Summary
Purpose
To explore long-term patient experience of treated and untreated presbylarynges patients
two or more years after their previous clinic visit by their responses to a probe
about the changes in voice (better, stable, or worse) and standardized rating scales
either by phone or from clinic records. Congruences of rating differences between
visits and probe responses were assessed.
Methods
Thirty-seven participated prospectively and seven retrospectively. Better, stable,
or worse probe responses and treatment follow-through were obtained. Self-rating scales,
completed verbally or obtained from charts, were compared to the previous visit so
differences between visits could be converted to be congruent with probe responses.
Results
After a mean of 4.6 years, 44% (63% untreated) reported stable, 36% (38% untreated)
worse, and 20% (89% untreated) better. Significantly greater proportions of untreated
reported better/stable probe responses while treated reported worse (χ2; P = 0.038). Significantly better means for all ratings were found at follow-up for
those with better probe responses, but mean ratings were not significantly worse for
those with worse probe response. No significant congruences of rating differences
between visits and probe responses were found. In untreated reporting stable probe
response, a significantly greater proportion of those with previous clinic ratings
within normal limits (WNL) maintained ratings WNL at follow-up (z-statistic; P = 0.0007).
Conclusions
Ratings WNL at the initial evaluation, especially voice-related quality of life and
effort, were found to still be WNL after several years. Little congruence was found
between rating differences and probe responses, especially for worse, suggesting need
for developing more sensitive rating scales.
Key Words
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Article info
Publication history
Published online: March 06, 2023
Accepted:
January 24,
2023
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Voice Foundation. Published by Elsevier Inc. All rights reserved.
