Evidence map›Paper›PMID 31055641›Full record

SynthesisEuropean 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 Surgery2019

Voice rehabilitation for laryngeal cancer after radiotherapy: a systematic review and meta-analysis.

Mahoko Taito, Shunsuke Taito, Masahiro Banno, Takashi Fujiwara, Hitoshi Okamura, Hiraku Tsujimoto, Yuki Kataoka, Yasushi Tsujimoto

Erratum issuedAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. LEARNS Model as Perioperative Education Strategy for Patients with Laryngeal Tumors.Evidence-based complementary and alternative medicine : eCAM · 2022
    Article
  4. [Correlation of serum PTTG1 expression level with clinicopathological features and prognosis in patients with laryngeal cancer].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2020
    Article
  5. Is voice rehabilitation not necessary for patients with laryngeal cancer after radiotherapy?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 · 2020
    Article
  6. Review
  7. Review
  8. Letter to editor: Misleading conclusions in the recently published study by Taito et al. "Voice rehabilitation for laryngeal cancer after radiotherapy: a systematic review and meta-analysis".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 · 2019
    Article
  9. Response to the Letter to the Editor regarding the article by Taito et al. "Voice rehabilitation for laryngeal cancer after radiotherapy: a systematic review and meta-analysis".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 · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Mahoko TaitoDepartment of Nursing, Hiroshima University Hospital, Hiroshima, 734-8551, Japan. mmtaito@hiroshima-u.ac.jp.ORCID http://orcid.org/0000-0003-3833-3946
Shunsuke TaitoDivision of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan.
Masahiro BannoDepartment of Psychiatry, Seichiryo Hospital, Aichi, Japan.
Takashi FujiwaraDepartment of Otolaryngology Head and Neck Surgery, Kurashiki Central Hospital, Okayama, Japan.
Hitoshi OkamuraGraduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Hiraku TsujimotoHospital Care Research Unit, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Yuki KataokaHospital Care Research Unit, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Yasushi TsujimotoDepartment of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Hiroshima University · JPHyogo Prefectural Amagasaki General Medical Center · JPHiroshima University Hospital · JPKurashiki Central Hospital · JPKyoto University · JPNagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to determine whether voice rehabilitation after radiotherapy improves the quality of life (QOL), voice function, and self-rated voice function in patients with laryngeal cancer.

methodsWe searched CENTRAL, MEDLINE, EMBASE, PEDro, and World Health Organization International Clinical Trials Registry Platform for randomized controlled trials published between inception and October 2018. The primary outcome was QOL, adverse events and mortality. Secondary outcomes included voice function and self-rated voice function. The quality of evidence was determined using the Grading of Recommendations Assessment, Development, and Evaluation approach.

resultsThree trials (enrolling 122 patients) compared voice rehabilitation to usual care or no intervention after radiotherapy. Voice rehabilitation did not significantly improve any QOL scores. Data on adverse events and mortality were not available in any of the trials. Voice rehabilitation did not improve any voice function scores, such as jitter (mean difference: - 0.48 [- 1.27 to 0.32]), shimmer (mean difference: - 0.04 [- 0.27 to 0.19]), maximum phonation time (mean difference: 1.54 [- 1.13 to 4.22]), and the grade, roughness, breathiness, asthenia, and strain scale (mean difference: - 0.39 [- 2.59 to 1.80]). Voice rehabilitation also did not improve the voice handicap index, which was used as a self-rated voice function score (mean difference: 5.54 [- 2.07 to 13.16]). The certainty of the evidence was graded as low for primary and secondary outcomes.

conclusionVoice rehabilitation for patients with laryngeal cancer after radiotherapy might not improve QOL, voice function, and self-rated voice function. Pre-specified voice rehabilitation programs may not be necessary for all patients with laryngeal cancer after radiotherapy.

Indexed as

Voice TrainingHumansLaryngeal NeoplasmsQuality of LifeRadiation InjuriesRecovery of FunctionSelf ReportTreatment OutcomeVoiceVoice DisordersLaryngeal cancerQuality of lifeRadiotherapySystematic reviewVoice rehabilitation

Identifiers

PMID31055641
OpenAlexW2944178908

What OpenQuestion holds

Textmetadata
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.