.sbu.se 0 17.09.2018 Socialstyrelsen, http://www.socialstyrelsen.se 0 17.09.2018 Sverige Helsedirektoratet, https://helsedirektoratet.no/ 1 17.09.2018 Norge FHI, Norge http://www.fhi.no/ 0 17.09.2018 Center for Kliniske http://www.cfkr.dk/ 2 17.09.2018 Retningslinjer NHMRC, Australien https://www.clinicalguidelines.gov.au/ 1 17.09.2018 Canadian Medical https://www.cma.ca/En/Pages/clinical- 0 17.09.2018 Association, Canada practice-guidelines.aspx http://www.awmf.org/leitlinien/aktuelle- AWMF, Tyskland 0 leitlinien.html 17.09.2018

Medline OVID 77 17.09.2018 (inkl. Cochrane Reviews) EMBASE OVID 146 17.09.2018 (inkl. Cochrane Reviews) CINAHL EBSCO 12 17.09.2018

Note:  Søgetermer og inklusions- og eksklusionskriterier er tilpasset de enkelte databaser.  Dubletter er så vidt muligt frasorteret ved hjælp af RefWorks. De fundne referencer overføres til fagkonsulenten i Covidence.  Fuldtekster præsenteres i Covidence i pdf-format eller som link  Søgestrategi for hver enkelt database præsenteres – hvis muligt vises det eksplicit hvor mange referencer den enkelte søgestreng genererer  Covidence = webbaseret referencehåndteringssystem og kvalitetsvurderingsværktøj  MAGIC = online skabelonværktøj til guidelines

Søgestrategier og fund

GIN

Søgt på:

Dysphagia OR Deglutition OR Swallow* OR Aphagia OR Aspiration OR “Ingestion functions” OR “Eating difficulty” OR “Eating difficulties” OR “mealtime difficulties” OR “feeding difficulty” OR “feeding difficulties”

0 fund

TRIP database

Søgt på: dysphagia or deglutition or swallow* or aphagia or aspiration or ”ingestion functions” or ”eating difficulty” or ”eating difficulties”

1 fund

Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury

In November 2016, the NHMRC approved the recommendations for the first clinical practice guideline for the management of communication and swallowing disorders following paediatric traumatic brain injury.

Traumatic brain injury (TBI) is a leading cause of disability, affecting approximately 765 to 2008 per 100 000 Australian children each year. Its effects are vast and include speech, language and swallowing disorders.

To ensure a standard, best-evidence approach to the clinical care of children with communication and swallowing disorders following moderate or severe TBI, a multidisciplinary guideline committee has developed recommendations to guide assessment and treatment of these disorders.

The guideline consists of 30 recommendations to be used by health professionals who are involved in the management of communication and swallowing disorders following paediatric TBI. Of the developed recommendations, 5 were evidence-based and 25 were consensus-based. The recommendations aim to optimise children’s outcomes and ensure equality of care.

Guideline and Recommendations

Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury Short Form Guideline (Recommendations)

Supporting Documents

Administrative Report Technical Report Public Consultation Submission Summary

NICE

Søgt på hver af ordene:

Dysphagia Aspiration “Feeding problems” Deglutition “Ingestion functions” “Feeding difficulties” Swallow “Eating difficulties” “Feeding difficulty” Swallowing “Eating difficulty” Aphagia “Mealtime difficulties”

3 Fund:

Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition (CG32)

Evidence-based recommendations on oral nutrition support, enteral tube feeding and parenteral nutrition for adults with or at risk of malnutrition

Clinical guideline Published February 2006 Last updated August 2017 More

 Overview  Introduction  Developing this guideline  Patient-centred care  Key priorities for implementation  1 Guidance  2 Research recommendations  Update information

Endoscopic carbon dioxide laser cricopharyngeal myotomy for relief of oropharyngeal dysphagia (IPG550)

Evidence-based recommendations on endoscopic carbon dioxide laser cricopharyngeal myotomy for relieving oropharyngeal dysphagia (swallowing difficulties)

Interventional procedures guidance Published March 2016

 Overview  1 Recommendations  2 Indications and current treatments  3 The procedure  4 Efficacy  5 Safety  6 Committee comments  7 Further information

Flexible endoscopic treatment of a pharyngeal pouch (IPG513)

Evidence-based recommendations on flexible endoscopic treatment for a pharyngeal pouch (Zenker's diverticulum)

Interventional procedures guidance Published February 2015 More

 Overview  1 Recommendations  2 Indications and current treatments  3 The procedure  4 Efficacy  5 Safety  6 Committee comments  7 Further information

SIGN

Søgt på alle emner

0 fund

HTA

Søgt på:

((Dysphagia OR Deglutition OR Swallow* OR Aphagia OR Aspiration OR ((Ingestion OR Eating OR meal* OR feeding) AND (difficult* or problem*)))) and

(Project record:ZDT OR Full publication record:ZDT) IN HTA FROM 2015 TO 2018

18 fund

First 1 Last Show all previews Select all Clear selections Export Year Database Source Title 2017 HTA HAYES, Inc Capsule endoscopy for the diagnosis of small bowel Crohn's disease [Preview] 2017 HTA HAYES, Inc Glucagon-like peptide-1 receptor agonists for the treatment of obesity in women with polycystic ovary syndrome [Preview] 2017 HTA HAYES, Inc Local injection therapy for cervicogenic headache and occipital neuralgia [Preview] 2017 HTA HAYES, Inc ThyGenX and ThyraMIR (Interpace Diagnostics) [Preview] 2016 HTA Center for Evidence- Best practices for preventing aspiration based Practice (CEP) pneumonia in hospital patients [Preview] 2016 HTA HAYES, Inc. Concentrated bone marrow aspirate for spinal surgery [Preview] 2016 HTA NIHR Horizon Diazoxide choline controlled-release for Scanning Prader-Willi syndrome – first line Research&Intelligence [Preview] Centre 2016 HTA NIHR Horizon Eculizumab (Soliris) for refractory Scanning myasthenia gravis [Preview] Research&Intelligence Centre 2016 HTA NIHR Horizon Ibrutinib (Imbruvica) with R-CHOP for Scanning diffuse large B-cell lymphoma – first line Research&Intelligence [Preview] Centre

2016 HTA Agency for Healthcare Management of renal masses and Research and Quality localized renal cancer [Preview] (AHRQ) 2016 HTA NIHR Horizon Ozanimod for relapsing remitting multiple Scanning sclerosis [Preview] Research&Intelligence Centre 2016 HTA NIHR Horizon Siponimod for secondary progressive Scanning multiple sclerosis [Preview] Research&Intelligence Centre 2016 HTA NIHR Health Treatments for hyperemesis gravidarum Technology and nausea and vomiting in pregnancy: a Assessment systematic review and economic programme assessment [Preview] 2015 HTA Ludwig Boltzmann [Biodegradable stents for the treatment of Institut fuer Health refractory or recurrent benign Technology oesophageal stenoses] [Preview] Assessment (LBIHTA) 2015 HTA Institute for Clinical [Deep brain stimulation for Parkinson's Effectiveness and disease] [Preview] Health Policy (IECS) 2015 HTA Health Quality Patient perspectives on quality of life with Ontario (HQO) controlled type 1 diabetes mellitus: a systematic review and qualitative meta- synthesis [Preview] 2015 HTA NIHR Horizon Pridopidine (Huntexil) for Huntington's Scanning disease [Preview] Research&Intelligence Centre 2015 HTA Canadian Agency for Drugs and Transoral robotic surgery: a review of Technologies in clinical and cost-effectiveness [Preview] Health (CADTH)

SBU

Søgt på hver af ordene:

Dysfagi, Sväljningssvårigheter, Sväljsvårigheter, Sväljfunktion, Sväljning, Ätsvårigheter, Sväljstöring*, Aspiration, Aspirationspneumoni

0 fund

Socialstyrelsen

Søgt på hver af ordene:

Dysfagi, Sväljningssvårigheter, Sväljsvårigheter, Sväljfunktion, Sväljning, Ätsvårigheter, Sväljstöring*, Aspiration, Aspirationspneumoni

0 fund

Helsedirektoratet

Søgt på hver af ordene:

Dysfagi, Svelgevansker, Svelging, Ätsvårigheter, Svelgeproblem*, Svelgeforstyrrelse*, Svelgefunksjon, Afagi, Aspirasjon, Aspirasjonspneumoni, Spisevanskeligheter

1 fund

Hjerneslag Nasjonal faglig retningslinje for behandling og rehabilitering ved hjerneslag

 Sist oppdatert: 21.12.2017

Utredning av svelgevansker og svelgetrening

Utredning av svelgevansker og svelgetreningAnbefaling Pasienter med vedvarende svelgevansker bør henvises til logoped …

Anbefaling i Hjerneslag



Utredning og behandling ved svelgevansker etter akutt hjerneslag

Utredning og behandling ved svelgevansker etter akutt hjerneslagAnbefaling En standardisert screeningundersøkelse for svelgevansker bør skje tidlig etter innleggelse …

Anbefaling i Hjerneslag



Tiltak ved svelgevansker

Tiltak ved svelgevanskerAnbefaling Slagrammede med svelgevansker bør få tilpasset mat og … 209] og erfaringer er derfor hovedgrunnlaget for anbefalingene om tiltak ved svelgevansker …

Anbefaling i Hjerneslag



Svelgevansker, ernæring og eliminasjon

Nasjonal faglig retningslinje for hjerneslag erstatter IS-1688 «Nasjonal faglig retningslinje for behandling og rehabilitering ved hjerneslag» fra 2010 … Til tross for et ønske fra …

Kapittel i Hjerneslag



Svelgetesting ved akutt hjerneslag

observasjon Evidensprofil EvidensprofilLukk Svelgevansker er svært vanlig i akuttfasen av … vil avdekke de fleste med svelgevansker og kan sørge for trygg administrasjon av …

Anbefaling i Hjerneslag



Svelgetesting ved akutt hjerneslag

vil avdekke de fleste med svelgevansker og kan sørge for trygg administrasjon av … Se også anbefaling om svelgevansker i rehabiliteringskapittel og Anbefaling om …

Anbefaling i Hjerneslag



Rehabilitering etter hjerneslag

Nasjonal faglig retningslinje for hjerneslag erstatter IS-1688 «Nasjonal faglig retningslinje for behandling og rehabilitering ved hjerneslag» fra 2010 … Til tross for et ønske fra …

Folkehelseinstituttet (FHI)

Søgt på hvert af ordene:

Dysfagi, Svelgevansker, Svelging, Ätsvårigheter, Svelgeproblem*, Svelgeforstyrrelse*, Svelgefunksjon, Afagi, Aspirasjon, Aspirasjonspneumoni, Spisevanskeligheter

0 fund

Center for Kliniske Retningslinjer

Søgt gennem alle retningslinjer

2 fund

Klinisk retningslinje for modificeret kost og væske til voksne (+18 år) personer med øvre dysfagi

Klinisk retningslinje (Fuld version)

Bilag 1 (Resume) Bilag 2 (Detaljeret beskrivelse af litteratursøgning, strategi og antal hits) Bilag 3 (Evidenshierarki) Bilag 4 (Detaljer vedrørende medtagede studier) Bilag 5 (Oversigtsskemaer om kost/væske konsistens i lande med retningslinjer) Bilag 6 (Evidensbaserede anbefalinger ift. personens stadie af dysfagi)

Baggrundmateriale

Fokuserede spørgsmål

Bilag 7 (PICO)

Flowcharts

Bilag 8 (Flowdiagram Guidelines) Bilag 9 (Flowdiagram RCT) Bilag 10 (Flowdiagram SR)

Søgeprotokoller

Bilag 11 (Søgeprotokol Guidelines) Bilag 12 (Søgeprotokol RCT) Bilag 13 (Søgeprotokol SR)

Tidlig opsporing af dysfagi hos voksne patienter indlagt med midlertidig trakeostomi

 Klinisk retningslinje  Bilag 1: Søgeprotokol  Bilag 2: Søgestrategi  Bilag 3: Flowchart  Bilag 4: Evidenstabel  Bilag 5: Elementer identificeret omkring muskeltræning  Bilag 6: Resumé  Bilag 7: Checkliste  Bilag 8: Medforfattererklæring

NHMRC, Australien

Søgt på hver af ordene:

1 fund

Clinical Practice Guideline for the Management of Communication and Swallowing Disorders following Paediatric Traumatic Brain Injury (link is external) Mesh Headings: Communication Disorders | Speech | Brain Injuries | Pediatrics | Rehabilitation of Speech and Language Disorders | Guidelines Portal reference number: 2570

Publication Date: 2017 Guideline Status: First edition Setting of care: Preventive care Primary/Community care Secondary care Tertiary care Population Life Stage: Infant, Newborn (< 1 month) Infant (1-23 months) Child (2-12 years) Adolescent (13-18 years)

Canadian Medical Association, Canada

Søgt på hver af ordene:

0 fund

AWMF, Tyskland

Søgt på hver af ordene:

Dysphagie, Deglutition, Aphagie,

0 fund

Medline

77 fund

Database(s): Ovid MEDLINE(R) and Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Daily and Versions(R) 1946 to September 14, 2018 Search Strategy: # Searches Results 1 exp Deglutition disorders/ 48885 2 (Dysphagia or Deglutition or Swallow* or Aphagia).ti,kw,kf. 14991 3 ((Ingestion or Eating or meal* or feeding) adj5 (difficult* or problem*)).ti,kw. 1127 4 (anorectic or anorectics or anorexia or bulimia).ti,ab,kw,kf,sh. 36901 5 3 not 4 1048 6 or/1-2,5 56231 7 (practice guideline* or guideline* or guidance or recommendations).ti,kw,kf,pt. 133715 8 6 and 7 349 9 limit 6 to (guideline or practice guideline) 136 10 8 or 9 349 11 cochrane.jw. 13883 12 6 and 11 62 13 10 or 12 411 14 limit 13 to (yr="2015 -2018" and (danish or english or german or norwegian or swedish)) 77

Embase

146 fund

Database(s): Embase 1974 to 2018 September 14 Search Strategy: # Searches Results 1 exp Dysphagia/ 62039 2 (Dysphagia or Deglutition or Aphagia).ti,kw. 13914 3 ((swallow* or Ingestion or Eating or meal* or feeding) adj5 (difficult* or problem*)).ti,kw. 1785 4 (anorectic or anorectics or anorexia or bulimia).ti,ab,kw,sh. 87998 5 3 not 4 1638 6 or/1-2,5 65475 7 (practice guideline* or guideline* or guidance or recommendations).ti,kw,pt. 163107 8 cochrane.jx. 20590 9 or/7-8 183669 10 6 and 9 478 11 limit 10 to (yr="2015 -2018" and (danish or english or german or norwegian or swedish)) 146

Cinahl

# Query Limiters/Expanders Results

Limiters - Published Date: 20150101-20180931; Language: Danish, English, German, Norwegian, Swedish S8 S6 and S7 Search modes - Boolean/Phrase 12

TI (practice guideline* or guideline* or guidance or S7 recommendations) Search modes - Boolean/Phrase 38,670

S6 S1 OR S2 OR S5 Search modes - Boolean/Phrase 9,858

S5 S3 NOT S4 Search modes - Boolean/Phrase 2,887

S4 (anorectic or anorectics or anorexia or bulimia) Search modes - Boolean/Phrase 7,252

((swallow* or Ingestion or Eating or meal* or feeding) N5 S3 (difficult* or problem*)) Search modes - Boolean/Phrase 3,072

S2 (Dysphagia or Deglutition or Aphagia) Search modes - Boolean/Phrase 7,683

S1 MH "Deglutition disorders" Search modes - Boolean/Phrase 4,749