洼田饮水试验筛检头颈部肿瘤患者吞咽障碍风险的meta分析

目的 评价洼田饮水试验筛检头颈部肿瘤患者吞咽障碍风险的效果.方法 检索外文数据库:Pubmed、Embase、Ovid、EBSCO host、Web of Science、Science Direct、Cochrane Liberary,中文数据库:维普、CBM、CNKI、万方,检索从建库至2018年11月文献中使用洼...

Meta-analysis of screening risk of dysphagia in patients with head and neck tumors by Kubota drinking test

Objective To evaluate the effect of water intake test in screening the risk of dysphagia in patients with head and neck tumors.Methods The foreign language database including Pubmed,Embase,Ovid,EBSCO host,Web of Science,science Direct,Cochrane Liberary,and the Chinese database including vip,CBM,CNKI and wanfang were retrieved.Literatures on the diagnosis and screening test of swallowing disorder risk of patients with head and neck tumor were searched from the construction of the database to Nov.2018.The literature quality was assessed by using the quality assessment of diagnostic accuracy studies(QUADAS)for the study of diagnostic accuracy,and the data were analyzed by using the meta-disc 1.4.Results A total of 5 screening tests were included covering 383 patients with head and neck tumors,with a combined sensitivity of 66%and a combined specificity of 65%.The area under the SROC curve(AUC)of the subjects was 0.7422.Conclusions The sensitivity and specificity of Kubota drinking test in screening dysphagia of patients with head and neck tumors are general,but it has certain accuracy.It can be used as a preliminary screening tool,but it should be combined with other screening tools to improve the sensitivity and to avoid missed diagnosis.