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Research ArticleOriginal Research

The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study

Thad Wilkins, Ralph A. Gillies, Andria M. Thomas and Peggy J. Wagner
The Journal of the American Board of Family Medicine March 2007, 20 (2) 144-150; DOI: https://doi.org/10.3122/jabfm.2007.02.060045
Thad Wilkins
MD
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Ralph A. Gillies
PhD
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Andria M. Thomas
PhD
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Peggy J. Wagner
PhD
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    Table 1.

    Descriptors of Patients with Clinically Significant Dysphagia (a Minimum of Several Times Per Month) and without Dysphagia (n = 947)*

    Total n (%)No. Patients with Dysphagia (%)†No. Patients without Dysphagia (%)†
    Patients with dysphagia214 (22.6)
    Patients without dysphagia733 (77.4)
    Age (mean ± SD)48.1 (14.4)‡45.7 (16.6)
    Gender
        Male41 (19.2)§213 (29.1)
        Female173 (80.8)§519 (70.1)
    Ethnicity
        Hispanic4 (2.1)23 (3.6)
        Non-Hispanic183 (97.9)624 (96.4)
    Race
        African American90 (43.1)281 (39.2)
        White115 (55.0)426 (59.3)
        Other4 (1.9)11 (1.5)
    Frequency of dysphagia
        Several times per month106 (49.5)
        Several times per week68 (31.8)
        Several times per day40 (18.7)
    Duration
        <1 year56 (26.8)
        1 to 5 years99 (47.4)
    5 or more years54 (25.8)
    Consistency of food associated with dysphagia
        Solids only101 (49.0)
        Liquids only13 (6.3)
        Both solids and liquids92 (44.7)
    Patients with dysphagia who do not take medication for their symptoms126 (60.6)
    Patients with dysphagia who have not had a diagnostic test for their symptoms136 (65.1)
    Concerned about dysphagia136 (63.6)
    • * Numbers do not include missing data.

    • † Percentages are within demographic group. For example, 19.2% of male patients reported dysphagia.

    • ‡ Patients with dysphagia were significantly older than patients without dysphagia (P = .001).

    • § Gender difference in dysphagia is significant (P = .002).

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    Table 2.

    Behavioral and Psychological Impact of Dysphagia*

    ImpactNo. Who Have Talked with Physician about Dysphagia (%)†No. Who Have Not Talked with Physician about Dysphagia (%)P
    Concerned about dysphagia86 (63.2)50 (36.8)<.0005
    Dysphagia affects eating out or eating with other people74 (67.9)35 (32.1)<.0005
    Avoids certain foods38 (71.7)15 (28.3).001
    Takes smaller bites51 (60.0)34 (40.0).058
    Washes down food with liquids51 (56.7)39 (43.3).207
    No medications for dysphagia symptoms45 (35.7)81 (64.3)<.0005
    No diagnostic tests for dysphagia symptoms65 (89.0)8 (11.0)<.0005
    • * Data presented on χ2 analysis of patients with dysphagia only (n = 214), missing data not included.

    • † Percentages are within group. For example, 63.2% patients who were concerned about their dysphagia spoke with their doctor about their symptoms.

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The Journal of the American Board of Family Medicine: 20 (2)
The Journal of the American Board of Family Medicine
Vol. 20, Issue 2
March-April 2007
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The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study
Thad Wilkins, Ralph A. Gillies, Andria M. Thomas, Peggy J. Wagner
The Journal of the American Board of Family Medicine Mar 2007, 20 (2) 144-150; DOI: 10.3122/jabfm.2007.02.060045

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The Prevalence of Dysphagia in Primary Care Patients: A HamesNet Research Network Study
Thad Wilkins, Ralph A. Gillies, Andria M. Thomas, Peggy J. Wagner
The Journal of the American Board of Family Medicine Mar 2007, 20 (2) 144-150; DOI: 10.3122/jabfm.2007.02.060045
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