Relationship between patient-perceived vocal handicap and clinician-rated level of vocal dysfunction
Objectives/Hypothesis The relationship between patient‐reported vocal handicap and clinician‐rated measures of vocal dysfunction is not understood. This study aimed to determine if a correlation exists between the Voice Handicap Index‐10 (VHI‐10) and the Voice Functional Communication Measure rating...
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| Veröffentlicht in: | The Laryngoscope 2015-01, Vol.125 (1), p.180-185 |
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| creator | Childs, Lesley F. Bielinski, Clifford Toles, Laura Hamilton, Amy Deane, Janis Mau, Ted |
| description | Objectives/Hypothesis
The relationship between patient‐reported vocal handicap and clinician‐rated measures of vocal dysfunction is not understood. This study aimed to determine if a correlation exists between the Voice Handicap Index‐10 (VHI‐10) and the Voice Functional Communication Measure rating in the National Outcomes Measurement System (NOMS).
Study Design
Retrospective case series.
Methods
Four hundred and nine voice evaluations over 12 months at a tertiary voice center were reviewed. The VHI‐10 and NOMS scores, diagnoses, and potential comorbid factors were collected and analyzed.
Results
For the study population as a whole, there was a moderate negative correlation between the NOMS rating and the VHI‐10 (Pearson r = −0.57). However, for a given NOMS level, there could be considerable spread in the VHI‐10. In addition, as the NOMS decreased stepwise below level 4, there was a corresponding increase in the VHI‐10. However, a similar trend in VHI‐10 was not observed for NOMS above level 4, indicating the NOMS versus VHI‐10 correlation was not linear. Among diagnostic groups, the strongest correlation was found for subjects with functional dysphonia. The NOMS versus VHI‐10 correlation was not affected by gender or the coexistence of a psychiatric diagnosis.
Conclusions
A simple relationship between VHI‐10 and NOMS rating does not exist. Patients with mild vocal dysfunction have a less direct relationship between their NOMS ratings and the VHI‐10. These findings provide insight into the interpretation of patient‐perceived and clinician‐rated measures of vocal function and may allow for better management of expectations and patient counseling in the treatment of voice disorders.
Level of Evidence
4 Laryngoscope, 125:180–185, 2015 |
| doi_str_mv | 10.1002/lary.24889 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1641199906</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1641199906</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4659-eacb250bb8d623ce307d9d6ce38acc9f5a62149ff081d7ddbeb8c05aa3a11e753</originalsourceid><addsrcrecordid>eNp90E9P2zAYBnBrGhpd2YUPgCLtMk1K8Z84iY8IDZioYAKmsZPl2G-EwXWCnRT67efSwoHDTq9l_95H1oPQPsEzgjE9dCqsZrSoa_EBTQhnJC-E4B_RJD2yvOb0dhd9jvEeY1Ixjj-hXcoJZZiLCTJX4NRgOx_vbJ81MDwB-KxPV-CHvIegwS7BZMtOK5fdKW-sVn2WZqad9VZb5fOghkQcLMFlXbu1ZhXb0et19h7aaZWL8GU7p-j3yY-b47N8fnn68_honuui5CIHpRvKcdPUpqRMA8OVEaZMh1ppLVquSkoK0ba4JqYypoGm1pgrxRQhUHE2Rd82uX3oHkeIg1zYqME55aEboyRlQYgQApeJfn1H77sx-PS7pJgQJadMJPV9o3ToYgzQyj7YRapbEizX3ct19_Kl-4QPtpFjswDzRl_LToBswJN1sPpPlJwfXf19Dc03OzYO8Py2o8KDLCtWcfnn4lTWtzfX7OQXl-fsHx9uoD0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1639965239</pqid></control><display><type>article</type><title>Relationship between patient-perceived vocal handicap and clinician-rated level of vocal dysfunction</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Childs, Lesley F. ; Bielinski, Clifford ; Toles, Laura ; Hamilton, Amy ; Deane, Janis ; Mau, Ted</creator><creatorcontrib>Childs, Lesley F. ; Bielinski, Clifford ; Toles, Laura ; Hamilton, Amy ; Deane, Janis ; Mau, Ted</creatorcontrib><description>Objectives/Hypothesis
The relationship between patient‐reported vocal handicap and clinician‐rated measures of vocal dysfunction is not understood. This study aimed to determine if a correlation exists between the Voice Handicap Index‐10 (VHI‐10) and the Voice Functional Communication Measure rating in the National Outcomes Measurement System (NOMS).
Study Design
Retrospective case series.
Methods
Four hundred and nine voice evaluations over 12 months at a tertiary voice center were reviewed. The VHI‐10 and NOMS scores, diagnoses, and potential comorbid factors were collected and analyzed.
Results
For the study population as a whole, there was a moderate negative correlation between the NOMS rating and the VHI‐10 (Pearson r = −0.57). However, for a given NOMS level, there could be considerable spread in the VHI‐10. In addition, as the NOMS decreased stepwise below level 4, there was a corresponding increase in the VHI‐10. However, a similar trend in VHI‐10 was not observed for NOMS above level 4, indicating the NOMS versus VHI‐10 correlation was not linear. Among diagnostic groups, the strongest correlation was found for subjects with functional dysphonia. The NOMS versus VHI‐10 correlation was not affected by gender or the coexistence of a psychiatric diagnosis.
Conclusions
A simple relationship between VHI‐10 and NOMS rating does not exist. Patients with mild vocal dysfunction have a less direct relationship between their NOMS ratings and the VHI‐10. These findings provide insight into the interpretation of patient‐perceived and clinician‐rated measures of vocal function and may allow for better management of expectations and patient counseling in the treatment of voice disorders.
Level of Evidence
4 Laryngoscope, 125:180–185, 2015</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.24889</identifier><identifier>PMID: 25123059</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Comorbidity ; Diagnostic Self Evaluation ; Dysphonia ; Female ; Humans ; Male ; Middle Aged ; Otolaryngology ; Outcome Assessment (Health Care) ; patient perception ; quality of life ; Smoking - adverse effects ; Somatoform Disorders - diagnosis ; Somatoform Disorders - psychology ; Speech Therapy ; Statistics as Topic ; Tertiary Care Centers ; vocal function ; voice assessment ; Voice Disorders - classification ; Voice Disorders - diagnosis ; Voice Disorders - psychology ; voice handicap ; Voice Handicap Index ; Young Adult</subject><ispartof>The Laryngoscope, 2015-01, Vol.125 (1), p.180-185</ispartof><rights>2014 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4659-eacb250bb8d623ce307d9d6ce38acc9f5a62149ff081d7ddbeb8c05aa3a11e753</citedby><cites>FETCH-LOGICAL-c4659-eacb250bb8d623ce307d9d6ce38acc9f5a62149ff081d7ddbeb8c05aa3a11e753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.24889$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.24889$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25123059$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Childs, Lesley F.</creatorcontrib><creatorcontrib>Bielinski, Clifford</creatorcontrib><creatorcontrib>Toles, Laura</creatorcontrib><creatorcontrib>Hamilton, Amy</creatorcontrib><creatorcontrib>Deane, Janis</creatorcontrib><creatorcontrib>Mau, Ted</creatorcontrib><title>Relationship between patient-perceived vocal handicap and clinician-rated level of vocal dysfunction</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis
The relationship between patient‐reported vocal handicap and clinician‐rated measures of vocal dysfunction is not understood. This study aimed to determine if a correlation exists between the Voice Handicap Index‐10 (VHI‐10) and the Voice Functional Communication Measure rating in the National Outcomes Measurement System (NOMS).
Study Design
Retrospective case series.
Methods
Four hundred and nine voice evaluations over 12 months at a tertiary voice center were reviewed. The VHI‐10 and NOMS scores, diagnoses, and potential comorbid factors were collected and analyzed.
Results
For the study population as a whole, there was a moderate negative correlation between the NOMS rating and the VHI‐10 (Pearson r = −0.57). However, for a given NOMS level, there could be considerable spread in the VHI‐10. In addition, as the NOMS decreased stepwise below level 4, there was a corresponding increase in the VHI‐10. However, a similar trend in VHI‐10 was not observed for NOMS above level 4, indicating the NOMS versus VHI‐10 correlation was not linear. Among diagnostic groups, the strongest correlation was found for subjects with functional dysphonia. The NOMS versus VHI‐10 correlation was not affected by gender or the coexistence of a psychiatric diagnosis.
Conclusions
A simple relationship between VHI‐10 and NOMS rating does not exist. Patients with mild vocal dysfunction have a less direct relationship between their NOMS ratings and the VHI‐10. These findings provide insight into the interpretation of patient‐perceived and clinician‐rated measures of vocal function and may allow for better management of expectations and patient counseling in the treatment of voice disorders.
Level of Evidence
4 Laryngoscope, 125:180–185, 2015</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>Comorbidity</subject><subject>Diagnostic Self Evaluation</subject><subject>Dysphonia</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Otolaryngology</subject><subject>Outcome Assessment (Health Care)</subject><subject>patient perception</subject><subject>quality of life</subject><subject>Smoking - adverse effects</subject><subject>Somatoform Disorders - diagnosis</subject><subject>Somatoform Disorders - psychology</subject><subject>Speech Therapy</subject><subject>Statistics as Topic</subject><subject>Tertiary Care Centers</subject><subject>vocal function</subject><subject>voice assessment</subject><subject>Voice Disorders - classification</subject><subject>Voice Disorders - diagnosis</subject><subject>Voice Disorders - psychology</subject><subject>voice handicap</subject><subject>Voice Handicap Index</subject><subject>Young Adult</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90E9P2zAYBnBrGhpd2YUPgCLtMk1K8Z84iY8IDZioYAKmsZPl2G-EwXWCnRT67efSwoHDTq9l_95H1oPQPsEzgjE9dCqsZrSoa_EBTQhnJC-E4B_RJD2yvOb0dhd9jvEeY1Ixjj-hXcoJZZiLCTJX4NRgOx_vbJ81MDwB-KxPV-CHvIegwS7BZMtOK5fdKW-sVn2WZqad9VZb5fOghkQcLMFlXbu1ZhXb0et19h7aaZWL8GU7p-j3yY-b47N8fnn68_honuui5CIHpRvKcdPUpqRMA8OVEaZMh1ppLVquSkoK0ba4JqYypoGm1pgrxRQhUHE2Rd82uX3oHkeIg1zYqME55aEboyRlQYgQApeJfn1H77sx-PS7pJgQJadMJPV9o3ToYgzQyj7YRapbEizX3ct19_Kl-4QPtpFjswDzRl_LToBswJN1sPpPlJwfXf19Dc03OzYO8Py2o8KDLCtWcfnn4lTWtzfX7OQXl-fsHx9uoD0</recordid><startdate>201501</startdate><enddate>201501</enddate><creator>Childs, Lesley F.</creator><creator>Bielinski, Clifford</creator><creator>Toles, Laura</creator><creator>Hamilton, Amy</creator><creator>Deane, Janis</creator><creator>Mau, Ted</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201501</creationdate><title>Relationship between patient-perceived vocal handicap and clinician-rated level of vocal dysfunction</title><author>Childs, Lesley F. ; Bielinski, Clifford ; Toles, Laura ; Hamilton, Amy ; Deane, Janis ; Mau, Ted</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4659-eacb250bb8d623ce307d9d6ce38acc9f5a62149ff081d7ddbeb8c05aa3a11e753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>Comorbidity</topic><topic>Diagnostic Self Evaluation</topic><topic>Dysphonia</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Otolaryngology</topic><topic>Outcome Assessment (Health Care)</topic><topic>patient perception</topic><topic>quality of life</topic><topic>Smoking - adverse effects</topic><topic>Somatoform Disorders - diagnosis</topic><topic>Somatoform Disorders - psychology</topic><topic>Speech Therapy</topic><topic>Statistics as Topic</topic><topic>Tertiary Care Centers</topic><topic>vocal function</topic><topic>voice assessment</topic><topic>Voice Disorders - classification</topic><topic>Voice Disorders - diagnosis</topic><topic>Voice Disorders - psychology</topic><topic>voice handicap</topic><topic>Voice Handicap Index</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Childs, Lesley F.</creatorcontrib><creatorcontrib>Bielinski, Clifford</creatorcontrib><creatorcontrib>Toles, Laura</creatorcontrib><creatorcontrib>Hamilton, Amy</creatorcontrib><creatorcontrib>Deane, Janis</creatorcontrib><creatorcontrib>Mau, Ted</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Childs, Lesley F.</au><au>Bielinski, Clifford</au><au>Toles, Laura</au><au>Hamilton, Amy</au><au>Deane, Janis</au><au>Mau, Ted</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between patient-perceived vocal handicap and clinician-rated level of vocal dysfunction</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2015-01</date><risdate>2015</risdate><volume>125</volume><issue>1</issue><spage>180</spage><epage>185</epage><pages>180-185</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
The relationship between patient‐reported vocal handicap and clinician‐rated measures of vocal dysfunction is not understood. This study aimed to determine if a correlation exists between the Voice Handicap Index‐10 (VHI‐10) and the Voice Functional Communication Measure rating in the National Outcomes Measurement System (NOMS).
Study Design
Retrospective case series.
Methods
Four hundred and nine voice evaluations over 12 months at a tertiary voice center were reviewed. The VHI‐10 and NOMS scores, diagnoses, and potential comorbid factors were collected and analyzed.
Results
For the study population as a whole, there was a moderate negative correlation between the NOMS rating and the VHI‐10 (Pearson r = −0.57). However, for a given NOMS level, there could be considerable spread in the VHI‐10. In addition, as the NOMS decreased stepwise below level 4, there was a corresponding increase in the VHI‐10. However, a similar trend in VHI‐10 was not observed for NOMS above level 4, indicating the NOMS versus VHI‐10 correlation was not linear. Among diagnostic groups, the strongest correlation was found for subjects with functional dysphonia. The NOMS versus VHI‐10 correlation was not affected by gender or the coexistence of a psychiatric diagnosis.
Conclusions
A simple relationship between VHI‐10 and NOMS rating does not exist. Patients with mild vocal dysfunction have a less direct relationship between their NOMS ratings and the VHI‐10. These findings provide insight into the interpretation of patient‐perceived and clinician‐rated measures of vocal function and may allow for better management of expectations and patient counseling in the treatment of voice disorders.
Level of Evidence
4 Laryngoscope, 125:180–185, 2015</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25123059</pmid><doi>10.1002/lary.24889</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0023-852X |
| ispartof | The Laryngoscope, 2015-01, Vol.125 (1), p.180-185 |
| issn | 0023-852X 1531-4995 |
| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adolescent Adult Aged Aged, 80 and over Child Comorbidity Diagnostic Self Evaluation Dysphonia Female Humans Male Middle Aged Otolaryngology Outcome Assessment (Health Care) patient perception quality of life Smoking - adverse effects Somatoform Disorders - diagnosis Somatoform Disorders - psychology Speech Therapy Statistics as Topic Tertiary Care Centers vocal function voice assessment Voice Disorders - classification Voice Disorders - diagnosis Voice Disorders - psychology voice handicap Voice Handicap Index Young Adult |
| title | Relationship between patient-perceived vocal handicap and clinician-rated level of vocal dysfunction |
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