Evidence map›Paper›PMID 31763701›Full record

ArticleThe Laryngoscope2020

Prevalence, incidence, and characteristics of dysphagia in those with unilateral vocal fold paralysis.

Benjamin Schiedermayer, Katherine A Kendall, Maya Stevens, Zhining Ou, Angela P Presson, Julie M Barkmeier-Kraemer

Open access · greenAbstract read
In one paragraph

Article in The Laryngoscope, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Diagnostic accuracy of the gugging swallowing screen (GUSS) in detecting aspiration and dysphagia in patients with unilateral vocal fold paralysis.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 · 2025
    Article
  5. Prognosis of Dysphagia in Pediatric Patients With Vocal Fold Immobility.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  6. A Comprehensive Review of Diagnostic Approaches to Vocal Fold Paralysis Using Artificial Intelligence.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  7. Article
  8. Augmentation laryngoplasty: Results and decision plan.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  9. Medialisation laryngoplasty with bone wax in a sheep model.The Journal of laryngology and otology · 2023
    Article
  10. Article
  11. Review
  12. Injection Laryngoplasty on Cough Strength and Swallowing Safety in Treating Glottal Insufficiency.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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

6 authors at 1 institution in 1 country.

Benjamin SchiedermayerDepartment of Surgery, Division of Otolaryngology, University of Utah, Salt Lake City, Utah.ORCID 0000-0002-0085-2786
Katherine A KendallDepartment of Surgery, Division of Otolaryngology, University of Utah, Salt Lake City, Utah.ORCID 0000-0002-9147-6324
Maya StevensDepartment of Communication Sciences and Disorders, University of Utah, Salt Lake City, Utah.
Zhining OuDepartment of Internal Medicine, Division of Epidemiology, University of Utah, Salt Lake City, Utah.
Angela P PressonDepartment of Internal Medicine, Division of Epidemiology, University of Utah, Salt Lake City, Utah.ORCID 0000-0001-7400-3923
Julie M Barkmeier-KraemerDepartment of Surgery, Division of Otolaryngology, University of Utah, Salt Lake City, Utah.ORCID 0000-0002-5037-3070
University of Utah · US

Funding

Vascular Connective Tissues as a Factor in onset of Idiopathic Vocal Fold ParalysisR01DC011311 · NIDCD · UNIVERSITY OF UTAH · PI BARKMEIER-KRAEMER, JULIE M, VANDE GEEST, JONATHAN PIETER · 2012 to 2023
$5.2M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
NCATS NIH HHS UL1 TR000105NIDCD NIH HHS R01 DC011311
6 · The paper itself

Abstract

objectives/hypothesisThe purpose of this study was to investigate the impact of dysphagia definition on the incidence and overall prevalence of dysphagia in patients with unilateral vocal fold paralysis (UVP) stratified by etiology. STUDY

designRetrospective medical chart review.

methodsData was collected from the records of individuals diagnosed with UVP from 2013 to 2018, including patient demographics, dysphagia questionnaire total scores, clinical evaluation dysphagia symptoms, and instrumental swallow assessment outcomes. The annual incidence and overall prevalence of dysphagia were calculated by etiology as counts and percentages across five operational definitions of dysphagia.

resultsA total of 415 individuals met inclusion criteria for the study. Annual prevalence estimates ranged from 19% to 55%, depending on the definition of dysphagia used. The highest prevalence of dysphagia occurred when defined by symptoms or signs identified by the clinician (55%). The lowest prevalence of dysphagia occurred using a definition of abnormal swallowing function documented during instrumental assessment (19%). Dysphagia questionnaire scores were more frequently abnormal in those with iatrogenic than idiopathic etiology of UVP (adjusted P = 0.014). Rate of instrumental assessment and documentation of aspiration was highest for central UVP etiology (33%). On average, pneumonia was rare (6%) irrespective of UVP etiology.

conclusionUp to 55% of patients diagnosed with UVP complained of dysphagia, but only 21% had dysphagia symptoms severe enough to prompt instrumental assessment. Incidence and severity of dysphagia varied depending on UVP etiologic category as well as dysphagia definition. The etiology of UVP may impact dysphagia risk and severity in this population and warrants further investigation. LEVEL OF EVIDENCE: IV Laryngoscope, 130:2397-2404, 2020.

Indexed as

AdultAgedAged, 80 and overDeglutition DisordersFemaleHumansIncidenceMaleMiddle AgedPrevalenceRetrospective StudiesSurveys and QuestionnairesUtahVocal Cord ParalysisdysphagiaincidenceprevalenceswallowingUnilateral vocal fold paralysisvoice

Identifiers

PMID31763701
PMCPMC7948392
OpenAlexW2989598791

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.