Glottic insufficiency caused by vocal fold atrophy with or without sulcus: systematic review of outcome measurements.

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-10-01 Epub Date: 2024-07-18 DOI:10.1007/s00405-024-08751-5

Emke M J M van den Broek, Stephanie D Mes, Bas J Heijnen, Antonius P M Langeveld, Peter Paul G van Benthem, Elisabeth V Sjögren

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引用次数: 0

Abstract

Purpose: Identifying outcome measurements instruments (OMIs) to evaluate treatment efficacy in patients with vocal fold atrophy and/or sulcus.

Methods: Systematic review of records published before March 2021 by searching Pubmed and EMBASE. Included studies reported on adults (> 18 year) with dysphonia caused by glottic insufficiency due to vocal fold atrophy with or without sulcus, who were enrolled into a randomized controlled trial, a non-randomized controlled trial, a case-controlled study or a cohort study. All included studies described an intervention with at least one outcome measurement.

Results: A total of 5456 studies were identified. After removing duplicates, screening title and abstract and full text screening of selected records, 34 publications were included in final analysis. From these 50 separate OMIs were recorded and categorized according to the ELS protocol by DeJonckere et al. (Eur Arch Otorhinolaryngol 258: 77-82, 2001). With most OMIs being used in multiple studies the total number of OMIs reported was 265. Nineteen (19) individual OMIs accounted for 80% of reports. The most frequently used OMIs according to category were: VHI and VHI-10 (subjective evaluation); G of GRBAS (perceptual evaluation); F0, Jitter and Shimmer (acoustic evaluation); MPT and MFR (aerodynamic evaluation) and glottic closure and mucosal wave (endoscopic evaluation). Of these OMIs VHI had a high percentage of significance of 90%.

Conclusion: This systematic review identifies the most used OMIs in patients with glottic incompetency due to vocal fold atrophy and/or sulcus as a step toward defining a Core Outcome Set (COS) for this population.

Prospero registration: 238274.

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声带萎缩（有或无沟）导致的声门不全：结果测量的系统性回顾。

目的：确定评估声带萎缩和/或声带沟患者疗效的结果测量工具（OMI）：通过搜索 Pubmed 和 EMBASE，对 2021 年 3 月之前发表的记录进行系统回顾。纳入的研究报告涉及因声带萎缩导致声门功能不全（伴或不伴有声带沟）而引起的发音障碍的成人（18 岁以上），他们被纳入了随机对照试验、非随机对照试验、病例对照研究或队列研究。所有纳入的研究都描述了至少一种结果测量的干预措施：结果：共确定了 5456 项研究。在删除重复研究、筛选标题和摘要以及对所选记录进行全文筛选后，34 篇出版物被纳入最终分析。根据 DeJonckere 等人的 ELS 协议（Eur Arch Otorhinolaryngol 258: 77-82, 2001），对其中的 50 个独立 OMI 进行了记录和分类。由于大多数 OMI 被用于多项研究，因此报告的 OMI 总数为 265 个。19种OMI占报告总数的80%。按类别划分，最常用的 OMI 是VHI 和 VHI-10（主观评估）；GRBAS 的 G（知觉评估）；F0、抖动和微光（声学评估）；MPT 和 MFR（空气动力学评估）以及声门闭合和粘膜波（内窥镜评估）。在这些 OMI 中，VHI 的显著性比例高达 90%：本系统综述确定了声带萎缩和/或声带沟导致的声门闭合不全患者最常用的 OMI，为确定该人群的核心结果集（COS）迈出了一步。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.