Global State of the Art and Science of Childhood Dysphagia: Similarities and Disparities in Burden.

Autor: Lefton-Greif MA; Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, MD, USA. mlefton@jhmi.edu.; Departments of Pediatrics, Otolaryngology-Head and Neck Surgery, and Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, USA. mlefton@jhmi.edu., Arvedson JC; Department of Speech-Language Pathology, Children's Wisconsin, Milwaukee, WI, USA.; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA., Farneti D; Audiologic Phoniatric Service, ENT Department AUSL Romagna, Infermi Hospital, Rimini, Italy., Levy DS; Department of Health and Human Communication, Universidade Federal, do Rio Grande do Sul, Brazil.; Department of Speech Pathology and Audiology, Hospital de Clínicas, de Porto Alegre, Brazil.; Multi-Professional Residency Program, Hospital de Clínicas, de Porto Alegre, Brazil., Jadcherla SR; Divisions of Neonatology, Pediatric Gastroenterology and Nutrition, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.; The Ohio State University College of Medicine, Columbus, OH, USA.
Jazyk: angličtina
Zdroj: Dysphagia [Dysphagia] 2024 Dec; Vol. 39 (6), pp. 989-1000. Date of Electronic Publication: 2024 Mar 19.
DOI: 10.1007/s00455-024-10683-5
Abstrakt: Feeding/swallowing and airway protection are complex functions, essential for survival, and continue to evolve throughout the lifetime. Medical and surgical advances across the globe have improved the long-term survival of medically complex children at the cost of increasing comorbidities, including dysfunctional swallowing (dysphagia). Dysphagia is prominent in children with histories of preterm birth, neurologic and neuromuscular diagnoses, developmental delays, and aerodigestive disorders; and is associated with medical, health, and neurodevelopmental problems; and long-term socioeconomic, caregiver, health system, and social burdens. Despite these survival and population trends, data on global prevalence of childhood dysphagia and associated burdens are limited, and practice variations are common. This article reviews current global population and resource-dependent influences on current trends for children with dysphagia, disparities in the availability and access to specialized multidisciplinary care, and potential impacts on burdens. A patient example will illustrate some questions to be considered and decision-making options in relation to age and development, availability and accessibility to resources, as well as diverse cultures and family values. Precise recognition of feeding/swallowing disorders and follow-up intervention are enhanced by awareness and knowledge of global disparities in resources. Initiatives are needed, which address geographic and economic barriers to providing optimal care to children with dysphagia.
Competing Interests: Declarations. Conflict of interest: MAL-G, JCA, DF, and DSL have no relevant financial interests to disclose for completion of this manuscript. SRJ was supported in part by R01 DK 122171, R01 DK 136762, and The Nationwide Foundation Endowed Chair Grant. None of the authors have conflicts of interest to declare.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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