Evaluating the Role of the CoPE in Relation to Established Laryngology PROMs.

IF 2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Laryngoscope Pub Date : 2025-10-07 DOI:10.1002/lary.70163

Camryn R Marshall, James J Lappin, Tyler W Crosby, Steve D Stockton, Yue Ma, VyVy N Young, Clark A Rosen

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引用次数: 0

Abstract

Objectives: Laryngology patient-reported outcome measures (PROMs) quantify symptoms related to voice, swallowing, and/or breathing. Vocal Cord Paralysis Experience (CoPE) is a PROM developed to evaluate disabilities associated with unilateral vocal fold paralysis (UVFP). The relationship between disease-specific and general symptom-based PROMs has not been previously studied in Laryngology. Correlations between CoPE and established Laryngology PROMs [e.g., Voice Handicap Index-10 (VHI-10), Eating Assessment Tool-10 (EAT-10), Dyspnea Index (DI)] assessed the role and added benefit of CoPE.

Methods: Patients with UVFP at a tertiary Laryngology clinic completed CoPE, VHI-10, EAT-10, and DI during routine visits. Comparisons across PROMs were performed.

Results: One hundred and eight unique data collection epochs were obtained from 80 patients (34 men, 46 women), mean age of 62.6 years. Mean scores were 43.4 ± 22 for CoPE, 21.2 ± 10.2 for VHI-10, 9.2 ± 8.5 for EAT-10, and 10.5 ± 9.9 for DI. Comparison of CoPE score to other Laryngology PROMS demonstrated statistically significant, positive correlations: CoPE versus VHI-10 (R = 0.596, p = 0.000), CoPE versus DI (R = 0.424, p = 0.000), and CoPE versus EAT-10 (R = 0.447, p = 0.000). CoPE subscale scores similarly demonstrated statistically significant, positive correlations: CoPE voice subscale versus VHI-10 (R = 0.641, p = 0.000) and CoPE swallowing subscale versus EAT-10 (R = 0.603, p = 0.000).

Conclusion: PROMs are critical for assessing UVFP-related functional impairments. CoPE does not appear to capture unique aspects of the UVFP experience not already covered by VHI-10, DI, and EAT-10. Furthermore, these commonly used Laryngology PROMs have broad utility across many pathologic conditions and can be implemented prior to diagnosis, offering psychometric advantages. Clinicians and researchers can confidently employ commonly used Laryngology PROMs or CoPE to report UVFP results.

Level of evidence: 3:

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评估CoPE在已建立的喉科PROMs中的作用。

目的：喉科患者报告的结果测量（PROMs）量化与声音、吞咽和/或呼吸相关的症状。声带麻痹体验（CoPE）是一种用于评估单侧声带麻痹（UVFP）相关残疾的PROM。疾病特异性和一般症状为基础的PROMs之间的关系尚未在喉科先前的研究。CoPE与既定喉科PROMs之间的相关性[例如，语音障碍指数-10 (VHI-10)，进食评估工具-10 (EAT-10)，呼吸困难指数（DI）]评估了CoPE的作用和附加益处。方法：三级喉科门诊UVFP患者在常规就诊期间完成CoPE、VHI-10、EAT-10和DI检查。对各prom进行比较。结果：80例患者（男34例，女46例）共获得108个独特数据采集期，平均年龄62.6岁。CoPE评分为43.4±22分，VHI-10评分为21.2±10.2分，EAT-10评分为9.2±8.5分，DI评分为10.5±9.9分。CoPE评分与其他喉科PROMS评分的比较显示有统计学意义的正相关：CoPE与VHI-10 (R = 0.596, p = 0.000)， CoPE与DI (R = 0.424, p = 0.000)， CoPE与EAT-10 （R = 0.447, p = 0.000）。CoPE分量表得分同样表现出统计学上显著的正相关：CoPE语音分量表与vahi -10 (R = 0.641, p = 0.000)， CoPE吞咽分量表与EAT-10 （R = 0.603, p = 0.000）。结论：PROMs是评估uvfp相关功能损伤的关键。CoPE似乎没有捕捉到VHI-10、DI和EAT-10尚未涵盖的UVFP体验的独特方面。此外，这些常用的喉科PROMs在许多病理条件下具有广泛的实用性，可以在诊断之前实施，提供心理测量学优势。临床医生和研究人员可以自信地使用常用的喉科PROMs或CoPE来报告UVFP结果。证据等级：3；

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来源期刊

Laryngoscope 医学-耳鼻喉科学

CiteScore

6.50

自引率

7.70%

发文量

500

审稿时长

2-4 weeks

期刊介绍： The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects