Manduchi, Beatrice https://orcid.org/0000-0001-8953-8373
Warneke, Carla L.
Tang, Xiaohui
Buoy, Sheila
Barbon, Carly E. A.
Hutcheson, Katherine A. https://orcid.org/0000-0003-3710-5706
Funding for this research was provided by:
National Cancer Institute (R01CA271223)
Cancer Center Support Grant (P30 CA016672)
Cancer Prevention and Research Institute of Texas (RP210042)
Article History
Received: 15 April 2025
Revised: 25 July 2025
Accepted: 7 August 2025
First Online: 18 March 2026
Declarations
:
: Katherine A. Hutcheson is the developer and principal investigator of DIGEST and reports funding support during the project period from the Patient-Centered Outcomes Research Institute, the National Institutes of Health, the THRIVE/HESI Foundation, and Atos Medical outside the submitted work. She also reports funding from the ASH Foundation and the Stiefel Oropharyngeal Research Fund, royalties or licenses from MedBridge, Inc, payments or honoraria from Atos Medical, support for attending meetings and/or travel from The University of Texas MD Anderson Cancer Center, and leadership with the Head and Neck Cancer Alliance Board and the American Board of Swallowing and Swallowing Disorders. The other authors made no disclosures.
: The study was approved by the Institutional Review Board at The University of Texas MD Anderson Cancer Center (protocol PA19–0261); a waiver of informed consent was obtained for retrospective data-review.
: DIGESTv2 is a reliable and valid clinician-rated tool for grading the severity of pharyngeal swallowing impairment observed during video-based imaging of swallowing, with strong performance across diverse cancer populations.