EAT-10 to Screen Instrumentally Confirmed Dysphagia Following Anterior Cervical Spine Surgery.
5 affiliations
- 1College of Medicine The Ohio State University Columbus Ohio USA.
- 2Department of Otolaryngology-Head and Neck Surgery The Ohio State University Wexner Medical Center Columbus Ohio USA.
- 3Aerodigestive Research Core The Ohio State University Wexner Medical Center Columbus Ohio USA.
- 4Wexner Medical Dysphagia Programs The Ohio State University Wexner Medical Center Columbus Ohio USA.
- 5College of Public Health The Ohio State University Columbus Ohio USA.
Abstract
Objectives
We aimed to profile patient-perceived swallowing impairment before and after otolaryngology-assisted anterior cervical spine surgery (ACSS) and the discriminant ability of a validated patient-reported Eating Assessment Tool-10 (EAT-10) to detect instrumentally confirmed (IC) dysphagia.Methods
This was a prospective single-site study of clinically referred adults undergoing otolaryngology-assisted ACSS who completed the EAT-10 survey and a fiberoptic endoscopic evaluation of swallowing (FEES) before and after surgery. Validated metrics of swallowing safety (Penetration Aspiration Scale, PAS) and efficiency (Yale Pharyngeal Residue Severity Rating Scale, YPRSRS) were completed. Dysphagia was operationally defined as YPRSRS = mild, moderate, or severe and/or a PAS ≥ 6. A Wilcoxon signed-rank test, exact McNemar's test, logistic regression, and receiver operating characteristic (ROC) analysis with area under the curve (AUC), sensitivity, specificity, and positive and negative predictive values (PPV, NPV) were conducted.Results
Sixty-four participants were included. Mean age was 57.6 (SD = 11.1), 45.3% were male, and 82.8% were revision ACSS. On average, EAT-10 score worsened by 6.0 points following ACSS, p < 0.001, and dysphagia doubled from 15.6% to 34.4% across pre- to post-ACSS timepoints, p < 0.01. ROC analysis demonstrated moderate discriminative ability for the EAT-10 to accurately classify IC dysphagia (AUC = 0.68). An EAT-10 cut score of ≥ 7 yielded: sensitivity of 72.7%, specificity of 64.3%, PPV of 51.6%, and NPV of 81.8%.Conclusion
Patient-perceived swallowing impairment increased following otolaryngology-assisted ACSS and was associated with IC dysphagia. In conjunction with other bedside screening tools, the EAT-10 could serve as a useful patient-reported outcome for this population vulnerable to dysphagia.Level of evidence
2.
Related
- Multilayer fascia lata reconstruction for recurrent ventral cervical cerebrospinal fluid leak following anterior cervical surgery: A technical case report.
- Long-Term Risk of Reoperation after Hybrid Cervical Surgery with One-Level Anterior Cervical Corpectomy and Fusion versus Multilevel Anterior Cervical Discectomy and Fusion: A Retrospective Cohort Study
- Diabetic Striatopathy Following Radiological Improvement: An Autopsy-confirmed Case Report and Literature Review
- Tuberculous Cervical Lymphadenitis (Scrofula) Associated with Massive Pleural Effusion in an Immunocompetent Adult: A Rare Presentation of Extrapulmonary Tuberculosis Confirmed by GeneXpert MTB/RIF.
- Comparative Analysis between Vertebral Body Sliding Osteotomy and Anterior Cervical Corpectomy with Fusion for Cervical Spinal Ossification of Posterior Longitudinal Ligament
BibTeX
@article{quinn2026eat10,
title = {{EAT-10 to Screen Instrumentally Confirmed Dysphagia Following Anterior Cervical Spine Surgery.}},
author = {Natalie Quinn and Lauren Michelle and Ryan Ivancic and Jacqueline Tardif and Yuzi Zhang and Laura Matrka and Emily K Plowman},
journal = {Laryngoscope investigative otolaryngology},
year = {2026},
month = oct,
doi = {10.1002/lio2.70563},
url = {https://europepmc.org/article/MED/42909303},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - EAT-10 to Screen Instrumentally Confirmed Dysphagia Following Anterior Cervical Spine Surgery.
AU - Natalie Quinn
AU - Lauren Michelle
AU - Ryan Ivancic
AU - Jacqueline Tardif
AU - Yuzi Zhang
AU - Laura Matrka
AU - Emily K Plowman
PY - 2026
DA - 2026/10/20
JO - Laryngoscope investigative otolaryngology
DO - 10.1002/lio2.70563
UR - https://europepmc.org/article/MED/42909303
AB - Objectives We aimed to profile patient-perceived swallowing impairment before and after otolaryngology-assisted anterior cervical spine surgery (ACSS) and the discriminant ability of a validated patient-reported Eating Assessment Tool-10 (EAT-10) to detect instrumentally confirmed (IC) dysphagia.Methods This was a prospective single-site study of clinically referred adults undergoing otolaryngology-assisted ACSS who completed the EAT-10 survey and a fiberoptic endoscopic evaluation of swallowing (FEES) before and after surgery. Validated metrics of swallowing safety (Penetration Aspiration Scale, PAS) and efficiency (Yale Pharyngeal Residue Severity Rating Scale, YPRSRS) were completed. Dysphagia was operationally defined as YPRSRS = mild, moderate, or severe and/or a PAS ≥ 6. A Wilcoxon signed-rank test, exact McNemar's test, logistic regression, and receiver operating characteristic (ROC) analysis with area under the curve (AUC), sensitivity, specificity, and positive and negative predictive values (PPV, NPV) were conducted.Results Sixty-four participants were included. Mean age was 57.6 (SD = 11.1), 45.3% were male, and 82.8% were revision ACSS. On average, EAT-10 score worsened by 6.0 points following ACSS, p < 0.001, and dysphagia doubled from 15.6% to 34.4% across pre- to post-ACSS timepoints, p < 0.01. ROC analysis demonstrated moderate discriminative ability for the EAT-10 to accurately classify IC dysphagia (AUC = 0.68). An EAT-10 cut score of ≥ 7 yielded: sensitivity of 72.7%, specificity of 64.3%, PPV of 51.6%, and NPV of 81.8%.Conclusion Patient-perceived swallowing impairment increased following otolaryngology-assisted ACSS and was associated with IC dysphagia. In conjunction with other bedside screening tools, the EAT-10 could serve as a useful patient-reported outcome for this population vulnerable to dysphagia.Level of evidence 2.
SN - 2378-8038
ER -