{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:39:13Z","timestamp":1777426753397,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:00:00Z","timestamp":1548288000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>An aging population has increased focus on geriatric otolaryngology. Those \u226565 years old are not a uniform population, however, and recent gerontology literature recognizes important physiologic differences between the young-old (ages 65-74 years), middle-old (75-84), and old-old (\u226585). This study evaluates differences within these groups among dysphonia patients \u226565 years relative to diagnosis and voice-related quality of life (V-RQOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Chart review of all new patients \u226565 years presenting to the Johns Hopkins Voice Center between April 2015 and March 2017 identified chief complaint, diagnosis, and self-reported voice handicap. Etiology of dysphonia diagnoses were classified. Diagnostic categories and V-RQOL were evaluated as functions of patient age and gender.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 839 new patients \u226565 years, 463 (55.2%) reported chief complaint of dysphonia, with the most common etiologies being vocal fold immobility (28.3%) and atrophy (21.6%). Younger cohorts were more likely to present with benign vocal fold lesion and vocal fold immobility, while older cohorts were more likely to present with atrophy ( P = .016). The odds of having a diagnosis of vocal fold atrophy increased 7% with each year of life (odds ratio = 1.07; 95% CI, 1.03-1.11). V-RQOL scores were similar across gender and age categorization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Dysphonia patients \u226565 years are not a uniform group, and important differences exist in terms of diagnosis as a function of age. Knowledge of these differences may inform further investigations in the growing field of geriatric otolaryngology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489419826133","type":"journal-article","created":{"date-parts":[[2019,1,25]],"date-time":"2019-01-25T01:11:29Z","timestamp":1548378689000},"page":"384-390","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Geriatric Dysphonia: Characteristics of Diagnoses in Age-Based Cohorts in a Tertiary Voice Clinic"],"prefix":"10.1177","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6732-7417","authenticated-orcid":false,"given":"Jeremy","family":"Applebaum","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aisha","family":"Harun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander T.","family":"Hillel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8699-033X","authenticated-orcid":false,"given":"Simon R. A.","family":"Best","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee M.","family":"Akst","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,24]]},"reference":[{"key":"bibr1-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000179174.32345.41"},{"key":"bibr2-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24740"},{"key":"bibr3-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21058"},{"key":"bibr4-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23189"},{"key":"bibr5-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1177\/000348940611500209"},{"key":"bibr6-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180306da1"},{"key":"bibr7-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00915.x"},{"key":"bibr8-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.10.010"},{"key":"bibr9-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000098"},{"key":"bibr10-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2012.08.015"},{"key":"bibr11-0003489419826133","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1219686110"},{"key":"bibr12-0003489419826133","unstructured":"Fueled by aging baby boomers, nation\u2019s older population to nearly double in the next 20 years. https:\/\/www.census.gov\/newsroom\/press-releases\/2014\/cb14-84.html. 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