{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T07:48:11Z","timestamp":1789544891542,"version":"build-2803163510"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>1) Evaluate the prevalence and quality\u2010of\u2010life impact of voice and swallowing problems in the elderly; 2) determine treatment trends and barriers to treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Cross\u2010sectional study of independent\u2010living residents in two retirement communities. Prevalence of dysphonia and dysphagia, voice\u2010related quality of life (VRQOL), 7\u2010point Likert scale of dysphagia severity, Center for Epidemiologic Studies Depression (CES\u2010D) scale, and barriers to treatment were collected. Spearman correlation and ANOVA statistics were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>A total of 248 residents responded with a mean age of 82.4 years; 19.8 percent had dysphonia, 13.7 percent dysphagia, and 6 percent both. Respondents with more severe swallowing difficulty had greater impairment on the VRQOL (<jats:italic>P<\/jats:italic> = 0.04, Spearman correlation = \u22120.4). Respondents with both dysphonia and dysphagia had greater depression scores than those with neither symptom (mean CES\u2010D score 15.5 vs 9.9, <jats:italic>P<\/jats:italic> = 0.009, ANOVA, <jats:italic>P<\/jats:italic> &lt; 0.05, Bonferroni <jats:italic>t<\/jats:italic> test). Only 22.4 percent and 20.6 percent had sought treatment for dysphonia and dysphagia, respectively. Being unaware of treatment options and viewing voice and swallowing trouble as a normal part of aging were the most common reasons for not seeking treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Voice and swallowing problems are common in the elderly, but they are not realizing potential treatment benefits.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2008.10.010","type":"journal-article","created":{"date-parts":[[2009,1,7]],"date-time":"2009-01-07T08:42:15Z","timestamp":1231317735000},"page":"33-36","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":175,"title":["Impact of voice and swallowing problems in the elderly"],"prefix":"10.1002","volume":"140","author":[{"given":"Richard","family":"Turley","sequence":"first","affiliation":[{"name":"Duke Voice Care Center Duke University Medical Center Division of Otolaryngology\u2010Head and Neck Surgery Durham NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth","family":"Cohen","sequence":"additional","affiliation":[{"name":"Duke Voice Care Center Duke University Medical Center Division of Otolaryngology\u2010Head and Neck Surgery Durham NC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,1]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00915.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180306da1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000179174.32345.41"},{"key":"e_1_2_6_5_1","article-title":"Prevalence of perceived dysphagia and quality\u2010of\u2010life impairment in a geriatric population.","author":"Chen P","year":"2008","journal-title":"Dysphagia"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940711601112"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.300.6726.721"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-004-0013-6"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2008.03664.x"},{"key":"e_1_2_6_10_1","first-page":"15","article-title":"Dysphagia: causes, assessment, treatment, and management.","volume":"63","author":"White GN","year":"2008","journal-title":"Geriatrics"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-001-0113-5"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2007.02.060045"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02493526"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(99)80010-1"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_2_6_16_1","first-page":"870","article-title":"The development and validation of a dysphagia\u2010specific quality of life questionnaire for patients with head and neck cancer: the M.D. Anderson dysphagia inventory.","volume":"127","author":"Chen AY","year":"2001","journal-title":"Arch Otolaryngol Head Neck Surg"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2008.10.010","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2008.10.010","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2008.10.010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:31:45Z","timestamp":1760952705000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2008.10.010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,1]]}},"alternative-id":["10.1016\/j.otohns.2008.10.010"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2008.10.010","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,1]]},"assertion":[{"value":"2008-08-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2009-01-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}