Evidence map›Paper›PMID 33750626›Full record

ArticleJournal of voice : official journal of the Voice Foundation2023

Examining Relationships Between GRBAS Ratings and Acoustic, Aerodynamic and Patient-Reported Voice Measures in Adults With Voice Disorders.

Robert Brinton Fujiki, Susan L Thibeault

Open access · greenAbstract read
In one paragraph

Article in Journal of voice : official journal of the Voice Foundation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 47 citations in OpenAlex.

  1. Factors Influencing Auditory Perception of Masculinity and Naturalness in Transmasculine Voices.Journal of speech, language, and hearing research : JSLHR · 2026
    Article
  2. Predicting Communication-Related Quality of Life in Children With Velopharyngeal Dysfunction.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  3. Article
  4. Auditory-Perceptual Validation of Acoustic Chaos Parameters in Healthy and Dysphonic Voices.Journal of speech, language, and hearing research : JSLHR · 2025
    Article
  5. Instrumental Voice Evaluation in Children: What Are We Getting?American journal of speech-language pathology · 2025
    Observational
  6. Article
  7. Effect of medical mask on voice in patients with dysphonia.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  8. What do the voice-related parameters tell us? The multiparametric index scores, cepstral-based methods, patient-reported outcomes, and durational measurements.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
  9. Relationship Between Auditory-Perceptual and Objective Measures of Resonance in Children with Cleft Palate: Effects of Intelligibility and Dysphonia.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2024
    Observational
  10. Examining Therapy Duration in Adults With Voice Disorders.American journal of speech-language pathology · 2023
    Observational
  11. Article
  12. Pediatric Voice Therapy: How Many Sessions to Discharge?American journal of speech-language pathology · 2022
    Observational
  13. Article
  14. Polish Translation and Validation of the Voice Handicap Index (VHI-30).International journal of environmental research and public health · 2022
    Article
  15. Article
  16. 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

2 authors at 2 institutions in 1 country.

Robert Brinton FujikiDepartment of Surgery, University of Wisconsin Madison, Wisconsin Institutes for Medical Research (WIMR) BLDG. 1485, Madison, Wisconsin.
Susan L ThibeaultDepartment of Surgery, University of Wisconsin Madison, Wisconsin Institutes for Medical Research (WIMR) BLDG. 1485, Madison, Wisconsin. Electronic address: thibeault@surgery.wisc.edu.
University of Wisconsin–Madison · USWisconsin Institutes for Discovery · US

Funding

Engineering the Vocal Fold MucosaR01DC004336 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI Susan Lynn Thibeault · 2000 to 2026
$14.6M
University of Wisconsin Voice Research Training Program (T32)T32DC009401 · NIDCD · UNIVERSITY OF WISCONSIN-MADISON · PI Susan Lynn Thibeault · 2009 to 2026
$6.3M
NIDCD NIH HHS R01 DC004336NIDCD NIH HHS T32 DC009401
6 · The paper itself

Abstract

objectiveTo determine if auditory-perceptual voice ratings performed using the GRBAS scale correlate with acoustic and aerodynamic measures of voice. A secondary aim was to examine the relationship between GRBAS ratings and patient-reported quality of life scales.

methodsGRBAS ratings, acoustic, aerodynamic and patient-reported quality of life ratings were collected from the University of Wisconsin Madison Voice and Swallow Outcomes Database for 508 adults with voice disorders. Acoustic measures included noise to harmonic ratio, jitter%, shimmer%, highest fundamental frequency (F0) of vocal range, lowest F0 of vocal range, maximum phonation time and dysphonia severity index. Aerodynamic measures included phonation threshold pressure, subglottal pressure, mean transglottal airflow and laryngeal airway resistance. Patient-reported quality of life measures included the Vocal Handicap Index (VHI) and Glottal Function Index (GFI).

resultsGRBAS ratings were significantly correlated with several acoustic and aerodynamic measures, VHI and GFI. The strongest significant correlations for acoustic measures were observed between GRBAS ratings of overall voice quality and perturbation measures (jitter% r = 0.58, shimmer% r = 0.45, noise to harmonic ratio r = 0.36, Dysphonia Severity Index r = -0.56). The strongest significant correlation for aerodynamic voice measures was observed between GRBAS ratings of breathiness and transglottal airflow (r = 0.23), subglottal pressure (r = 0.49), and phonation threshold pressure (r = 0.26). GRBAS ratings were also significantly correlated with both VHI and the GFI scales. R values were higher for the VHI, but remained largely in low range for both scales.

conclusionsAlthough GRBAS ratings were significantly correlated with multiple objective voice and patient related quality of life ratings, r values were low. These findings support the need for multiple voice measures when performing voice evaluations as no single voice measure was highly correlated with voice quality as measured by the GRBAS scale.

Indexed as

DysphoniaVoiceVoice DisordersAcousticsAdultHumansPatient Reported Outcome MeasuresQuality of LifeGRBAS–Auditory-perceptual voice assessment–Acoustic–Aerodynamic–Vocal Handicap Index

Identifiers

PMID33750626
PMCPMC8419204
OpenAlexW3135763546

What OpenQuestion holds

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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.