Evidence map›Paper›PMID 30607277›Full record

ArticleSultan Qaboos University medical journal2018

Association Between Voice Handicap Index and Reflux Symptom Index: A cross-sectional study of undiagnosed general and teacher cohorts in Saudi Arabia.

Rawan Alanazi, Ahmed Alrahim, Sara Bayounos, Abdulrahman Al-Ghuwainem, Mohammad H Al-Bar

Open access · diamondAbstract read
In one paragraph

Article in Sultan Qaboos University medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Incidence and nature of functional voice disorders.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2025
    Article
  3. Management of Laryngopharyngeal Reflux in Asia.Clinical and experimental otorhinolaryngology · 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

5 authors at 4 institutions in 2 countries.

Rawan AlanaziDepartment of Ear, Nose & Throat, Imam Abdulrahman Bin Faisal University, Khobar, Saudi Arabia.
Ahmed AlrahimDepartment of Ear, Nose & Throat, King Fahd University Hospital, Khobar, Saudi Arabia.
Sara BayounosDepartment of Ear, Nose & Throat, King Abdullah Medical City, Makkah, Saudi Arabia.
Abdulrahman Al-GhuwainemRoyal College of Surgeons in Ireland, Dublin, Ireland.
Mohammad H Al-BarDepartment of Ear, Nose & Throat, King Fahd University Hospital, Khobar, Saudi Arabia.
King Fahd Hospital of the University · SAImam Abdulrahman Bin Faisal University · SAKing Abdullah Medical City · SARoyal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to assess potential associations between self-reported symptoms of laryngopharyngeal reflux (LPR) and voice disorders among two undiagnosed cohorts in Saudi Arabia.

methodsThis cross-sectional study was conducted from February to April 2017 in Khobar, Saudi Arabia. Validated Arabic versions of the Reflux Symptom Index (RSI) and 10-item Voice Handicap Index (VHI-10) were distributed to 400 teachers at 13 schools and 300 members of the general population attending an ear, nose and throat clinic in Khobar. Scores of >13 and >11 on the RSI and VHI-10 indicated a potential subjective diagnosis of LPR and voice disorders, respectively.

resultsA total of 446 individuals took part in the study, including 260 members of the general population (response rate: 86.7%) and 186 teachers (response rate: 46.5%). The mean age was 32.5 years. In total, 62.2% complained of voice and/or reflux problems, with the remaining 37.8% not reporting/unaware of any problems in this regard. Among the teachers, 30.6% and 18.3% had positive RSI and VHI-10 scores, respectively, while 43.1% and 14.6% of the individuals from the general population had positive RSI and VHI-10 scores, respectively. Overall, VHI-10 scores were significantly associated with RSI scores (

conclusionA significant association between RSI and VHI-10 scores suggests that there may be an association between LPR and voice disorders. These tools would therefore be a valuable method of monitoring patients; however, they cannot be used to confirm a diagnosis. Thus, more detailed studies are needed to confirm this association using a larger sample size.

Indexed as

AdultCohort StudiesCross-Sectional StudiesFacultyFemaleHumansLaryngopharyngeal RefluxMaleMiddle AgedRisk FactorsSaudi ArabiaSelf ReportSeverity of Illness IndexSurveys and QuestionnairesVoice DisordersDiagnostic Self EvaluationHoarsenessLaryngopharyngeal RefluxSaudi ArabiaSchool TeachersVoice Disorders

Identifiers

PMID30607277
PMCPMC6307638
OpenAlexW2905187405

What OpenQuestion holds

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Registered trials

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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.