{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T01:51:59Z","timestamp":1791424319378,"version":"4.3.3"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Post\u2010stroke dysphagia (PSD) is a frequent yet overlooked complication of stroke with significant implications for rehabilitation. While international guidelines provide structured recommendations for early screening and management, guidance on long\u2010term care remains inconsistent. This position paper synthesizes existing guidelines, identifies critical gaps, and highlights the need for standardized long\u2010term management strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Guidelines on PSD management were identified through a two\u2010step approach. Fourteen guidelines were included from a previous systematic review (2014\u20132023), and two additional guidelines were identified through a systematic PubMed search (2014\u20132025). Inclusion criteria mandated guidelines of moderate\u2010to\u2010high quality (AGREE II assessment) that were published in peer\u2010reviewed journals and provided specific recommendations for managing PSD during acute, subacute, and chronic phases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analysis of 10 moderate\u2010to\u2010high quality guidelines revealed strong consensus on acute\u2010phase screening and early interventions. All recommend dysphagia screening within 24\u2009h of admission, with nine advising nil\u2010per\u2010os status until screening completion. There is consensus on instrumental assessments (videofluoroscopy, endoscopy), though application criteria vary. Management strategies include dietary modifications, nutritional support, oral health care, behavioral interventions, neurostimulation, and pharmacological therapies. While acute\u2010phase recommendations are well defined, structured long\u2010term follow\u2010up guidance remains limited, with only one guideline specifying reassessment intervals beyond hospital discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The absence of standardized long\u2010term PSD management likely reflects limited availability of high\u2010quality evidence on long\u2010term care. Further research is needed to establish optimal reassessment intervals, high\u2010risk subgroups, and long\u2010term rehabilitation strategies to improve care for stroke survivors with persistent dysphagia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.70307","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T07:28:23Z","timestamp":1753428503000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Gaps in Guidelines on Long\u2010Term Management Strategies for Post\u2010Stroke Dysphagia"],"prefix":"10.1111","volume":"32","author":[{"given":"Anel","family":"Karisik","sequence":"first","affiliation":[{"name":"Department of Neurology Medical University of Innsbruck  Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bendix","family":"Labeit","sequence":"additional","affiliation":[{"name":"Department of Neurology Medical Faculty and University Hospital 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