Evidence map›Paper›PMID 31249329›Full record

ArticleScientific reports2019

Checking for voice disorders without clinical intervention: The Greek and global VHI thresholds for voice disordered patients.

Dionysios Tafiadis, Spyridon K Chronopoulos, Meropi E Helidoni, Evangelia I Kosma, Louiza Voniati, Periklis Papadopoulos, Thomas Murry, Nafsika Ziavra, George A Velegrakis

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Digital Voice Analysis as a Biomarker of Acromegaly.The Journal of clinical endocrinology and metabolism · 2025
    Article
  2. Looking for an Objective Parameter to Identify Early Vocal Dysfunctions in Healthy Perceived Singers.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  3. Article
  4. Article
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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.

Dionysios TafiadisDepartment of Speech & Language Therapy, University of Ioannina, Ioannina, GR45500, Greece. d.tafiadis@ioa.teiep.gr.
Spyridon K ChronopoulosPhysics Department, Electronics-Telecommunications and Applications Laboratory, University of Ioannina, Ioannina, GR-45110, Greece. schrono@cc.uoi.gr.ORCID http://orcid.org/0000-0003-0132-2338
Meropi E HelidoniDepartment of Otolaryngology, University of Crete, Crete, Iraklion, GR74100, Greece.
Evangelia I KosmaPsychologist, Private Practice, Napoleontos Zerva 2 & Pirsinella 1, Ioannina, GR45332, Greece.
Louiza VoniatiDepartment of Health Sciences, Speech and Language Therapy, European University, P.O. Box: 22006-1516, Nicosia, Cyprus.ORCID http://orcid.org/0000-0002-3754-2466
Periklis PapadopoulosPhysics Department, University of Ioannina, P.O. Box 1186, GR-45110, Ioannina, Greece.ORCID http://orcid.org/0000-0001-8712-6703
Thomas MurryDepartment of Otolaryngology-Head and Neck Surgery at Loma Linda University, CA 92354, California, USA.
Nafsika ZiavraDepartment of Speech & Language Therapy, University of Ioannina, Ioannina, GR45500, Greece.
George A VelegrakisDepartment of Otolaryngology, University of Crete, Crete, Iraklion, GR74100, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Voice disorders often remain undiagnosed. Many self-perceived questionnaires exist for various medical conditions. Here, we used the Greek Voice Handicap Index (VHI) to address the aforementioned problem. Everyone can fill in the VHI questionnaire and rate their symptoms easily. The innovative feature of this research is the global cut-off score calculated for the VHI. Therefore, the VHI is now capable of helping clinicians establish a more customizable treatment plan with the cut-off point identifying patients without normal phonation. For the purpose of finding the global cut-off point, a group of 180 participants was recruited in Greece (90 non-dysphonic participants and 90 with different types of dysphonia). The voice disordered group had higher VHI scores than those of the control group. In contrast to previous studies, we provided and validated for the first time the cut-off points for all VHI domains and, finally, a global cut-off point through ROC and precision-recall analysis in a voice disordered population. In practice, a score higher than the well-estimated global score indicates (without intervention) a possible voice disorder. Nevertheless, if the score is near the threshold, then the patient should definitely follow preventive measures.

Indexed as

VoiceVoice QualityAdultAgedFemaleHumansMaleMiddle AgedPrognosisReproducibility of ResultsROC CurveSeverity of Illness IndexVoice DisordersYoung Adult

Identifiers

PMID31249329
PMCPMC6597569

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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.