{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:49:53Z","timestamp":1789184993209,"version":"build-2803163510"},"reference-count":68,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,12,23]],"date-time":"2011-12-23T00:00:00Z","timestamp":1324598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K12\u2010HD01097"],"award-info":[{"award-number":["K12\u2010HD01097"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To provide a cost\u2010effectiveness analysis of dysphagia screening in the acute poststroke period with use of a videofluoroscopic swallowing study, a clinical bedside swallowing evaluation, or a combined approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Decision\u2010analysis model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A decision\u2010analysis model was used with information derived from multiple data sources, including meta\u2010analyses and other relevant clinical studies. Univariate and probabilistic sensitivity analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The analysis assessed direct medical costs of pneumonia. Strategies were compared on the basis of an incremental cost\u2010effectiveness analysis, with effectiveness measured in quality\u2010adjusted life\u2010years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The strategy of having each patient undergo a videofluoroscopic swallowing study for dysphagia was more effective and less costly than the strategies of clinical bedside swallowing evaluation alone or a combined approach. The model was most influenced by the reduction in the risk of pneumonia attributable to the treatment of mild\/moderate and severe dysphagia, the effectiveness of treatment with clinical bedside swallowing evaluation, the baseline probability of pneumonia, and the cost of a videofluoroscopic swallowing study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A videofluoroscopic swallowing study is cost\u2010effective and often saves costs compared with a clinical bedside swallowing evaluation alone or a combined approach. Research aimed at improving the understanding of the effectiveness of treatment for dysphagia in the prevention of aspiration pneumonia and resulting mortality would improve the model.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2011.09.006","type":"journal-article","created":{"date-parts":[[2011,12,23]],"date-time":"2011-12-23T18:47:49Z","timestamp":1324666069000},"page":"273-282","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["A Cost\u2010Effectiveness Analysis of Screening Methods for Dysphagia After Stroke"],"prefix":"10.1002","volume":"4","author":[{"given":"Richard D.","family":"Wilson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan C.","family":"Howe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,12,23]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.295.6595.411"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.27.7.1200"},{"key":"e_1_2_6_4_2","first-page":"290","article-title":"Prevalence of malnutrition and its risk factors in stroke patients residing in an infirmary","volume":"49","author":"Chai J.","year":"2008","journal-title":"Singapore Med J"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00262752"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000046586.38284.60"},{"key":"e_1_2_6_7_2","unstructured":"Wilson RD. 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