Voice outcome indicators for unilateral vocal fold paralysis surgery: A survey among surgeons

Desuter, Gauthier; Dedry, Marie; Schaar, Bettina; Lith-Bijl, J. T. van; Benthem, Peter Paul van; Sjögren, Elisabeth V.

doi:10.1016/j.anorl.2018.07.009

Cited by 3 publications

(9 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, a lack of common language to describe recurrent laryngeal nerve recovery, what constitutes "early intervention," and vast differences in treatments compound this issue. [6][7][8][9][10][11][12][31][32][33][34][35] As UVFP prevalence increases, standard outcome measurement is essential to establishing treatment guidelines.…”

Section: Respondent Burden and Presentationmentioning

confidence: 99%

“…Although comparative evidence is weak, recent reviews of UVFP treatments have consistently found that the biggest barrier to evidence-based treatment recommendations is the lack of large, multicenter randomized clinical trial data and standard measurements. [6][7][8][9][10][11][31][32][33][34] Siu et al 6 suggest that pa-tient preference and expectation in concert with objective laryngoscopic measurements should determine treatment plan given the lack of evidence. Without a UVFP-specific PROM that comprehensively covers the breadth of disability, there has been no standard by which to measure patient experience, choice, and expectations.…”

Section: Respondent Burden and Presentationmentioning

confidence: 99%

“…Without a UVFP-specific PROM that comprehensively covers the breadth of disability, there has been no standard by which to measure patient experience, choice, and expectations. [6][7][8][9]32 The CoPE PROM fills this gap and is appropriate for use alongside objective measures of functioning in comparative effectiveness trials.…”

Section: Respondent Burden and Presentationmentioning

confidence: 99%

“…Treatments for UVFP vary widely because the degree of spontaneous recovery, and timing of intervention varies with the type and severity of neurological injury. Patients benefit substantially from some interventions, but consensus on optimal types and timing remain undetermined owing to a dearth of comparative studies and lack of a common clinical outcome measure …”

Section: Introductionmentioning

confidence: 99%

“…Patients benefit substantially from some interventions, 4,5 but consensus on optimal types and timing remain undetermined owing to a dearth of comparative studies and lack of a common clinical outcome measure. [6][7][8][9][10][11][12] In everyday practice, clinicians primarily rely on patient self-report to evaluate treatment effectiveness. Many clinicians also use existing patient-reported outcome measures (PROMs) and/or physiological measures to gauge disability.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Multicenter Development and Validation of the Vocal Cord Paralysis Experience (CoPE), a Patient-Reported Outcome Measure for Unilateral Vocal Fold Paralysis–Specific Disability

Fernandes‐Taylor

Damico-Smith

Arroyo

et al. 2022

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

IMPORTANCE Unilateral vocal fold paralysis (UVFP) is a common and life-changing complication of cancer, trauma, and an estimated 500 000 head, neck, and chest surgeries performed annually in the US, among other causes (eg, idiopathic). Consequent disabilities are profound and often permanent and can include severe voice, swallowing, and breathing dysfunction and concomitant anxiety, isolation, and fear. Physiological measures often correlate poorly with patient-reported disability. The measure described herein was designed to be a comprehensive, psychometrically sound UVFP-specific patient-reported outcome measure (PROM) for use in clinical trials or at point of care. OBJECTIVE To evaluate the reliability and validity of the CoPE (vocal Cord Paralysis Experience) PROM in a nationally representative sample for both clinical and research use. DESIGN, SETTING, AND PARTICIPANTS This survey validation study was performed at 34 tertiary care centers across the US and included English-speaking adults with unilateral vocal fold immobility confirmed via laryngoscopy.MAIN OUTCOMES AND MEASURES Reliability (internal consistency, alternate form, and test-retest) and validity (convergent and known-group). RESULTSIn total, 613 patients (mean [SD] age, 58 [15.3] years; 394 [64.5%] women) were recruited, and 555 (92.3%) completed surveys for all time points. Internal consistency was high in the overall 22-item PROM and psychosocial, swallow, and voice subscales (Cronbach α > 0.91). Intraclass correlations for individuals between the baseline and 2-week administrations were moderate for the overall score and subscales (intraclass correlations range, 0.66-0.80). There were significant differences between the online and 2-week paper administrations for the overall score and voice and psychosocial subscales (overall scale mean: 54.4 [95% CI, 49.7-59.1] vs 48.9 [95% CI, 43.7-54.0] at 2 weeks). The confirmatory model was found to be suitably fitted based on average r 2 values 0.5 or greater for subscale and overall scores. Correlations between subscales and existing PROMs (Voice-Related Quality of Life, Eating Assessment Tool, and Communication Participation Item Bank) were all greater than 0.69, and mean PROM subscale scores were significantly different across known quartiles of existing PROMs. CONCLUSIONS AND RELEVANCEThe findings of this survey validation study suggest that the CoPE PROM could serve as a psychometrically sound, comprehensive measure of UVFP-attributed disability suitable for use in clinical and research settings to assess within-person changes. The results will inform a user manual to facilitate use in clinical trials comparing the effectiveness and durability of treatments including behavioral (speech therapy), temporary (eg, injection augmentation), and permanent surgical treatments for UVFP.

show abstract

Section: Respondent Burden and Presentationmentioning

confidence: 99%

Section: Respondent Burden and Presentationmentioning

confidence: 99%

Section: Respondent Burden and Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Multicenter Development and Validation of the Vocal Cord Paralysis Experience (CoPE), a Patient-Reported Outcome Measure for Unilateral Vocal Fold Paralysis–Specific Disability

Fernandes‐Taylor

Damico-Smith

Arroyo

et al. 2022

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

„Laryngeal framework surgery“

Heß¹,

Fleischer²

2021

HNO

View full text Add to dashboard Cite

Validation of the 10‐Item Unilateral Vocal Fold Paralysis‐Handicap Index quality of life questionnaire

Hernández‐Sandemetrio,

Oishi,

López‐Sánchez

et al. 2023

Clinical Otolaryngology

View full text Add to dashboard Cite

ObjectivesTo validate and test the reliability of the 10‐Item Unilateral Vocal Fold Paralysis‐Voice Handicap Index (UVFP‐HI‐10) quality of life (QoL) questionnaire for patients with UVFP.DesignProspective describe study based on perceptive surveys.ParticipantsWe recruited 61 patients with UVFP and 53 healthy individuals comprised the control group.Main Outcome MeasuresBoth the patients and controls completed the UVFP‐HI‐10 questionnaire. A statistical analysis was performed to assess the internal consistency and validity of the survey. In addition, maximum phonation time (MPT) was used to objectively measure patient QoL.ResultsInternal consistency was high (α = .914) and the correlation with MPT was significant (rs = −0.722). The estimated marginal mean in the discriminant validity study was around seven times higher in the UVFP group compared to the controls. The UVFP‐HI‐10 cut‐off value was more than 0.9 and the sensitivity and specificity were more than 0.8.ConclusionsThe UVFP‐HI‐10 is a self‐administered patient‐reported outcome questionnaire with a high reliability and excellent criterion‐based validity. This questionnaire can be used to evaluate specific clinical complaints (e.g., vocalisation, swallowing, and breathing) in terms of their impact on QoL in patients with UVFP. Thus, its use is appropriate as a basic assessment tool as part of a specific UVFP treatment protocol.

show abstract

Voice outcome indicators for unilateral vocal fold paralysis surgery: A survey among surgeons

Cited by 3 publications

References 5 publications

Multicenter Development and Validation of the Vocal Cord Paralysis Experience (CoPE), a Patient-Reported Outcome Measure for Unilateral Vocal Fold Paralysis–Specific Disability

Multicenter Development and Validation of the Vocal Cord Paralysis Experience (CoPE), a Patient-Reported Outcome Measure for Unilateral Vocal Fold Paralysis–Specific Disability

„Laryngeal framework surgery“

Validation of the 10‐Item Unilateral Vocal Fold Paralysis‐Handicap Index quality of life questionnaire

Contact Info

Product

Resources

About