{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T22:57:02Z","timestamp":1781218622820,"version":"3.54.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007210","name":"RWTH Aachen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007210","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Nervenarzt"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die fiberendoskopische Schluckuntersuchung (\u201efiberoptic endoscopic evaluation of swallowing\u201c, FEES) gilt als ein unverzichtbares instrumentelles Verfahren im Management schluckgest\u00f6rter Patienten. Das eingef\u00fchrte Ausbildungscurriculum hat das Ziel, die Qualit\u00e4tsstandards zu erh\u00f6hen und zu einer Aufwertung des Verfahrens beizutragen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>Die Studie untersucht, inwieweit eine standardisierte Durchf\u00fchrung, Auswertung und Dokumentation der FEES in Deutschland nach Einf\u00fchrung des Curriculums stattfindet.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Insgesamt 603 neurologische und geriatrische Kliniken in Deutschland wurden mithilfe eines Onlinefragebogens bez\u00fcglich struktureller Merkmale und deren Ablauf der Untersuchung befragt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Insgesamt 190 Institutionen f\u00fchrten die Befragung vollst\u00e4ndig durch. 43,31\u202f% der Institutionen haben erst seit der Publikation des Curriculums die FEES implementiert. Die praktische Anwendung findet vermehrt durch Mediziner statt (59\u202f%), das Schreiben des Befundes und die Kostempfehlung durch Logop\u00e4den (62\u202f% und 83\u202f%). Mit erh\u00f6htem Ausbildungsgrad steigt die praktische Anwendung durch Logop\u00e4den. Die Durchf\u00fchrung weist trotz der Orientierung am Standardprotokoll nach Langmore besonders in Bezug auf die Durchf\u00fchrung der anatomisch-physiologischen Untersuchung, die verabreichten Konsistenzen und Nahrungsmittel und das Scoring schluckrelevanter Parameter Unterschiedlichkeiten auf.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Einf\u00fchrung des Curriculums hat zur Aufwertung der FEES und zu einer St\u00e4rkung der Logop\u00e4die als durchf\u00fchrende Berufsgruppe gef\u00fchrt. Zum jetzigen Stand liegt ein in wesentlichen Aspekten homogener Ablauf der Untersuchung vor, der jedoch Bedarf nach weiterer Vereinheitlichung zeigt. Das FEES-Curriculum k\u00f6nnte als Steuerungsinstrument zur weiteren Standardisierung verwendet werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00115-021-01127-8","type":"journal-article","created":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T12:51:17Z","timestamp":1620046277000},"page":"1260-1267","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Standards bei der Anwendung der fiberendoskopischen Schluckuntersuchung in Deutschland","Standards in the use of fiberoptic endoscopic evaluation of swallowing in Germany"],"prefix":"10.1007","volume":"92","author":[{"given":"A.","family":"Wehner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Schumann-Werner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Fimm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Mall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. J.","family":"Werner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,30]]},"reference":[{"key":"1127_CR1","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1007\/s00455-016-9746-2","volume":"32","author":"R Dziewas","year":"2017","unstructured":"Dziewas\u00a0R, Beck\u00a0AM, Clave\u00a0P et al (2017) Recognizing the importance of dysphagia: stumbling blocks and stepping stones in the twenty-first century. Dysphagia 32:78\u201378","journal-title":"Dysphagia"},{"key":"1127_CR2","volume-title":"Neurogene Dysphagie. S1-Leitlinie","author":"R Dziewas","year":"2020","unstructured":"Dziewas\u00a0R, Pflug\u00a0C et al (2020) Neurogene Dysphagie. S1-Leitlinie. Deutsche Gesellschaft f\u00fcr Neurologie, (Leitlinien f\u00fcr Diagnostik und Therapie in der Neurologie. Online: www.dgn.org\/leitlinien)"},{"key":"1127_CR3","volume-title":"Endoscopic evaluation and treatment of swallowing disorders","author":"SE Langmore","year":"2001","unstructured":"Langmore\u00a0SE (2001) Endoscopic evaluation and treatment of swallowing disorders. Thieme, New York"},{"key":"1127_CR4","first-page":"290","volume":"15","author":"GW Ickenstein","year":"2009","unstructured":"Ickenstein\u00a0GW, Hofmayer\u00a0A, Lindner-Pfleghar\u00a0B et al (2009) Standardisierung des Untersuchungsablaufs bei neurogener oropharyngealer Dysphagie (NOD). Neurol Rehabil 15:290\u2013300","journal-title":"Neurol Rehabil"},{"key":"1127_CR5","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1055\/s-2002-23116","volume":"26","author":"RO Seidl","year":"2002","unstructured":"Seidl\u00a0RO, Nusser-M\u00fcller-Busch\u00a0R, Ernst\u00a0A (2002) Evaluation eines Untersuchungsbogens zur endoskopischen Schluckuntersuchung. Sprache Stimme Geh\u00f6r 26:28\u201336","journal-title":"Sprache Stimme Geh\u00f6r"},{"key":"1127_CR6","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1159\/000228711","volume":"28","author":"T Warnecke","year":"2009","unstructured":"Warnecke\u00a0T, Ritter\u00a0MA, Kroger\u00a0B et\u00a0al (2009) Fiberoptic endoscopic Dysphagia severity scale predicts outcome after acute stroke. Cerebrovasc Dis 28:283\u2013289","journal-title":"Cerebrovasc Dis"},{"key":"1127_CR7","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1159\/000365006","volume":"65","author":"AS Kaneoka","year":"2013","unstructured":"Kaneoka\u00a0AS, Langmore\u00a0SE, Krisciunas\u00a0GP et\u00a0al (2013) The Boston residue and clearance scale: preliminary reliability and validity testing. Folia Phoniatr Logop 65:312\u2013317","journal-title":"Folia Phoniatr Logop"},{"key":"1127_CR8","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1080\/17549507.2018.1458901","volume":"21","author":"A Miles","year":"2019","unstructured":"Miles\u00a0A, Hunting\u00a0A (2019) Development, intra- and inter-rater reliability of the New Zealand Secretion Scale (NZSS). Int J Speech Lang Pathol 21:377\u2013384","journal-title":"Int J Speech Lang Pathol"},{"key":"1127_CR9","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1007\/BF00417898","volume":"11","author":"J Murray","year":"1996","unstructured":"Murray\u00a0J, Langmore\u00a0SE, Ginsberg\u00a0S et\u00a0al (1996) The significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia 11:99\u2013103","journal-title":"Dysphagia"},{"key":"1127_CR10","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/BF00417897","volume":"11","author":"JC Rosenbek","year":"1996","unstructured":"Rosenbek\u00a0JC, Robbins\u00a0JA, Roecker\u00a0EB et al (1996) A penetration-aspiration scale. Dysphagia 11:93\u201398","journal-title":"Dysphagia"},{"key":"1127_CR11","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1007\/s00455-015-9673-7","volume":"31","author":"W Pilz","year":"2016","unstructured":"Pilz\u00a0W, Vanbelle\u00a0S, Kremer\u00a0B et\u00a0al (2016) Observers\u2019 agreement on measurements in fiberoptic endoscopic evaluation of swallowing. Dysphagia 31:80\u2013187","journal-title":"Dysphagia"},{"key":"1127_CR12","doi-asserted-by":"publisher","first-page":"1006","DOI":"10.1007\/s00115-014-4114-7","volume":"85","author":"R Dziewas","year":"2014","unstructured":"Dziewas\u00a0R, Glahn\u00a0J, Helfer\u00a0C et al (2014) FEES f\u00fcr neurogene Dysphagien: Ausbildungscurriculum der Deutschen Gesellschaft f\u00fcr Neurologie und Deutschen Schlaganfall-Gesellschaft. Nervenarzt 85:1006\u20131015","journal-title":"Nervenarzt"},{"key":"1127_CR13","volume-title":"Bogenhausener dysphagiescore (BODS). Schluckst\u00f6rungen: Diagnostik und Rehabilitation","author":"G Bartolome","year":"2006","unstructured":"Bartolome\u00a0G, Schr\u00f6ter-Morasch\u00a0H, Hartmann\u00a0U (2006) Bogenhausener dysphagiescore (BODS). Schluckst\u00f6rungen: Diagnostik und Rehabilitation. Urban & Fischer,"},{"key":"1127_CR14","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1159\/000135652","volume":"26","author":"R Dziewas","year":"2008","unstructured":"Dziewas\u00a0R, Warnecke\u00a0T, Olenberg\u00a0S et\u00a0al (2008) Towards a\u00a0basic endoscopic assessment of swallowing in acute stroke: development and evaluation of a\u00a0simple dysphagia score. Cerebrovasc Dis 26:41\u201347","journal-title":"Cerebrovasc Dis"},{"key":"1127_CR15","first-page":"145","volume-title":"Schweregradeinteilung der Aspiration bei Patienten mit Schluckst\u00f6rungen. Aktuelle phoniatrischp\u00e4daudiologische Aspekte","author":"H Schr\u00f6ter-Morasch","year":"1996","unstructured":"Schr\u00f6ter-Morasch\u00a0H (1996) Schweregradeinteilung der Aspiration bei Patienten mit Schluckst\u00f6rungen. Aktuelle phoniatrischp\u00e4daudiologische Aspekte, S 145\u2013146"},{"key":"1127_CR16","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1007\/s00455-015-9631-4","volume":"30","author":"PD Neubauer","year":"2015","unstructured":"Neubauer\u00a0PD, Rademaker\u00a0AW, Leder\u00a0SB (2015) The Yale pharyngeal residue severity rating scale: an anatomically defined and image-based tool. Dysphagia 30:521\u2013528","journal-title":"Dysphagia"},{"key":"1127_CR17","volume-title":"Neurogene Dysphagien: Diagnostik und Therapie","author":"T Warnecke","year":"2013","unstructured":"Warnecke\u00a0T, Dziewas\u00a0R (2013) Neurogene Dysphagien: Diagnostik und Therapie. Kohlhammer, Stuttgart"},{"key":"1127_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s42466-019-0021-5","volume":"1","author":"R Dziewas","year":"2019","unstructured":"Dziewas\u00a0R, auf dem Brinke\u00a0M, Birkmann\u00a0U et al (2019) Safety and clinical impact of FEES\u2014results of the FEES-registry. Neurol Res Pract 1:1\u20138","journal-title":"Neurol Res Pract"}],"container-title":["Der Nervenarzt"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00115-021-01127-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00115-021-01127-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00115-021-01127-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T19:13:19Z","timestamp":1638817999000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00115-021-01127-8"}},"subtitle":["Eine Fragebogenerhebung","A questionnaire survey"],"short-title":[],"issued":{"date-parts":[[2021,4,30]]},"references-count":18,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1127"],"URL":"https:\/\/doi.org\/10.1007\/s00115-021-01127-8","relation":{},"ISSN":["0028-2804","1433-0407"],"issn-type":[{"value":"0028-2804","type":"print"},{"value":"1433-0407","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,30]]},"assertion":[{"value":"25 March 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 April 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"A.\u00a0Wehner, B.\u00a0Schumann-Werner, B.\u00a0Fimm, B.\u00a0Mall und C.\u00a0J.\u00a0Werner geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}