Evidence map›Paper›PMID 34667852›Full record

ArticleLaryngoscope investigative otolaryngology2021

Post-treatment clinical course following botulinum toxin injection therapy for adductor spasmodic dysphonia: Analysis of data from a placebo-controlled, randomized, double-blinded clinical trial in Japan.

Kahori Hirose, Kento Asano, Masahiko Sakaguchi, Asuka Nagao, Maya Nakahira, Nao Doi, Taisuke Kobayashi, Masamitsu Hyodo

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Kahori HiroseDepartment of Otolaryngology-Head and Neck Surgery Kochi Medical School Nankoku Kochi Japan.
Kento AsanoIntegrated Center for Advanced Medical Technologies, Kochi Medical School Hospital Nankoku Kochi Japan.
Masahiko SakaguchiIntegrated Center for Advanced Medical Technologies, Kochi Medical School Hospital Nankoku Kochi Japan.
Asuka NagaoDepartment of Otolaryngology-Head and Neck Surgery Kochi Medical School Nankoku Kochi Japan.
Maya NakahiraRehabilitation Department Kochi Medical School Hospital Nankoku Kochi Japan.
Nao DoiRehabilitation Department Kochi Medical School Hospital Nankoku Kochi Japan.
Taisuke KobayashiDepartment of Otolaryngology-Head and Neck Surgery Kochi Medical School Nankoku Kochi Japan.ORCID https://orcid.org/0000-0003-3122-0041
Masamitsu HyodoDepartment of Otolaryngology-Head and Neck Surgery Kochi Medical School Nankoku Kochi Japan.ORCID https://orcid.org/0000-0001-9144-3242
Kochi Medical School Hospital · JPOsaka Electro-Communication University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBotulinum toxin (BT) therapy is a first-line treatment for spasmodic dysphonia (SD). However, a detailed chronological course and clinical factors that affect the therapeutic effect have been vague. In this study, we analyzed the data from our placebo-controlled, randomized, double-blinded parallel-group comparison/open-label clinical trial of BT (Botox) to clarify these.

methodsA total of 22 patients with abductor SD (ADSD) were enrolled. The female-to-male ratio was 20:2 with a mean age of 40.0 ± 10.3 years and a median duration of symptoms of 7.5 years. The therapeutic effect was evaluated based on the change in the number of aberrant morae (phonemes), GRBAS scale, Voice Handicap Index (VHI), and Visual Analogue Scale (VAS).

resultsThe change in the number of aberrant morae peaked at 2 weeks and lasted for 12 weeks in the BT group with significance (

conclusionsBT therapy was effective for ADSD based on both objective and subjective assessments. Improvements in subjective parameters were delayed compared to objective measures due to post-treatment breathy hoarseness. However, this adverse event was believed to reflect the treatment effect. LEVEL OF EVIDENCE: 1b.

Indexed as

aberrant moraadductor spasmodic dysphoniabotulinum toxindouble‐blinded clinical trialvoice handicap index

Identifiers

PMID34667852
PMCPMC8513418
OpenAlexW3201660217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.