Stroboscopic Parameters Reported as Voice Outcome Measures in Patients Treated for Laryngeal Cancer: A Systematic Review.

Journal of medical speech-language pathology Pub Date : 2013-09-01

Kendrea L Focht, Bonnie Martin-Harris, Heather Shaw Bonilha

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Abstract

Background: A systematic review of the use of stroboscopy as a treatment outcome measure of vocal fold function in patients treated for laryngeal cancer is presented.

Methods: Computerized literature searches were performed. Eligible articles were admitted when stroboscopy was used to measure vocal fold function before and after treatment in patients with laryngeal cancer. Data extracted included: tumor stage and location, treatment modality, stroboscopy parameters, parameter scale, number of raters, rater reliability, methodology, and level of evidence.

Results: Of 520 articles retrieved, 11 studies met inclusion criteria. A total of twenty-four parameters were reported. Rating scales and rater reliability varied.

Discussion: Major methodological differences exist in studies using stroboscopic findings as voice outcome measures in patients' post-cancer treatment. These differences lead to equivocal findings when assessing the utility of stroboscopy as an outcome measure. Standardized, reliable scoring and reporting systems for laryngeal stroboscopic examinations are needed.

本刊更多论文

频闪参数被报道为喉癌治疗患者的声音结果指标:一项系统综述。

背景:对频闪检查作为喉癌患者声带功能治疗结果的测量方法进行了系统回顾。方法:计算机文献检索。使用频闪镜测量喉癌患者治疗前后的声带功能时，纳入了符合条件的文章。提取的数据包括:肿瘤分期和位置、治疗方式、频闪检查参数、参数量表、评分者数量、评分者可靠性、方法学和证据水平。结果:在检索到的520篇文章中，有11篇研究符合纳入标准。共报道了24个参数。评定量表和评定信度各不相同。讨论:主要的方法学差异存在于使用频闪结果作为患者癌症后治疗的语音结果测量的研究中。这些差异导致在评估频闪检查作为结果测量的效用时发现模棱两可。需要标准化、可靠的喉频闪检查评分和报告系统。

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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Journal of medical speech-language pathology

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