Ana Luiza Custodio Pinheiro Torres, Yasmin Farias Ribeiro, Evelyn de Carvalho Caprini, Ana Paula Dassie-Leite, Vanessa Veis Ribeiro
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引用次数: 0
Abstract
Objectives: To analyze the prevalence of pediatric voice disorders.
Study design: Systematic review (SR) and meta-analysis.
Methods: The research question of this SR was "What is the prevalence of dysphonia in children?" An electronic search was performed using the Medical Literature Analysis and Retrieval System online (Medline), Literatura Latino-Americana e do Caribe em Ciências da Saúde, EMBASE, Web of Science, and SCOPUS database. A manual search was performed in gray literature (ProQuest and Banco Digital de Teses e Dissertações) and through the mapping of references. Studies that analyzed the prevalence of dysphonia in children with outcomes such as the overall degree of vocal deviation, laryngeal endoscopic imaging, acoustic analysis, and vocal self-assessments in the global context were included. The risk of bias was verified using a checklist of prevalence studies. A meta-analysis was performed using proportion analysis, and statistical heterogeneity was calculated using I² and t².
Results: The initial search identified 796 articles, and 16 were selected. The risk of bias analysis showed that 62.5% (n = 10) of the articles had low methodological quality. The total prevalence of dysphonia was 15% based on the overall degree of vocal deviation, 29% based on laryngeal endoscopic imaging, 10% based on vocal self-assessment, and 19% regardless of the type of assessment performed. High heterogeneity was observed for all evaluation forms.
Conclusion: Children have a high prevalence of dysphonia. Studies on the prevalence of pediatric voice disorders have low methodological quality, and the prevalence rates obtained in these studies are heterogeneous, thus compromising the validity and generalization of the results.
目的：分析小儿嗓音障碍的患病率。研究设计：系统评价（SR）和荟萃分析。方法：本研究的研究问题为“儿童语音障碍的患病率是多少？”使用联机医学文献分析和检索系统（Medline）、Literatura latin - americana e do Caribe em Ciências da Saúde、EMBASE、Web of Science和SCOPUS数据库进行电子检索。手工搜索灰色文献（ProQuest和Banco Digital de Teses e Dissertações），并通过参考文献的映射。在全球范围内，分析儿童发声障碍患病率的研究包括发声偏度、喉部内窥镜成像、声学分析和发声自我评估等结果。使用流行病学研究清单验证偏倚风险。采用比例分析进行meta分析，采用I²和t²计算统计异质性。结果：初步检索到796篇文章，入选16篇。偏倚风险分析显示，62.5% （n = 10）的文章方法学质量较低。基于发声偏度的发声障碍总患病率为15%，基于喉内窥镜成像的为29%，基于发声自我评估的为10%，与进行的评估类型无关的为19%。所有评估形式均存在高度异质性。结论：儿童有较高的语音障碍患病率。关于儿童语音障碍患病率的研究方法学质量较低，并且这些研究中获得的患病率是异质性的，从而影响了结果的有效性和泛化。
期刊介绍：
The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.
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