Evidence map›Paper›PMID 30426500›Full record

ArticleThe Laryngoscope2019

Defining differences in patient characteristics between spasmodic dysphonia and laryngeal tremor.

Priyesh N Patel, Edmond K Kabagambe, Jennifer C Starkweather, Matthew Keller, Zaki A Ahmed, Simone C Gruber, Jordan S Akins, C Gaelyn Garrett, David O Francis

Abstract read
In one paragraph

Article in The Laryngoscope, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Spasmodic Dysphonia.World journal of otorhinolaryngology - head and neck surgery · 2025
    Review
  2. Neural Representations of the Voice Tremor Spectrum.Movement disorders : official journal of the Movement Disorder Society · 2020
    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

9 authors at 3 institutions in 1 country.

Priyesh N PatelVanderbilt Voice Center, Department of Otolaryngology, Nashville, Tennessee.ORCID 0000-0002-5850-2172
Edmond K KabagambeVanderbilt Voice Center, Department of Otolaryngology, Nashville, Tennessee.
Jennifer C StarkweatherVanderbilt Voice Center, Department of Otolaryngology, Nashville, Tennessee.
Matthew KellerSaint Louis University School of Medicine, St. Louis, Missouri.
Zaki A AhmedVanderbilt University, Nashville, Tennessee.
Simone C GruberVanderbilt University, Nashville, Tennessee.
Jordan S AkinsVanderbilt University, Nashville, Tennessee.
C Gaelyn GarrettVanderbilt Voice Center, Department of Otolaryngology, Nashville, Tennessee.
David O FrancisDivision of Otolaryngology, Wisconsin Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, Wisconsin, U.S.A.
Vanderbilt University · USSaint Louis University · USUniversity of Wisconsin–Madison · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR) KL2KL2RR024977 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$3.0M
Developing an Outcome Measuring Unilateral Vocal Fold Paralysis DisabilityK23DC013559 · NIDCD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FRANCIS, DAVID O. · 2014 to 2018
$990k
National Institute for Deafness and Communication Disorders (NIDCD) of the NIH K23DC013559National Institute for Deafness and Communication Disorders (NIDCD) of the NIH L30DC012687NCRR NIH HHS KL2 RR024977NIDCD NIH HHS K23 DC013559NIDCD NIH HHS L30 DC012687
6 · The paper itself

Abstract

objectiveTo compare presenting characteristics of patients with adductor spasmodic dysphonia (ADSD), ADSD with laryngeal tremor (ADSD + LT), and laryngeal tremor without ADSD (LT).

designCross-sectional analysis.

methodsPatients treated for laryngeal movement disorders (1990-2016) were included. Analysis of variance and chi square tests measured differences in patient characteristics across the three disease groups. Using ADSD as the referent, multivariable logistic regression models were used to determine whether potential risk factors including patient demographics, family history, presence of potential inciting events prior to disease onset, and coprevalent movement disorders were associated with ADSD + LT or LT.

resultsIn all, 652 patients with ADSD (n = 377), ADSD + LT (n = 98), and LT (n = 177) were included. ADSD patients were significantly younger than those with ADSD + LT and LT (52.5 ± 13.4, 63.9 ± 11.3, and 69.3 ± 10.5 years, respectively; P < 0.001). Coprevalent movement disorders were more common in ADSD + LT (38.7%) and LT (57.1%) groups than in the ADSD group (11.5%; P < 0.001). Compared to ADSD, patients with ADSD + LT and LT were more likely to develop an additional movement disorder during follow-up. In multivariable analyses, increasing age, female gender, and having a movement disorder at presentation were associated with significantly greater odds of having ADSD + LT or LT when compared to ADSD.

conclusionADSD + LT patients demonstrate intermediate gender composition and age distributions between those with ADSD and LT. These findings suggest that ADSD + LT may be a distinct phenotype in the spectrum of laryngeal movement disorders. LEVEL OF EVIDENCE: 4 Laryngoscope, 129:170-176, 2019.

Indexed as

DysphoniaLaryngeal DiseasesLaryngismusAgedAge DistributionAnalysis of VarianceChi-Square DistributionCross-Sectional StudiesFemaleHumansMaleMiddle AgedSex DistributionTremor

Identifiers

PMID30426500
PMCPMC6320291
OpenAlexW2901456362

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.