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Voice handicap index: cut-off points for screening european portuguese with voice disorders

2023-10-06Journal article Restricted access
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dc.contributor.authorGuimarães, Isabel
dc.contributor.authorTorrejano, Gabriela
dc.contributor.authorAires, Raquel
dc.contributor.authorCaetano, Mariana
dc.contributor.authorFernandes, António
dc.contributor.authorMartins, Paulo
dc.contributor.authorLuís, Leonor
dc.date.accessioned2025-02-18T12:02:12Z
dc.date.available2025-02-18T12:02:12Z
dc.date.issued2023-10-06
dc.description.abstractSummary: Objectives. To determine cut-off values of the Voice Handicap Index (VHI) and the shortened version (VHI-10) for European Portuguese (EP) with voice disorders. In addition, to analyze the discriminatory power of individual items of the VHI-10 and the ability to detect differences in various Ear Nose and Throat (ENT) diagnoses. Study Design. Cross-sectional cohort study. Methods. All participants completed the EP VHI and a 4-point self-assessment of voice disorder severity. The case group (subjects with voice disorders) underwent assessment through strobovideolaryngoscopy examinations by ENT surgeons and perceptual analyses by speech-language pathologists (SLPs). In contrast, the control group was evaluated solely by SLPs. Data were analyzed using a receiver-operating characteristic curve to determine the accuracy and cut-off values of the VHI and VHI-10. Results. The study involved a sample of 350 adults (171 cases and 179 controls), predominantly women aged 18–88 years. The area under curve (AUC) for VHI and VHI-10 was 0.997 [95% confidence interval (CI): 0. 992–1] and 0.998 [95% CI: 0.995–0.999], respectively. Optimal cut-off values were identified as 13.5 for VHI (0. 994 sensitivity and 0.989 specificity) and 5.5 for VHI-10 (0.977 sensitivity and 0.955 specificity). Each individual item within the VHI-10 significantly contributed to the overall assessment, exhibiting varying discriminatory power ranging from excellent (AUC = 0.937) to poor (AUC = 0.637). Significant differences were found in the case group between neurogenic disorders and healthy larynx (P = 0.014), structural and physiologic minor laryngeal abnormalities (P = 0.006), and inflammatory disorders (P = 0.043). Conclusions. The VHI and the VHI-10 exhibited accurate screening properties for predicting EP speakers with voice disorders.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doihttps://www.sciencedirect.com/science/article/pii/S0892199723002655?via%3Dihubpt_PT
dc.identifier.issn0892-1997
dc.identifier.urihttp://hdl.handle.net/10400.26/54443
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectVoice handicap indexpt_PT
dc.subjectVoice handicap index-10pt_PT
dc.subjectDysphoniapt_PT
dc.subjectSelf-reported questionnairespt_PT
dc.subjectReceiver-operating characteristicpt_PT
dc.titleVoice handicap index: cut-off points for screening european portuguese with voice disorderspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleJournal of voicept_PT
person.familyNameGuimarães
person.familyNameTorrejano
person.givenNameIsabel
person.givenNameGabriela
person.identifier548796
person.identifier.ciencia-idF014-BFD6-49C2
person.identifier.orcid0000-0001-8524-8731
person.identifier.orcid0000-0002-8187-9867
person.identifier.scopus-author-id24586862700
person.identifier.scopus-author-id23111350300
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationdc9a77a2-eecf-4d30-88fa-4200275eccf5
relation.isAuthorOfPublicationf1446078-b5c0-40b3-89e0-3be9e888fda1
relation.isAuthorOfPublication.latestForDiscoverydc9a77a2-eecf-4d30-88fa-4200275eccf5

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