{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:45:00Z","timestamp":1792565100578,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective(s)<\/jats:title>\n                    <jats:p>We aimed to profile patient\u2010perceived swallowing impairment before and after otolaryngology\u2010assisted anterior cervical spine surgery (ACSS) and the discriminant ability of a validated patient\u2010reported Eating Assessment Tool\u201010 (EAT\u201010) to detect instrumentally confirmed (IC) dysphagia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective single\u2010site study of clinically referred adults undergoing otolaryngology\u2010assisted ACSS who completed the EAT\u201010 survey and a fiberoptic endoscopic evaluation of swallowing (FEES) before and after surgery. Validated metrics of swallowing safety (Penetration Aspiration Scale, PAS) and efficiency (Yale Pharyngeal Residue Severity Rating Scale, YPRSRS) were completed. Dysphagia was operationally defined as YPRSRS\u2009=\u2009mild, moderate, or severe and\/or a PAS \u2265\u20096. A Wilcoxon signed\u2010rank test, exact McNemar's test, logistic regression, and receiver operating characteristic (ROC) analysis with area under the curve (AUC), sensitivity, specificity, and positive and negative predictive values (PPV, NPV) were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010four participants were included. Mean age was 57.6 (SD\u2009=\u200911.1), 45.3% were male, and 82.8% were revision ACSS. On average, EAT\u201010 score worsened by 6.0 points following ACSS,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, and dysphagia doubled from 15.6% to 34.4% across pre\u2010 to post\u2010ACSS timepoints,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01. ROC analysis demonstrated moderate discriminative ability for the EAT\u201010 to accurately classify IC dysphagia (AUC\u2009=\u20090.68). An EAT\u201010 cut score of \u2265\u20097 yielded: sensitivity of 72.7%, specificity of 64.3%, PPV of 51.6%, and NPV of 81.8%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patient\u2010perceived swallowing impairment increased following otolaryngology\u2010assisted ACSS and was associated with IC dysphagia. In conjunction with other bedside screening tools, the EAT\u201010 could serve as a useful patient\u2010reported outcome for this population vulnerable to dysphagia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>2.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70563","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:04:56Z","timestamp":1792562696000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>EAT<\/scp>\n                    \u201010 to Screen Instrumentally Confirmed Dysphagia Following Anterior Cervical Spine Surgery"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0259-6568","authenticated-orcid":false,"given":"Natalie","family":"Quinn","sequence":"first","affiliation":[{"name":"College of Medicine The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3961-247X","authenticated-orcid":false,"given":"Lauren","family":"Michelle","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery The Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Ivancic","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery The Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Tardif","sequence":"additional","affiliation":[{"name":"Aerodigestive Research Core The Ohio State University Wexner Medical Center  Columbus Ohio USA"},{"name":"Wexner Medical Dysphagia Programs The Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuzi","family":"Zhang","sequence":"additional","affiliation":[{"name":"College of Public Health The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9558-5202","authenticated-orcid":false,"given":"Laura","family":"Matrka","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery The Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily K.","family":"Plowman","sequence":"additional","affiliation":[{"name":"Aerodigestive Research Core The Ohio State University Wexner Medical Center  Columbus Ohio USA"},{"name":"Wexner Medical Dysphagia Programs The Ohio State University Wexner Medical Center  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632\u2010200211150\u201000007"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surneu.2006.11.070"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414558107"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.12382"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010022\u201010486\u20106"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941312201109"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3305\/nh.2012.27.6.6100"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181d81a96"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.32352"},{"key":"e_1_2_11_12_1","unstructured":"K.Thomas \u201cCost Analysis Comparison of Dysphagia Evaluations for a Free\u2010Standing Inpatient Rehabilitation Hospital \u201d2020."},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010015\u20109631\u20104"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.014"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010013\u20101773\u2010y"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30732"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455\u2010025\u201010867\u20107"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3171\/2017.5.SPINE161104"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010022\u201007515\u20101"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.3171\/2015.9.SPINE15187"},{"key":"e_1_2_11_23_1","unstructured":"L.Michelle R.Ivancic J.Tardiff et\u00a0al. \u201cPostoperative Dysphagia After Complex Anterior Cervical Spine Surgery With ENT\u2010Assisted Exposure \u201d Paper presented at the American Broncho\u2010Esophagological Association Annual Meeting at the Combined Otolaryngology Spring Meetings Phoenix AZ April 2026."}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70563","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lio2.70563","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:04:58Z","timestamp":1792562698000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.70563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/lio2.70563"],"URL":"https:\/\/doi.org\/10.1002\/lio2.70563","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"value":"2378-8038","type":"print"},{"value":"2378-8038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-05-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70563"}}