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Assessing outcomes for dysphonic patients

M S Benninger1, A S Ahuja, G Gardner

  • 1Department of Otolaryngology-Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan 48202, USA.

Journal of Voice : Official Journal of the Voice Foundation
|February 13, 1999
PubMed
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Voice disorders significantly impact quality of life, correlating with the Voice Handicap Index (VHI) and SF-36 measures. Patients with dysphonia experience greater handicap than those with chronic sinusitis, angina, or sciatica.

Area of Science:

  • Otolaryngology
  • Health Outcomes Research
  • Speech-Language Pathology

Background:

  • Voice disorders represent a significant health burden.
  • Quantifying the handicap associated with dysphonia is crucial for patient care.
  • Existing quality of life measures may not fully capture the impact of voice alterations.

Purpose of the Study:

  • To evaluate a disease-specific outcome measure for voice disorders.
  • To correlate this measure with a standardized quality of life instrument.
  • To document the global handicap of dysphonia patients compared to other chronic conditions.

Main Methods:

  • Prospective, observational study of 260 adult patients with voice alterations.
  • Patients completed the Voice Handicap Index (VHI) and the Short Form 36-Item (SF-36) quality of life measure.

Related Experiment Videos

  • Pretreatment data were analyzed for correlations and comparisons.

    • Main Results:

    • The VHI strongly correlated with the SF-36, particularly social functioning, mental health, and emotional role functioning.
    • Voice disorder patients scored lower than the general US population in five SF-36 domains.
    • Vocal fold paralysis patients reported the highest disability; dysphonia patients showed greater handicap than those with chronic sinusitis, angina, and sciatica.

    Conclusions:

    • The Voice Handicap Index (VHI) is a valid measure for voice disorders, correlating well with general quality of life (SF-36).
    • Dysphonia imposes a significant handicap, comparable to or exceeding that of other chronic diseases.
    • Voice disorders necessitate comprehensive management strategies addressing their substantial impact on patient well-being.