TY - JOUR
T1 - Consensus on the treatment of dysphagia in Parkinson's disease
AU - Schindler, Antonio
AU - Pizzorni, Nicole
AU - Cereda, Emanuele
AU - Cosentino, Giuseppe
AU - Avenali, Micol
AU - Montomoli, Cristina
AU - Abbruzzese, Giovanni
AU - Antonini, Angelo
AU - Barbiera, Filippo
AU - Benazzo, Marco
AU - Benarroch, Eduardo
AU - Bertino, Giulia
AU - Clavè, Pere
AU - Cortelli, Pietro
AU - Eleopra, Roberto
AU - Ferrari, Chiara
AU - Hamdy, Shaheen
AU - Huckabee, Maggie-Lee
AU - Lopiano, Leonardo
AU - Marchese-Ragona, Rosario
AU - Masiero, Stefano
AU - Michou, Emilia
AU - Occhini, Antonio
AU - Pacchetti, Claudio
AU - Pfeiffer, Ronald F
AU - Restivo, Domenico A
AU - Rondanelli, Mariangela
AU - Ruoppolo, Giovanni
AU - Sandrini, Giorgio
AU - Schapira, Anthony
AU - Stocchi, Fabrizio
AU - Tolosa, Eduardo
AU - Valentino, Francesca
AU - Zamboni, Mauro
AU - Zangaglia, Roberta
AU - Zappia, Mario
AU - Tassorelli, Cristina
AU - Alfonsi, Enrico
N1 - Funding Information:
This work was supported by grants of the Italian Ministry of Health to Ricerca Corrente 2020-2021. The Consensus Conference was founded by the IRCCS Mondino Foundation, Pavia, Italy.
Funding Information:
This work was supported by grants of the Italian Ministry of Health to Ricerca Corrente 2020-2021 . The Consensus Conference was founded by the IRCCS Mondino Foundation , Pavia, Italy.
Publisher Copyright:
© 2021 The Authors
PY - 2021/11/15
Y1 - 2021/11/15
N2 - 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 e-mail 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.
AB - 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 e-mail 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.
KW - Consensus development conference
KW - Deglutition disorders
KW - Nutrition
KW - Parkinson's disease
KW - Rehabilitation
U2 - 10.1016/j.jns.2021.120008
DO - 10.1016/j.jns.2021.120008
M3 - Article
C2 - 34624796
SN - 0022-510X
VL - 430
JO - JOURNAL OF THE NEUROLOGICAL SCIENCES
JF - JOURNAL OF THE NEUROLOGICAL SCIENCES
M1 - 120008
ER -