ArticleJAMA otolaryngology-- head & neck surgery2017
Minimal Important Difference in Voice Handicap Index-10.
Article in JAMA otolaryngology-- head & neck surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 28 papers.
What it found
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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.
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.
Correlation Between Montreal Cognitive Assessment and Voice Therapy Outcomes in the Aging Treatment- Seeking Population
Randomized Controlled Trial of Awake Transnasal Laser-assisted Surgery (TNLS) and Microlaryngeal Surgery for Vocal Cord Cyst
Who cites it
28 citing papers in PubMed, 69 citations in OpenAlex.
- Awake Blue Light vs. KTP Laser Treatment for Vocal Fold Lesions: A Randomized Controlled Trial.The Laryngoscope · 2026Trial
- Laryngeal Reinnervation vs Type I Thyroplasty in Unilateral Vocal Fold Paralysis (VOCALIST): A Randomized Feasibility Study.The Laryngoscope · 2025Trial
- Prospective Outcomes After Serial Platelet-Rich Plasma (PRP) Injection in Vocal Fold Scar and Sulcus.The Laryngoscope · 2024Trial
- Visual identification and neuromonitoring vs. no sighting the external branch of the superior laryngeal nerve in thyroid surgery: a randomized clinical trial.Updates in surgery · 2022Trial
- Effect of Vitamin B12 Injection on the Vocal Performance of Professional Singers: A Randomized, Double-blind, Placebo-Controlled, Crossover Trial.JAMA otolaryngology-- head & neck surgery · 2021Trial
- Neighborhood Deprivation and Voice and Reflux Symptom Burden in a Tertiary Laryngology Cohort.The Laryngoscope · 2026Article
- Socioeconomic Deprivation and Vocal Handicap in Adults With Voice Disorders.The Laryngoscope · 2026Article
- Tracheoesophageal Voicing Following Resistance-Based Dysphagia Rehabilitation: An Exploratory Multidimensional Assessment.Head & neck · 2025Article
- Disease Control and Voice Outcomes Following Treatment With PRGN-2012 in Adults With Recurrent Respiratory Papillomatosis.Journal of voice : official journal of the Voice Foundation · 2025Article
- Online Intervention for Muscle Tension Dysphonia: A Pilot Randomized Clinical Trial.JAMA otolaryngology-- head & neck surgery · 2025Article
- Pre- and post-operative voice therapy for benign vocal fold lesions: protocol for a non-randomised, multicentre feasibility trial with embedded process evaluation.Pilot and feasibility studies · 2024Article
- Delayed vagal nerve compressive neuropathy following placement of vagal nerve stimulator: case report.Acta neurochirurgica · 2024Article
- Voice outcomes in high-grade Reinke's edema: Comparing microflap excision and microdebrider surgery.Laryngoscope investigative otolaryngology · 2023Article
- Article
- Most-Cited Patient-Reported Outcome Measures Within Otolaryngology-Revisiting the Minimal Clinically Important Difference: A Review.JAMA otolaryngology-- head & neck surgery · 2023Article
- Patient reported outcome measures: The impact of environment on VHI-10 responses.Laryngoscope investigative otolaryngology · 2023Article
- Voice rest after vocal fold polyp surgery: A Swedish register study of 588 patients.Laryngoscope investigative otolaryngology · 2022Article
- The role of voice rest after micro-laryngeal surgery for benign vocal fold lesions.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Article
- Normative Value for the Laryngopharyngeal Measure of Perceived Sensation.The Laryngoscope · 2022Article
- Oncological and functional outcomes following treatment of T1a glottic squamous cell carcinoma with transoral laser microsurgery.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Importance: The minimal important difference (MID) on patient-reported outcome measures can indicate how much of a change on that scale is meaningful. Objective: To use an anchor-based approach to estimate MID in the Voice Handicap Index-10 (VHI-10) total score. Design, Setting, and Participants: In this cohort study, a volunteer sample of adult patients visiting the voice clinic at the University of Minnesota from April 7, 2013, through July 3, 2016, completed the VHI-10 (range, 0-40, with higher scores indicating greater voice-related handicap) at baseline and 2 weeks later in conjunction with a global rating of change. An anchor-based approach was used to identify an MID. The association between the global change score and change in VHI-10 score was analyzed using Pearson rank correlation. A distribution-based method was used to corroborate the findings. Main Outcome and Measures: Global rating of change on the VHI-10. Results: Of the 273 participants, 183 (67.0%) were women and 90 (33.0%) were men (mean [SD] age, 54.3 [15.6] years); 259 (94.9%) were white. Participants had a variety of voice disorders, most commonly muscle tension dysphonia, irritable larynx, benign vocal fold lesions, and motion abnormalities. Among patients reporting no change on the global change score, the mean (SD) change in VHI-10 score was 1 (5). Among those reporting a small change, the mean (SD) change in VHI-10 was also 1 (5). Among those reporting a moderate change in voice symptoms, the mean (SD) change in VHI-10 score was 6 (8). Among those with a large change, the mean (SD) change in VHI-10 score was 9 (13). The correlation between the global change score and the change in VHI-10 score was 0.32 (95% CI, 0.12-0.49). Distribution-based analyses identified effect sizes comparable to those of the anchor-based categories. Conclusions and Relevance: These findings suggest that a difference of 6 on the VHI-10 may represent an MID. This difference was associated with a moderate change on the global rating scale, and the small-change and no-change categories were indistinguishable. Given the lack of differentiation between small and no change and the modest correlation between the global change score and change in the VHI-10 score, additional studies are needed.
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Registered trials
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.