The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Prevalence and causes of dysphonia in a large treatment‐seeking population
Abstract
Objectives/Hypothesis: To determine the prevalence and common causes of dysphonia as diagnosed by primary care physicians (PCPs) and otolaryngologists and to evaluate differences in etiologies offered by these providers. Study Design: Retrospective analysis of data from a large, nationally representative administrative U.S. claims database. Methods: Patients were identified as dysphonic based on International Classification of Diseases, Ninth Revision, Clinical Modification codes from January 1, 2004, to December 31, 2008. Data regarding age, sex, geographic location, and type of physician providing the dysphonia diagnosis were collected. Overall and age‐related prevalence rates, as well as frequency of specific etiologies by provider type, were calculated. Results: Of the almost 55 million individuals in the database, 536,943 patients (ages 0 to >65 years) were given a dysphonia diagnosis (point prevalence rate of 0.98%). The prevalence rate was higher among females as compared to males (1.2% vs. 0.7%) and among those >70 years of age (2.5%). The most frequent diagnoses overall were acute laryngitis, nonspecific dysphonia, benign vocal fold lesions, and chronic laryngitis. PCPs more commonly diagnosed acute laryngitis, whereas otolaryngologists more commonly diagnosed nonspecific dysphonia and laryngeal pathology. Gastroesophageal reflux was more commonly diagnosed as a comorbid condition by otolaryngologists than by PCPs. Overall laryngeal cancer prevalence in this treatment‐seeking population was 2.2% and was greatest among males >70 years of age. Conclusions: This analysis of insurance claims data from a nationally representative database represents the largest study of its kind. Important differences in dysphonia prevalence related to age, sex, diagnosis, and physician type were identified. Laryngoscope, 122:343–348, 2012
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Cites
Gender differences in the utilization of health care services.
Bertakis, K. D., Azari, R. S., Helms, L., Callahan, E. J., & Robbins, J. A. (2000) · PubMed · Cited by 1,464
Voice Disorders in the General Population: Prevalence, Risk Factors, and Occupational Impact
Roy, N., Merrill, R. M., Gray, S. D., & Smith, E. M. (2005) · The Laryngoscope · doi:10.1097/01.mlg.0000179174.32345.41 · Cited by 847
Self-citationRoy, N., Merrill, R. M., Thibeault, S., Gray, S. D., & Smith, E. M. (2004) · Journal of Speech, Language, and Hearing Research · doi:10.1044/1092-4388(2004/042 · Cited by 439
Self-citationEpidemiology of Voice Disorders in the Elderly: Preliminary Findings
Roy, N., Stemple, J., Merrill, R. M., & Thomas, L. (2007) · The Laryngoscope · doi:10.1097/mlg.0b013e3180306da1 · Cited by 285
Self-citationThe Prevalence of Childhood Dysphonia: A Cross-Sectional Study
Carding, P. N., Roulstone, S., Northstone, K., & ALSPAC Study Team (2006) · Journal of Voice · doi:10.1016/j.jvoice.2005.07.004 · Cited by 266
Current and Emerging Concepts in Muscle Tension Dysphonia: A 30-Month Review
Altman, K. W., Atkinson, C., & Lazarus, C. (2005) · Journal of Voice · doi:10.1016/j.jvoice.2004.03.007 · Cited by 262
Quality-of-Life Impact of Non-Neoplastic Voice Disorders: A Meta-Analysis
Cohen, S. M., Dupont, W. D., & Courey, M. S. (2006) · Annals of Otology, Rhinology & Laryngology · doi:10.1177/000348940611500209 · Cited by 258
Self-citationShifts in Relative Prevalence of Laryngeal Pathology in a Treatment-Seeking Population
Coyle, S. M., Weinrich, B. D., & Stemple, J. C. (2001) · Journal of Voice · doi:10.1016/s0892-1997(01)00043-1 · Cited by 210
Impact of voice and swallowing problems in the elderly
Turley, R., & Cohen, S. (2009) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2008.10.010 · Cited by 210
Self-citationThe prevalence of laryngeal pathology in a treatment‐seeking population with dysphonia
Van Houtte, E., Van Lierde, K., D'Haeseleer, E., & Claeys, S. (2010) · The Laryngoscope · doi:10.1002/lary.20696 · Cited by 206
Cited by
Haugen, B. R., Alexander, E. K., Bible, K. C., Doherty, G. M., Mandel, S. J., Nikiforov, Y. E., Pacini, F., Randolph, G. W., Sawka, A. M., Schlumberger, M., et al. (2016) · Thyroid® · doi:10.1089/thy.2015.0020 · Cited by 16,535
Ringel, M. D., Sosa, J. A., Baloch, Z., Bischoff, L., Bloom, G., Brent, G. A., Brock, P. L., Chou, R., Flavell, R. R., Goldner, W., et al. (2025) · Thyroid® · doi:10.1177/10507256251363120 · Cited by 710
Clinical Practice Guideline: Hoarseness (Dysphonia) (Update)
Stachler, R. J., Francis, D. O., Schwartz, S. R., Damask, C. C., Digoy, G. P., Krouse, H. J., McCoy, S. J., Ouellette, D. R., Patel, R. R., Reavis, C. (. W., et al. (2018) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599817751030 · Cited by 368
The prevalence of voice problems among adults in the United States
Bhattacharyya, N. (2014) · The Laryngoscope · doi:10.1002/lary.24740 · Cited by 318
Hu, H.-C., Chang, S.-Y., Wang, C.-H., Li, K.-J., Cho, H.-Y., Chen, Y.-T., Lu, C.-J., Tsai, T.-P., & Lee, O. K.-S. (2021) · Journal of Medical Internet Research · doi:10.2196/25247 · Cited by 82
Metadata
- Authors
- Cohen, S. M., Kim, J., Roy, N., Asche, C., & Courey, M.
- Venue
- The Laryngoscope
- Publisher
- Wiley
- Published
- 2012-01-23
- Volume
- 122
- Issue
- 2
- Pages
- 343-348
- ISSN
- 0023-852X (ISSN-L)
- 1531-4995
- OpenAlex
- W2003565503
- Cited by
- 314
- References
- 15
- FWCI
- 10.94
- Type
- journal article
- Language
- en
- Open access
- closed
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