Vocal Hygiene Education Program Reduces Surgical Interventions for Benign Vocal Fold Lesions: A Randomized Controlled Trial

Makoto Hosoya, Rika Kobayashi, Toyota Ishii, Masamitsu Senarita, Hiroyuki Kuroda, Hayato Misawa, Fujinobu Tanaka, Tetsuya Takiguchi, Masatsugu Tashiro, Sawako Masuda, Sho Hashimoto, Fumiyuki Goto, Shujiro Minami, Nobuko Yamamoto, Ryoto Nagai, Akiko Sayama, Takeshi Wakabayashi, Keitaro Toshikuni, Rumi Ueha, Yoko FujimakiMihiro Takazawa, Sotaro Sekimoto, Kenji Itoh, Takaharu Nito, Akiko Kada, Koichi Tsunoda

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives/Hypothesis: Vocal fold polyps and nodules are common benign laryngeal lesions. Currently, the Japanese health insurance system covers surgical interventions. However, the establishment of more cost-effective conservative methods is required, because healthcare costs are viewed as a major concern, and the government and taxpayers are demanding more economical, effective treatments. In this situation, more suitable vocal hygiene education may be important for the success of cost-effective conservative treatment. In this study, we developed a novel reinforced vocal hygiene education program and compared the results of this program with those of previous methods of teaching vocal hygiene. Study Design: Multicenter randomized controlled trial. Methods: Patients who visited a National Hospital Organization (NHO) hospital for the surgical indication of hoarseness were included in the study. Before undergoing surgery, 200 patients with benign vocal fold lesions (vocal fold polyps/nodules) were enrolled and randomly allocated to the NHO-style vocal hygiene educational program (intervention group) or control education program (control group). Two months after enrollment, the patients in both groups underwent laryngeal fiberscopic examinations to determine whether the benign lesions had resolved or whether surgery was indicated for the vocal fold polyps/nodules. Results: After 2 months, in the intervention group, the proportion of lesion resolution (61.3%) was significantly greater than that in the control group (26.3%) (P <.001, Fisher exact test). Conclusions: Our results clearly indicate that the quality and features of the education program could affect the outcome of the intervention. We found that a reinforced vocal hygiene education program increased the rate of the resolution of benign vocal fold polyps and nodules in a multicenter randomized clinical trial. Level of Evidence: 1b Laryngoscope, 2593–2599, 2018.

Original languageEnglish
Pages (from-to)2593-2599
Number of pages7
JournalLaryngoscope
Volume128
Issue number11
DOIs
Publication statusPublished - 2018 Nov 1
Externally publishedYes

Fingerprint

Vocal Cords
Hygiene
Polyps
Randomized Controlled Trials
Education
Control Groups
Organizations
Laryngoscopes
Costs and Cost Analysis
Hoarseness
Health Insurance
Health Care Costs
Multicenter Studies
Teaching

Keywords

  • cost-effective conservative methods
  • multicenter randomized clinical trial
  • National Hospital Organization–style vocal hygiene education program
  • vocal fold nodules
  • vocal fold polyps
  • Vocal hygiene

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Vocal Hygiene Education Program Reduces Surgical Interventions for Benign Vocal Fold Lesions : A Randomized Controlled Trial. / Hosoya, Makoto; Kobayashi, Rika; Ishii, Toyota; Senarita, Masamitsu; Kuroda, Hiroyuki; Misawa, Hayato; Tanaka, Fujinobu; Takiguchi, Tetsuya; Tashiro, Masatsugu; Masuda, Sawako; Hashimoto, Sho; Goto, Fumiyuki; Minami, Shujiro; Yamamoto, Nobuko; Nagai, Ryoto; Sayama, Akiko; Wakabayashi, Takeshi; Toshikuni, Keitaro; Ueha, Rumi; Fujimaki, Yoko; Takazawa, Mihiro; Sekimoto, Sotaro; Itoh, Kenji; Nito, Takaharu; Kada, Akiko; Tsunoda, Koichi.

In: Laryngoscope, Vol. 128, No. 11, 01.11.2018, p. 2593-2599.

Research output: Contribution to journalArticle

Hosoya, M, Kobayashi, R, Ishii, T, Senarita, M, Kuroda, H, Misawa, H, Tanaka, F, Takiguchi, T, Tashiro, M, Masuda, S, Hashimoto, S, Goto, F, Minami, S, Yamamoto, N, Nagai, R, Sayama, A, Wakabayashi, T, Toshikuni, K, Ueha, R, Fujimaki, Y, Takazawa, M, Sekimoto, S, Itoh, K, Nito, T, Kada, A & Tsunoda, K 2018, 'Vocal Hygiene Education Program Reduces Surgical Interventions for Benign Vocal Fold Lesions: A Randomized Controlled Trial', Laryngoscope, vol. 128, no. 11, pp. 2593-2599. https://doi.org/10.1002/lary.27415
Hosoya, Makoto ; Kobayashi, Rika ; Ishii, Toyota ; Senarita, Masamitsu ; Kuroda, Hiroyuki ; Misawa, Hayato ; Tanaka, Fujinobu ; Takiguchi, Tetsuya ; Tashiro, Masatsugu ; Masuda, Sawako ; Hashimoto, Sho ; Goto, Fumiyuki ; Minami, Shujiro ; Yamamoto, Nobuko ; Nagai, Ryoto ; Sayama, Akiko ; Wakabayashi, Takeshi ; Toshikuni, Keitaro ; Ueha, Rumi ; Fujimaki, Yoko ; Takazawa, Mihiro ; Sekimoto, Sotaro ; Itoh, Kenji ; Nito, Takaharu ; Kada, Akiko ; Tsunoda, Koichi. / Vocal Hygiene Education Program Reduces Surgical Interventions for Benign Vocal Fold Lesions : A Randomized Controlled Trial. In: Laryngoscope. 2018 ; Vol. 128, No. 11. pp. 2593-2599.
@article{f4ed5f95d74c4fbab2f338118befed2d,
title = "Vocal Hygiene Education Program Reduces Surgical Interventions for Benign Vocal Fold Lesions: A Randomized Controlled Trial",
abstract = "Objectives/Hypothesis: Vocal fold polyps and nodules are common benign laryngeal lesions. Currently, the Japanese health insurance system covers surgical interventions. However, the establishment of more cost-effective conservative methods is required, because healthcare costs are viewed as a major concern, and the government and taxpayers are demanding more economical, effective treatments. In this situation, more suitable vocal hygiene education may be important for the success of cost-effective conservative treatment. In this study, we developed a novel reinforced vocal hygiene education program and compared the results of this program with those of previous methods of teaching vocal hygiene. Study Design: Multicenter randomized controlled trial. Methods: Patients who visited a National Hospital Organization (NHO) hospital for the surgical indication of hoarseness were included in the study. Before undergoing surgery, 200 patients with benign vocal fold lesions (vocal fold polyps/nodules) were enrolled and randomly allocated to the NHO-style vocal hygiene educational program (intervention group) or control education program (control group). Two months after enrollment, the patients in both groups underwent laryngeal fiberscopic examinations to determine whether the benign lesions had resolved or whether surgery was indicated for the vocal fold polyps/nodules. Results: After 2 months, in the intervention group, the proportion of lesion resolution (61.3{\%}) was significantly greater than that in the control group (26.3{\%}) (P <.001, Fisher exact test). Conclusions: Our results clearly indicate that the quality and features of the education program could affect the outcome of the intervention. We found that a reinforced vocal hygiene education program increased the rate of the resolution of benign vocal fold polyps and nodules in a multicenter randomized clinical trial. Level of Evidence: 1b Laryngoscope, 2593–2599, 2018.",
keywords = "cost-effective conservative methods, multicenter randomized clinical trial, National Hospital Organization–style vocal hygiene education program, vocal fold nodules, vocal fold polyps, Vocal hygiene",
author = "Makoto Hosoya and Rika Kobayashi and Toyota Ishii and Masamitsu Senarita and Hiroyuki Kuroda and Hayato Misawa and Fujinobu Tanaka and Tetsuya Takiguchi and Masatsugu Tashiro and Sawako Masuda and Sho Hashimoto and Fumiyuki Goto and Shujiro Minami and Nobuko Yamamoto and Ryoto Nagai and Akiko Sayama and Takeshi Wakabayashi and Keitaro Toshikuni and Rumi Ueha and Yoko Fujimaki and Mihiro Takazawa and Sotaro Sekimoto and Kenji Itoh and Takaharu Nito and Akiko Kada and Koichi Tsunoda",
year = "2018",
month = "11",
day = "1",
doi = "10.1002/lary.27415",
language = "English",
volume = "128",
pages = "2593--2599",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "11",

}

TY - JOUR

T1 - Vocal Hygiene Education Program Reduces Surgical Interventions for Benign Vocal Fold Lesions

T2 - A Randomized Controlled Trial

AU - Hosoya, Makoto

AU - Kobayashi, Rika

AU - Ishii, Toyota

AU - Senarita, Masamitsu

AU - Kuroda, Hiroyuki

AU - Misawa, Hayato

AU - Tanaka, Fujinobu

AU - Takiguchi, Tetsuya

AU - Tashiro, Masatsugu

AU - Masuda, Sawako

AU - Hashimoto, Sho

AU - Goto, Fumiyuki

AU - Minami, Shujiro

AU - Yamamoto, Nobuko

AU - Nagai, Ryoto

AU - Sayama, Akiko

AU - Wakabayashi, Takeshi

AU - Toshikuni, Keitaro

AU - Ueha, Rumi

AU - Fujimaki, Yoko

AU - Takazawa, Mihiro

AU - Sekimoto, Sotaro

AU - Itoh, Kenji

AU - Nito, Takaharu

AU - Kada, Akiko

AU - Tsunoda, Koichi

PY - 2018/11/1

Y1 - 2018/11/1

N2 - Objectives/Hypothesis: Vocal fold polyps and nodules are common benign laryngeal lesions. Currently, the Japanese health insurance system covers surgical interventions. However, the establishment of more cost-effective conservative methods is required, because healthcare costs are viewed as a major concern, and the government and taxpayers are demanding more economical, effective treatments. In this situation, more suitable vocal hygiene education may be important for the success of cost-effective conservative treatment. In this study, we developed a novel reinforced vocal hygiene education program and compared the results of this program with those of previous methods of teaching vocal hygiene. Study Design: Multicenter randomized controlled trial. Methods: Patients who visited a National Hospital Organization (NHO) hospital for the surgical indication of hoarseness were included in the study. Before undergoing surgery, 200 patients with benign vocal fold lesions (vocal fold polyps/nodules) were enrolled and randomly allocated to the NHO-style vocal hygiene educational program (intervention group) or control education program (control group). Two months after enrollment, the patients in both groups underwent laryngeal fiberscopic examinations to determine whether the benign lesions had resolved or whether surgery was indicated for the vocal fold polyps/nodules. Results: After 2 months, in the intervention group, the proportion of lesion resolution (61.3%) was significantly greater than that in the control group (26.3%) (P <.001, Fisher exact test). Conclusions: Our results clearly indicate that the quality and features of the education program could affect the outcome of the intervention. We found that a reinforced vocal hygiene education program increased the rate of the resolution of benign vocal fold polyps and nodules in a multicenter randomized clinical trial. Level of Evidence: 1b Laryngoscope, 2593–2599, 2018.

AB - Objectives/Hypothesis: Vocal fold polyps and nodules are common benign laryngeal lesions. Currently, the Japanese health insurance system covers surgical interventions. However, the establishment of more cost-effective conservative methods is required, because healthcare costs are viewed as a major concern, and the government and taxpayers are demanding more economical, effective treatments. In this situation, more suitable vocal hygiene education may be important for the success of cost-effective conservative treatment. In this study, we developed a novel reinforced vocal hygiene education program and compared the results of this program with those of previous methods of teaching vocal hygiene. Study Design: Multicenter randomized controlled trial. Methods: Patients who visited a National Hospital Organization (NHO) hospital for the surgical indication of hoarseness were included in the study. Before undergoing surgery, 200 patients with benign vocal fold lesions (vocal fold polyps/nodules) were enrolled and randomly allocated to the NHO-style vocal hygiene educational program (intervention group) or control education program (control group). Two months after enrollment, the patients in both groups underwent laryngeal fiberscopic examinations to determine whether the benign lesions had resolved or whether surgery was indicated for the vocal fold polyps/nodules. Results: After 2 months, in the intervention group, the proportion of lesion resolution (61.3%) was significantly greater than that in the control group (26.3%) (P <.001, Fisher exact test). Conclusions: Our results clearly indicate that the quality and features of the education program could affect the outcome of the intervention. We found that a reinforced vocal hygiene education program increased the rate of the resolution of benign vocal fold polyps and nodules in a multicenter randomized clinical trial. Level of Evidence: 1b Laryngoscope, 2593–2599, 2018.

KW - cost-effective conservative methods

KW - multicenter randomized clinical trial

KW - National Hospital Organization–style vocal hygiene education program

KW - vocal fold nodules

KW - vocal fold polyps

KW - Vocal hygiene

UR - http://www.scopus.com/inward/record.url?scp=85053210474&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053210474&partnerID=8YFLogxK

U2 - 10.1002/lary.27415

DO - 10.1002/lary.27415

M3 - Article

C2 - 30079962

AN - SCOPUS:85053210474

VL - 128

SP - 2593

EP - 2599

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 11

ER -