title: Comparison of the Pediatric Voice Handicap Index with perceptual voice analysis in pediatric patients with vocal fold lesions.
abstract: OBJECTIVE
  To compare a subjective patient/family-derived voice handicap survey with an expert observer-derived method of evaluating voice disturbance in pediatric patients with vocal fold lesions (VFLs).
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  Tertiary care referral center.
  
  
  METHODS
  Thirty-eight children with VFLs referred for voice evaluation.
  
  
  METHODS
  Pediatric Voice Handicap Index (pVHI) scores and Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) scores. Percentages for CAPE-V (100-point scale) and pVHI (92-point scale) were calculated for direct comparisons. Relationships between pVHI scores and CAPE-V scores were investigated using the Spearman rank correlation.
  
  
  RESULTS
  Thirty-eight patients with VFLs (median age, 8.3 years; age range, 4.2-17.2 years; 63% males) were included from a database of more than 600 children and evaluated between November 15, 2005, and June 15, 2010. The median CAPE-V overall score was 30.3 (range, 1-67), and the normalized total pVHI score was 29.3 (range, 0-73) (P = .90). The Spearman rank correlation showed significant fair correlations between CAPE-V overall and functional pVHI and between CAPE-V strain and breathiness, and the pVHI total, functional, but none higher than ρ = 0.44 (P ≤ .03). The correlation was higher in males for CAPE-V loudness to total pVHI (ρ = 0.40, P = .04) and in females for CAPE-V breathiness (ρ = 0.58, P = .03) and strain (ρ = 0.55, P = .04) to total pVHI.
  
  
  CONCLUSIONS
  The CAPE-V and the pVHI are useful tools in the measurement of voice outcomes in children with VFLs. There are fair correlations between the CAPE-V and the pVHI, and they likely evaluate important yet different aspects of voice disturbance. Significant gender differences in these correlations should be further evaluated in future studies.
authors.affiliation: Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA.
authors.forename: Kaalan
authors.initials: K
authors.lastname: Johnson
authors.forename: Susan Baker
authors.initials: SB
authors.lastname: Brehm
authors.forename: Barbara
authors.initials: B
authors.lastname: Weinrich
authors.forename: Jareen
authors.initials: J
authors.lastname: Meinzen-Derr
authors.forename: Alessandro
authors.initials: A
authors.lastname: de Alarcon
mesh_terms: D000046:Academic Medical Centers; D000293:Adolescent; D001249:Asthma / Q000150:complications; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D055154:Dysphonia / Q000175:diagnosis*; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis*; D008297:Male; D012189:Retrospective Studies; D013018:Sound Spectrography; D013223:Statistics as Topic; D014833:Voice Quality