{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T22:53:42Z","timestamp":1774565622846,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["529859742"],"award-info":[{"award-number":["529859742"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim was to evaluate the diagnostic, therapeutic, nutritional, and complication\u2010related impact of a university\u2010led neurogenic dysphagia outpatient clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed all patients seen at the University Hospital Frankfurt Neurogenic Dysphagia Outpatient Clinic (January 2021\u2013July 2023). Data included demographics, neurological diagnoses, Functional Oral Intake Scale (FOIS), Penetration\u2013Aspiration Scale (PAS) from Flexible Endoscopic Evaluation of Swallowing (FEES), nutritional status, therapy adjustments, and pneumonia requiring hospitalization. We quantified diagnostic revisions, therapeutic\/nutritional interventions, and modeled pneumonia risk using logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 255 patients (mean age 65.9\u2009years; 60.0% men), Parkinsonian syndromes (18.0%) and stroke (12.9%) were most frequent. Complications included weight loss (32.8%), choking (20.0%), and pneumonia (12.6%). Primary diagnosis changed in 38.8% of patients. Of 110 patients with initially unexplained dysphagia, 70.9% received a neurological diagnosis, most often ALS and Parkinsonian syndromes (each 19.5%). Therapy recommendations changed in 42.0% of patients, including symptomatic and disease\u2010modifying treatments; nutritional management was dynamic (new PEG in 16.1%; removal in 50.0% of existing PEGs); 42.9% of tracheostomized patients were decannulated. Frailty (OR 1.49,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) and PAS 8 (OR 3.67,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007) independently predicted pneumonia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A dedicated outpatient dysphagia clinic enhances diagnostic precision, optimizes therapy, and supports individualized nutritional and airway management. FEES\u2010based phenotyping strengthens differential diagnostics and enables the identification of previously unrecognized neurological syndromes. Silent aspiration and frailty identify patients at the highest pneumonia risk. Dysphagia should be regarded as an independent therapeutic target within disease\u2010specific neurological treatment, and dysphagia outpatient clinics should be integrated into standard neurological care pathways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ene.70544","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:18:18Z","timestamp":1772957898000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of a Neurogenic Dysphagia Outpatient Clinic on Diagnosis, Treatment, and Nutrition"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6094-3869","authenticated-orcid":false,"given":"Bendix","family":"Labeit","sequence":"first","affiliation":[{"name":"Medical Faculty and University Hospital D\u00fcsseldorf Department of Neurology, Heinrich\u2010Heine\u2010University D\u00fcsseldorf  D\u00fcsseldorf Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmin","family":"Bach","sequence":"additional","affiliation":[{"name":"Department of Neurology, Goethe University Frankfurt, University Hospital Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Harborth","sequence":"additional","affiliation":[{"name":"Department of Neurology, Goethe University Frankfurt, University Hospital Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rainer","family":"Dziewas","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurorehabilitation, Klinikum Osnabr\u00fcck \u2010 Academic Teaching Hospital of the WWU  Muenster Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven G.","family":"Meuth","sequence":"additional","affiliation":[{"name":"Medical Faculty and University Hospital D\u00fcsseldorf Department of Neurology, Heinrich\u2010Heine\u2010University D\u00fcsseldorf  D\u00fcsseldorf Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Grefkes","sequence":"additional","affiliation":[{"name":"Department of Neurology, Goethe University Frankfurt, University Hospital Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Willems","sequence":"additional","affiliation":[{"name":"Department of Neurology, Goethe University Frankfurt, University Hospital Frankfurt  Frankfurt\/Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sriramya","family":"Lapa","sequence":"additional","affiliation":[{"name":"Department of Neurology, Goethe University Frankfurt, University Hospital Frankfurt  Frankfurt\/Main 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