Do patients regret having in-office vocal fold injections for glottic insufficiency?

Liu, Alice

Ji, Yunqi

Hu, Amanda

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10.1186_s40463-023-00643-8.pdf 1,34MB

Name

Value

Titel

Do patients regret having in-office vocal fold injections for glottic insufficiency?

Autor/in

Erscheinungsjahr

2023

Publikationstyp

Artikel |

Online veröffentlicht

2023-01-01

Erschienen in

http://lobid.org/resources/99370676162206441#! |

Quellenangabe

52(1)

Copyrightjahr

2023

Lizenz

https://repository.publisso.de/resource/frl:6475383 |

Verlagsversion

https://doi.org/10.1186/s40463-023-00643-8 |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129306/ |

Publikationsstatus

Postprint Verlagsversion |

Begutachtungsstatus

begutachtet (Peer-reviewed) |

Sprache der Publikation

Englisch |

Abstract/Summary

<jats:sec><jats:title>Background</jats:title><jats:p> In-office vocal fold injections (VFI) are an effective treatment for glottic insufficiency. The primary objective of this study was to assess if patients reported decisional regret after VFI. Secondary objectives included determining if variables were associated with lower decisional regret. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Case–control study of patients who underwent in-office VFIs for glottic insufficiency from August 2017 to December 2019 at a tertiary laryngology clinic. Participants completed the validated Decision Regret Scale (DRS). Demographic data, clinician's perceptual analysis with GRBAS (Grade, Roughness, Breathiness, Asthenia, Strain), and patient's self-reported Voice Handicap Index-10 (VHI-10) were analyzed. Nonparametric tests as well as univariate and multiple logistics regression were performed. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Of patients eligible, 75% (136/182) completed the DRS (mean age 65.4 years (SD 13.9), 58.1% male). Eighty-three (61.0%) reported no decisional regret, thirty-three (24.3%) reported mild decisional regret, and twenty (14.7%) reported moderate to strong decisional regret. Improvement in most recent VHI-10 (Kendall correlation coefficient tau = 0.156, p = 0.029), Grade of voice (tau = 0.236, p value = 0.002) and Breathiness of voice (tau = 0.150, p = 0.044) were associated with lower DRS. Multivariate logistics regression results showed that the change in Grade of voice (OR 9.9, p < 0.01), Roughness (OR 0.2, p < 0.01) and Breathiness (OR 0.2, p < 0.03) were significantly associated with DRS. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> The majority of patients had no or mild decisional regret after in-office VFI for glottic insufficiency. Both patients who reported less vocal handicap after VFI and clinician-noted improvements in perceptual evaluation of voice after VFI were associated with significantly lower decisional regret. </jats:p></jats:sec><jats:sec><jats:title>Graphical Abstract</jats:title><jats:p> </jats:p></jats:sec>

Sacherschließung

lokal	Decision regret scale
lokal	Female [MeSH]
lokal	Voice handicap index
lokal	Aged [MeSH]
lokal	Humans [MeSH]
lokal	Vocal fold injections
lokal	Treatment Outcome [MeSH]
lokal	Retrospective Studies [MeSH]
lokal	Vocal fold paralysis
lokal	Vocal Cords [MeSH]
lokal	Male [MeSH]
lokal	Patient reported outcomes
lokal	Larynx [MeSH]
lokal	Case-Control Studies [MeSH]
lokal	Original Research Article
lokal	Injections [MeSH]

Liste der Beteiligten

https://orcid.org/0000-0003-4813-836X|https://frl.publisso.de/adhoc/uri/SmksIFl1bnFp|https://frl.publisso.de/adhoc/uri/SHUsIEFtYW5kYQ==

Hinweis

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