Establishing normative voice-related quality of life scores within the pediatric otolaryngology population

Arch Otolaryngol Head Neck Surg. 2003 Oct;129(10):1090-3. doi: 10.1001/archotol.129.10.1090.

Abstract

Objective: To establish normative values for voice-related quality of life across a broad pediatric otolaryngology population using the Pediatric Voice Outcome Survey (PVOS).

Design: Longitudinal study.

Setting: Multiphysician outpatient pediatric otolaryngology practice.

Methods: The PVOS was completed by 385 parents of children and adolescents aged 2 to 18 years. Of the 385 parents, 75 were readministered the instrument 2 weeks after no intervention had been provided. Data were collected regarding the patients' age, main diagnosis, and operative intervention.

Results: The PVOS demonstrated robust internal consistency with an overall Cronbach alpha value of.70. Test-retest reliability demonstrated a weighted kappa value of 0.89 (95% confidence interval, 0.84-0.95) The mean +/- SD converted score (based on a 0-100 scale) for the overall population was 80.5 +/- 19.9. Converted PVOS scores are provided for each subpopulation according to main diagnosis. The PVOS scores varied significantly according to age (P<.05) and preoperative and postoperative status following adenoidectomy (P<.05).

Conclusion: The PVOS represents a valid and reliable instrument to measure voice-related quality of life in a broad pediatric otolaryngology population.

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Longitudinal Studies
  • Male
  • Otorhinolaryngologic Surgical Procedures*
  • Quality of Life*
  • Reference Values
  • Reproducibility of Results
  • Treatment Outcome
  • Voice Disorders / complications*
  • Voice Disorders / surgery*