Quality‐of‐Life Metrics Correlate With Disease Severity in Idiopathic Subglottic Stenosis

Naunheim, Matthew R.; Paddle, Paul; Husain, Inna; Wangchalabovorn, Patcharamanee; Rosario, David Charles; Franco, Ramon A.

doi:10.1002/lary.26930

Cited by 31 publications

(43 citation statements)

References 22 publications

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“…Otolaryngology, which tends to see a large percentage of quality-of-life complaints particularly suited to patient-centric assessment, has likewise had an explosion of PROMs across many different subspecialties and topics, including voice. 8,9,[25][26][27][28][29][30][31][32][33][34] The intention of these patient-centric measures is to capture the patient experience; however, the implementation of these measures remains burdensome for most otolaryngologists and patients. Therefore, considerations prior to using PROMs should include logistical concerns (eg, how to comprehensively capture, record, and store data;…”

Section: Resultsmentioning

confidence: 99%

“…These may be general measures of quality of life (eg, SF‐36 and EQ‐5D), disease‐specific measures of utility, or other disease‐specific measure designed to capture quality of life or disability. Otolaryngology, which tends to see a large percentage of quality‐of‐life complaints particularly suited to patient‐centric assessment, has likewise had an explosion of PROMs across many different subspecialties and topics, including voice …”

Section: Discussionmentioning

confidence: 99%

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A visual analog scale for patient‐reported voice outcomes: The VAS voice

Naunheim

Dai

Rubinstein

et al. 2019

Laryngoscope Investig Oto

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Objectives Although patient‐reported outcome measures (PROMs) can be useful for assessing quality of life, they can be complex and cognitively burdensome. In this study, we prospectively evaluated a simple patient‐reported voice assessment measure on a visual analog scale (VAS voice) and compared it with the Voice Handicap Index (VHI‐10). Study design Prospective survey. Methods An abbreviated voice measure was designed by a team of otolaryngologists, speech pathologists, and patients that consisted of four VAS questions related to (a) a global question of voice disturbance, (b) physical function of voice, (c) functional issues, and (d) emotional handicap. All English‐speaking patients presenting to an academic laryngology clinic for a voice complaint were included. Internal consistency and validity were assessed with comparison to the VHI‐10. Results A total of 209 patients were enrolled. Ninety‐two percent of patients reported understanding the survey. The four‐item VAS survey was highly correlated with VHI‐10 score (Pearson correlation .81, P < .0001), and the Cronbach's alpha between all four VAS questions was .94. Age, gender, and diagnosis were not associated with either the global VAS or VHI‐10 tool. Conclusion Reducing the complexity of instruments assessing voice‐related quality of life is feasible, and the VAS voice correlated with existing measures. Simplified assessments may offer advantages compared to more cumbersome PROMs. Level of Evidence 2c

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A visual analog scale for patient‐reported voice outcomes: The VAS voice

Naunheim

Dai

Rubinstein

et al. 2019

Laryngoscope Investig Oto

Self Cite

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“…Laryngotracheal stenosis (LTS) denotes a fixed extrapulmonary airway narrowing that can have a significant impact on quality of life, ventilation, and phonation. 8 LTS can occur after endotracheal intubation (termed iatrogenic), although it can also arise in the setting of vasculitis or without antecedent event (termed idiopathic). 9 Of these, iatrogenic LTS obtained after prolonged intubation in intensive care units (ICU) represents the majority of LTS cases.…”

Section: Introductionmentioning

confidence: 99%

The impact of social determinants of health on laryngotracheal stenosis development and outcomes

et al. 2019

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Objectives The social determinants of health affect a wide range of health outcomes and risks. To date, there have been no studies evaluating the impact of social determinants of health on laryngotracheal stenosis (LTS). We sought to describe the social determinants in a cohort of LTS patients and explore their association with treatment outcome. Methods Subjects diagnosed with LTS undergoing surgical procedures between 2013 and 2018 were identified. Matched controls were identified from intensive care unit (ICU) patients who underwent intubation for greater than 24 hours. Medical comorbidities, stenosis characteristics, and patient demographics were abstracted from the clinical record. Tracheostomy at last follow‐up was recorded from the medical record and phone calls. Socioeconomic data was obtained from the American Community Survey. Results One hundred twenty‐two cases met inclusion criteria. Cases had significantly lower education compared to Tennessee (P = .009) but similar education rates as ICU controls. Cases had significantly higher body mass index (odds ratio [OR]: 1.04, P = .035), duration of intubation (OR: 1.21, P < .001), and tobacco use (OR: 1.21, P = .006) in adjusted analysis when compared to controls. Tracheostomy dependence within the case cohort was significantly associated with public insurance (OR: 1.33, P = .016) and chronic obstructive pulmonary disease (OR: 1.34, P = .018) in adjusted analysis. Conclusion Intubation practices, medical comorbidities and social determinants of health may influence the development of LTS and tracheostomy dependence after treatment. Identification of at‐risk populations in ICUs may allow for prevention of tracheostomy dependence through the use of early tracheostomy and specialized follow‐up. Level of Evidence Level 3, retrospective review comparing cases and controls Laryngoscope, 130:1000–1006, 2020

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“…We record the best value for the peak expiratory flow (PEF), peak inspiratory flow (PIF), and peak expiratory flow percentage (PEF%). The PEF% is a normalized value contingent on sex, age, weight, and height and has been shown to correlate with quality of life (QOL) . The digital handheld spirometry allows us to track the patient's degree of obstruction.…”

Section: Methodsmentioning

confidence: 99%

“…The PEF% is a normalized value contingent on sex, age, weight, and height and has been shown to correlate with quality of life (QOL). 4 The digital handheld spirometry allows us to track the patient's degree of obstruction. The PEF% along with QOL instruments allow us to determine the severity of disease and necessity for SILSI.…”

Section: Patient Assessmentmentioning

confidence: 99%