Evidence map›Paper›PMID 32909443›Full record

ArticleThe Annals of otology, rhinology, and laryngology2021

Patient-Reported Factors Associated with the Onset of Hyperfunctional Voice Disorders.

Samantha Kridgen, Robert E Hillman, Tara Stadelman-Cohen, Steven Zeitels, James A Burns, Tiffiny Hron, Carol Krusemark, Jason Muise, Jarrad H Van Stan

Open access · greenAbstract read
In one paragraph

Article in The Annals of otology, rhinology, and laryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

22 citing papers in PubMed, 32 citations in OpenAlex.

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  7. Relationships Between Aerodynamics and Voice Symptoms in Primary Muscle Tension Dysphonia.Journal of voice : official journal of the Voice Foundation · 2025
    Article
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  10. Scale for the assessment of mucosal wave dynamics of the free edges during stroboscopic examination: clinical validation study and analysis of results.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 · 2024
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  17. Integrative Review and Framework of Suggested Mechanisms in Primary Muscle Tension Dysphonia.Journal of speech, language, and hearing research : JSLHR · 2022
    Review
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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 at 2 institutions in 1 country.

Samantha KridgenCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
Robert E HillmanCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
Tara Stadelman-CohenCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
Steven ZeitelsCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
James A BurnsCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
Tiffiny HronCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
Carol KrusemarkCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
Jason MuiseCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
Jarrad H Van StanCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0001-8932-3276
Harvard University · USMGH Institute of Health Professions · US

Funding

Use of ambulatory biofeedback to improve behavioral treatment of vocal hyperfunctionP50DC015446 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI Jarrad Van Stan · 2017 to 2026
$25.5M
Ambulatory monitoring of vocal function to improve voice disorder assessmentR33DC011588 · NIDCD · MASSACHUSETTS GENERAL HOSPITAL · PI HILLMAN, ROBERT E · 2012 to 2015
$2.3M
NIDCD NIH HHS P50 DC015446NIDCD NIH HHS R33 DC011588
6 · The paper itself

Abstract

objectivesPrevention, diagnosis, and treatment of hyperfunctional voice disorders would be improved by better understanding their etiological contributing factors. Therefore, this study estimated the prevalence of etiological factors using self-reported data about disorder onset from a large cohort of patients with Phonotraumatic Vocal Hyperfunction (PVH) and Non-Phonotraumatic Vocal Hyperfunction (NPVH).

methodsRetrospective chart review extracted the self-reported rate (gradual, sudden) and events associated (voice use, anxiety/stress, upper respiratory infection [URI]) with disorder onset from 1,577 patients with PVH and 979 patients with NPVH.

resultsBoth patient groups reported a gradual onset more than a sudden onset. Voice use was the most frequently reported event for PVH and the NPVH group self-reported all three events at equal frequency. The largest PVH subgroups were associated with voice use while the NPVH subgroups were associated with only voice use, only URI, or only anxiety/stress.

conclusionThe results support the general clinical view that PVH is most strongly related to the gradual accumulated effects of phonotrauma, while NPVH has a more heterogeneous etiology. The identified PVH and NPVH subgroups may have clinical relevance and future work could investigate differences in treatment and outcomes among these subgroups.

Indexed as

Voice DisordersCausalityFemaleHumansMaleMedical History TakingMiddle AgedOccupational InjuriesPatient Reported Outcome MeasuresRespiratory Tract InfectionsRetrospective StudiesRisk FactorsStress, PsychologicalVocal CordsVoice Qualitymuscle tension dysphoniavocal fold nodulesvocal hyperfunctionvoice disorders

Identifiers

PMID32909443
PMCPMC7940573
OpenAlexW3085320168

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.