{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T07:04:47Z","timestamp":1785135887558,"version":"3.55.0"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This scoping review aimed to map the characteristics of dysphagia screening implementation in published studies and to compare operational differences between non\u2010Japanese and Japanese practices, focusing on screening personnel, screening tools, and post\u2010screening management pathways. Following the Joanna Briggs Institute methodology and PRISMA\u2010ScR guidelines, PubMed, Cochrane Library, CINAHL, and Ichushi\u2010Web were searched for studies published between 2016 and 2025 that described the clinical implementation of dysphagia screening. Twenty\u2010nine studies from 12 countries were included. In all 21 non\u2010Japanese studies, nurses performed screening using a single validated tool, with referral to speech\u2010language therapists for comprehensive evaluation. Japanese studies (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098) demonstrated variability, with screening conducted by nurses (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20093), speech\u2010language therapists (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20093), and physicians (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20092), who frequently use multiple test combinations. Only 2 of 8 Japanese studies documented referral pathways for comprehensive evaluation following positive screening. Non\u2010Japanese studies consistently implemented structured screening\u2010to\u2010evaluation pathways, whereas Japanese studies demonstrated variability in screening personnel and limited documentation of post\u2010screening referral processes, resulting in blurring of the conceptual distinction between triage and diagnostic evaluation. As Japan's broader screening approach extends beyond the high\u2010risk populations targeted internationally, establishing standardized post\u2010screening pathways with clear role delineation becomes essential to maintain screening quality and optimize resource allocation in aging populations.\n                  <\/jats:p>","DOI":"10.1002\/jgf2.70150","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T07:16:37Z","timestamp":1784013397000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dysphagia Screening in an Aging Population: A Scoping Review of Structural Gaps Between Triage and Comprehensive Evaluation in International and Japanese Practices"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5200-7712","authenticated-orcid":false,"given":"Akihito","family":"Ueda","sequence":"first","affiliation":[{"name":"Medical Corporation Toujinkai, Fujitate Hospital  Osaka Japan"},{"name":"Faculty of Pharmaceutical Sciences Teikyo Heisei University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanji","family":"Nohara","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation for Orofacial Disorders Osaka University Graduate School of Dentistry  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092605"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-022-10465-x"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S107750"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S97481"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000190056.76543.eb"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.117.018157"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e3182877f57"},{"key":"e_1_2_14_9_1","volume-title":"Quality Improvement Scotland Management of Patients With Stroke: Identification and Management of Dysphagia","author":"National Health Service in Scotland","year":"2010"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9695-9"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01597.x"},{"key":"e_1_2_14_12_1","first-page":"181","article-title":"Assessment of Dysphagia 2019","volume":"23","author":"Japanese Society of Dysphagia Rehabilitation Millennium Challenge (Corporation)","year":"2019","journal-title":"Japanese Journal of Dysphagia Rehabilitation"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/thorax-2022-219699"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/crj.12245"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-20-00167"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0384-4"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-2016-002971"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011568"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1507-y"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002765"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12333"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000285"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-017-0736-3"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12359"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/23969873221126027"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2019.1597922"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/17549507.2020.1858157"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-020-02371-8"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/NOR.0000000000000743"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-022-02826-8"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2022.103224"},{"issue":"1","key":"e_1_2_14_33_1","first-page":"22","article-title":"The Development and Implementation of an Evidence\u2010Based Risk Reduction Algorithm for Post Extubation Dysphagia in Intensive Care","volume":"33","author":"Barker J.","year":"2022","journal-title":"Canadian Journal of Critical Care Nursing"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2023.04.002"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.2185\/jrm.2022-038"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000408"},{"key":"e_1_2_14_37_1","first-page":"7","article-title":"Implementation of a Swallow Screening Protocol in a Tertiary Adult Intensive Care Unit: A Quality Improvement Project","volume":"35","author":"Wedemire C.","year":"2024","journal-title":"Canadian Journal of Critical Care Nursing"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000450"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvn.2024.11.001"},{"key":"e_1_2_14_40_1","first-page":"217","article-title":"[Screening for High\u2010Risk Patients With Aspiration and Suffocation by Nurses Upon Admission: Differences Based on Knowledge and Experience]","volume":"6","author":"Yamazaki T.","year":"2017","journal-title":"Enge Igaku"},{"key":"e_1_2_14_41_1","first-page":"103","article-title":"[Introduction of Swallowing Screening for All Patients Upon Admission to a University Hospital]","volume":"8","author":"Kitamura M.","year":"2019","journal-title":"Enge Igaku"},{"key":"e_1_2_14_42_1","first-page":"187","article-title":"[Utility of Swallowing Evaluation as a Measure Against Early Postoperative Mortality in Patients With Proximal Femoral Fracture]","volume":"42","author":"Asakuma H.","year":"2020","journal-title":"KOS"},{"key":"e_1_2_14_43_1","first-page":"171","article-title":"[Effects of Early Dysphagia Evaluation and Dysphagia Rehabilitation on Patients With Aspiration Pneumonia]","volume":"17","author":"Osanai N.","year":"2020","journal-title":"Japanese Journal of Speech, Language and Hearing Research"},{"key":"e_1_2_14_44_1","first-page":"90","article-title":"[Designing a Clinical Pathway Based on Swallowing Functional Assessment and Considering Its Efficacy for Aspiration Pneumonia Inpatients]","volume":"25","author":"Tatebe K.","year":"2021","journal-title":"Japanese Journal of Dysphagia Rehabilitation"},{"key":"e_1_2_14_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.09.014"},{"key":"e_1_2_14_46_1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000158"},{"key":"e_1_2_14_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31829caf33"},{"key":"e_1_2_14_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/jjns.12496"}],"container-title":["Journal of General and Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.70150","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jgf2.70150","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.70150","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T06:53:22Z","timestamp":1785135202000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgf2.70150"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":47,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/jgf2.70150"],"URL":"https:\/\/doi.org\/10.1002\/jgf2.70150","archive":["Portico"],"relation":{},"ISSN":["2189-7948","2189-7948"],"issn-type":[{"value":"2189-7948","type":"print"},{"value":"2189-7948","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70150"}}