Evidence map›Paper›PMID 27371624›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2016

Multi-institutional Study of Voice Disorders and Voice Therapy Referral: Report from the CHEER Network.

Stephanie Misono, Schelomo Marmor, Nelson Roy, Ted Mau, Seth M Cohen

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Job Accommodations and Job Loss From Unilateral Vocal Fold Paralysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  3. Perceived Control, Voice Handicap, and Barriers to Voice Therapy.Journal of voice : official journal of the Voice Foundation · 2021
    Article
  4. Dysphonia, Perceived Control, and Psychosocial Distress: A Qualitative Study.Journal of voice : official journal of the Voice Foundation · 2019
    Article
  5. Article
  6. CHEER National Study of Chronic Rhinosinusitis Practice Patterns: Disease Comorbidities and Factors Associated with Surgery.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2017
    Article
  7. Factors Influencing Likelihood of Voice Therapy Attendance.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2017
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 1 country.

Stephanie MisonoLions Voice Clinic, Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Schelomo MarmorLions Voice Clinic, Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Nelson RoyDepartment of Communication Sciences and Disorders, The University of Utah, Salt Lake City, Utah, USA.
Ted MauClinical Center for Voice Care, Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Seth M CohenDuke Voice Care Center, Division of Otolaryngology-Head and Neck Surgery, Duke University Medical Center, Durham, North Carolina, USA seth.cohen@duke.edu.
Duke Medical Center · USMinnesota Lions Eye Bank · USThe University of Texas Southwestern Medical Center · USUniversity of Minnesota · USUniversity of Utah · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
The CHEER NetworkU24DC012206 · NIDCD · DUKE UNIVERSITY · PI WITSELL, DAVID L · 2012 to 2016
$4.1M
NIDCD R21/R33 Phased Infrastructure Grant for Patient-Oriented ResearchR33DC008632 · NIDCD · DUKE UNIVERSITY · PI WITSELL, DAVID L · 2008 to 2012
$2.3M
NCATS NIH HHS UL1 TR000114NIDCD NIH HHS R33 DC008632NIDCD NIH HHS U24 DC012206
6 · The paper itself

Abstract

objectivesTo assess perspectives of patients with voice problems and identify factors associated with the likelihood of referral to voice therapy via the CHEER (Creating Healthcare Excellence through Education and Research) practice-based research network infrastructure. STUDY

designProspectively enrolled cross-sectional study of CHEER patients seen for a voice problem (dysphonia).

settingThe CHEER network of community and academic sites.

methodsPatient-reported demographic information, nature and severity of voice problems, clinical diagnoses, and proposed treatment plans were collected. The relationship between patient factors and voice therapy referral was investigated.

resultsPatients (N = 249) were identified over 12 months from 10 sites comprising 30 otolaryngology physicians. The majority were women (68%) and white (82%). Most patients reported a recurrent voice problem (72%) and symptom duration >4 weeks (89%). The most commonly reported voice-related diagnoses were vocal strain, reflux, and benign vocal fold lesions. Sixty-seven percent of enrolled patients reported receiving a recommendation for voice therapy. After adjusting for sociodemographic and other factors, diagnoses including vocal strain/excessive tension and vocal fold paralysis and academic practice type were associated with increased likelihood of reporting a referral for voice therapy.

conclusionsThe CHEER network successfully enrolled a representative sample of patients with dysphonia. Common diagnoses were vocal strain, reflux, and benign vocal fold lesions; commonly reported treatment recommendations included speech/voice therapy and antireflux medication. Recommendation for speech/voice therapy was associated with academic practice type.

Indexed as

Referral and ConsultationAdolescentAdultAgedCross-Sectional StudiesDatabases, FactualFemaleHealth Services ResearchHumansInternational Classification of DiseasesMaleMiddle AgedOtolaryngologyProspective StudiesUnited StatesVoice DisordersCHEERdysphoniarefluxspeech therapyvocal fold paralysisvocal strainvoice disordersvoice problemsvoice therapy

Identifiers

PMID27371624
PMCPMC5370168
OpenAlexW2472604352

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.