keyword
MENU ▼
Read by QxMD icon Read
search

Cost benefit otolaryngology

keyword
https://www.readbyqxmd.com/read/27578299/surgical-management-of-bilateral-vocal-fold-paralysis-a-cost-effectiveness-comparison-of-two-treatments
#1
Matthew R Naunheim, Phillip C Song, Ramon A Franco, Blake C Alkire, Mark G Shrime
OBJECTIVES/HYPOTHESIS: Endoscopic management of bilateral vocal fold paralysis (BVFP) includes cordotomy and arytenoidectomy, and has become a well-accepted alternative to tracheostomy. However, the costs and quality-of-life benefits of endoscopic management have not been examined with formal economic analysis. This study undertakes a cost-effectiveness analysis of tracheostomy versus endoscopic management of BVFP. STUDY DESIGN: Cost-effectiveness analysis. METHODS: A literature review identified a range of costs and outcomes associated with surgical options for BVFP...
August 31, 2016: Laryngoscope
https://www.readbyqxmd.com/read/26216886/cost-benefit-analysis-of-an-otolaryngology-emergency-room-using-a-contingent-valuation-approach
#2
Matthew R Naunheim, Elliot D Kozin, Rosh K Sethi, H Gregory Ota, Stacey T Gray, Mark G Shrime
OBJECTIVES: Dedicated otolaryngology emergency rooms (ERs) provide a unique mechanism of health care delivery. Relative costs and willingness to pay (WTP) for these services have not been studied. This study aims to provide a cost-benefit analysis of otolaryngology-specific ER care. STUDY DESIGN: Cost-benefit analysis based on contingent valuation surveys. SETTING: An otolaryngology-specific ER in a tertiary care academic medical center. SUBJECTS AND METHODS: Adult English-speaking patients presenting to an otolaryngology ER were included...
October 2015: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26120539/guideline-on-allergen-specific-immunotherapy-in-ige-mediated-allergic-diseases-s2k-guideline-of-the-german-society-for-allergology-and-clinical-immunology-dgaki-the-society-for-pediatric-allergy-and-environmental-medicine-gpa-the-medical-association-of-german
#3
Oliver Pfaar, Claus Bachert, Albrecht Bufe, Roland Buhl, Christof Ebner, Peter Eng, Frank Friedrichs, Thomas Fuchs, Eckard Hamelmann, Doris Hartwig-Bade, Thomas Hering, Isidor Huttegger, Kirsten Jung, Ludger Klimek, Matthias Volkmar Kopp, Hans Merk, Uta Rabe, Joachim Saloga, Peter Schmid-Grendelmeier, Antje Schuster, Nicolaus Schwerk, Helmut Sitter, Ulrich Umpfenbach, Bettina Wedi, Stefan Wöhrl, Margitta Worm, Jörg Kleine-Tebbe, Susanne Kaul, Anja Schwalfenberg
The present guideline (S2k) on allergen-specific immunotherapy (AIT) was established by the German, Austrian and Swiss professional associations for allergy in consensus with the scientific specialist societies and professional associations in the fields of otolaryngology, dermatology and venereology, pediatric and adolescent medicine, pneumology as well as a German patient organization (German Allergy and Asthma Association; Deutscher Allergie- und Asthmabund, DAAB) according to the criteria of the Association of the Scientific Medical Societies in Germany (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF)...
2014: Allergo Journal International
https://www.readbyqxmd.com/read/26047934/the-national-randomised-controlled-trial-of-tonsillectomy-in-adults-nattina-a-clinical-and-cost-effectiveness-study-study-protocol-for-a-randomised-control-trial
#4
RANDOMIZED CONTROLLED TRIAL
Isabel Rubie, Catherine Haighton, James O'Hara, Nikki Rousseau, Nick Steen, Deborah D Stocken, Frank Sullivan, Luke Vale, Scott Wilkes, Janet Wilson
BACKGROUND: The role of tonsillectomy in the management of adult tonsillitis remains uncertain and UK regional variation in tonsillectomy rates persists. Patients, doctors and health policy makers wish to know the costs and benefits of tonsillectomy against conservative management and whether therapy can be better targeted to maximise benefits and minimise risks of surgery, hence maximising cost-effective use of resources. NATTINA incorporates the first attempt to map current NHS referral criteria against other metrics of tonsil disease severity...
June 6, 2015: Trials
https://www.readbyqxmd.com/read/25719360/developing-a-laddered-algorithm-for-the-management-of-intractable-epistaxis-a-risk-analysis
#5
Randy M Leung, Timothy L Smith, Luke Rudmik
IMPORTANCE: For patients with epistaxis in whom initial interventions, such as anterior packing and cauterization, had failed, options including prolonged posterior packing, transnasal endoscopic sphenopalatine artery ligation (TESPAL), and embolization are available. However, it is unclear which interventions should be attempted and in which order. While cost-effectiveness analyses have suggested that TESPAL is the most responsible use of health care resources, physicians must also consider patient risk to maintain a patient-centered decision-making process...
May 1, 2015: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/25644617/clinical-practice-guideline-allergic-rhinitis
#6
Michael D Seidman, Richard K Gurgel, Sandra Y Lin, Seth R Schwartz, Fuad M Baroody, James R Bonner, Douglas E Dawson, Mark S Dykewicz, Jesse M Hackell, Joseph K Han, Stacey L Ishman, Helene J Krouse, Sonya Malekzadeh, James Whit W Mims, Folashade S Omole, William D Reddy, Dana V Wallace, Sandra A Walsh, Barbara E Warren, Meghan N Wilson, Lorraine C Nnacheta
OBJECTIVE: Allergic rhinitis (AR) is one of the most common diseases affecting adults. It is the most common chronic disease in children in the United States today and the fifth most common chronic disease in the United States overall. AR is estimated to affect nearly 1 in every 6 Americans and generates $2 to $5 billion in direct health expenditures annually. It can impair quality of life and, through loss of work and school attendance, is responsible for as much as $2 to $4 billion in lost productivity annually...
February 2015: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/25473812/interdisciplinary-pediatric-aerodigestive-care-and-reduction-in-health-care-costs-and-burden
#7
Joseph M Collaco, Angela D Aherrera, Karla J Au Yeung, Maureen A Lefton-Greif, Jeannine Hoch, Margaret L Skinner
IMPORTANCE: Children with complex respiratory and gastrointestinal disorders frequently require care from multiple pediatric subspecialists. Interdisciplinary pediatric aerodigestive clinic centers have been established at several pediatric tertiary care centers in the United States. Their effectiveness is unknown. OBJECTIVE: To determine whether an interdisciplinary approach to pediatric aerodigestive disorders reduces health care costs and burden. DESIGN, SETTING, AND PARTICIPANTS: Retrospective medical record review for the first 125 unique pediatric patients (median age, 1...
February 2015: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/25460527/delayed-otolaryngology-referral-for-voice-disorders-increases-health-care-costs
#8
Seth M Cohen, Jaewhan Kim, Nelson Roy, Mark Courey
BACKGROUND: Despite the accepted role of laryngoscopy in assessing patients with laryngeal/voice disorders, controversy surrounds its timing. This study sought to determine how increased time from first primary care to first otolaryngology outpatient visit affected the health care costs of patients with laryngeal/voice disorders. METHODS: Retrospective analysis of a large, national administrative claims database was performed. Patients had an International Classification of Diseases, 9(th) Revision-coded diagnosis of a laryngeal/voice disorder; initially saw a primary care physician and, subsequently, an otolaryngologist as outpatients; and provided 6 months of follow-up data after the first otolaryngology evaluation...
April 2015: American Journal of Medicine
https://www.readbyqxmd.com/read/25385811/systematic-review-of-the-quality-of-economic-evaluations-in-the-otolaryngology-literature
#9
REVIEW
C Carrie Liu, Justin Lui, Elizabeth Oddone Paolucci, Luke Rudmik
OBJECTIVE: To evaluate the quality of economic evaluations published in the otolaryngology--head and neck surgery literature, which will identify methodologic weaknesses that can be improved on in future studies. A secondary objective is to identify factors that may be associated with higher quality economic evaluations. DATA SOURCES: Ovid Medline (including PubMed), Embase, and the National Health Services Economic Evaluation databases. REVIEW METHODS: A systematic search was performed of the aforementioned databases according to PRISMA guidelines...
January 2015: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/25251257/impact-of-resident-surgeons-on-procedure-length-based-on-common-pediatric-otolaryngology-cases
#10
COMPARATIVE STUDY
Sidharth V Puram, Elliott D Kozin, Rosh Sethi, Blake Alkire, Daniel J Lee, Stacey T Gray, Mark G Shrime, Michael Cohen
OBJECTIVES/HYPOTHESIS: Surgical education remains an important mission of academic medical centers. Financial pressures may favor improved operating room (OR) efficiency at the expense of teaching in the OR. We aim to evaluate factors, such as resident participation, associated with duration of total OR, as well as procedural time of common pediatric otolaryngologic cases. STUDY DESIGN: Retrospective cohort study. METHODS: We reviewed resident and attending surgeon total OR and procedural times for isolated tonsillectomy, adenoidectomy, tonsillectomy with adenoidectomy (T&A), and bilateral myringotomy with tube insertion between 2009 and 2013...
April 2015: Laryngoscope
https://www.readbyqxmd.com/read/25123233/cost-effectiveness-analysis-of-endoscopic-sphenopalatine-artery-ligation-vs-arterial-embolization-for-intractable-epistaxis
#11
COMPARATIVE STUDY
Luke Rudmik, Randy Leung
IMPORTANCE: Intractable epistaxis is a common otolaryngology emergency. Transnasal endoscopic sphenopalatine artery ligation (TESPAL) and endovascular arterial embolization both provide excellent success rates, and therefore the decision to choose one over the other can be challenging. OBJECTIVE: To aid in decision making by evaluating the cost-effectiveness of TESPAL vs endovascular arterial embolization for intractable epistaxis. DESIGN, SETTING, AND PARTICIPANTS: Economic evaluation using a decision tree model with a 14-day time horizon for emergency department consultations for patients with intractable epistaxis defined as persistent bleeding despite bilateral anterior nasal packing...
September 2014: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/24934320/cost-benefit-analysis-of-polysomnography-versus-clinical-assessment-score-15-cas-15-for-treatment-of-pediatric-sleep-disordered-breathing
#12
COMPARATIVE STUDY
Anita Konka, Jeremy Weedon, Nira A Goldstein
OBJECTIVE: To determine the cost of medical care using the Clinical Assessment Score-15 (CAS-15) scale versus polysomnography (PSG) for children with sleep-disordered breathing in terms of benefit. STUDY DESIGN: Cost-benefit analysis. SETTING: Hospital-based pediatric otolaryngology practice. SUBJECTS AND METHODS: Ninety-three patients from our original CAS-15 study were included. Four clinical measures were used and payment data were obtained...
September 2014: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/24555780/counting-the-cost
#13
EDITORIAL
Robin Youngs, Edward Fisher
No abstract text is available yet for this article.
February 2014: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/24507161/cost-utility-analysis-and-otolaryngology
#14
REVIEW
D Hamilton, C Hulme, L Flood, S Powell
As providers of health care, we face increasing demand on our limited, indeed diminishing, resources. Economic appraisal of our interventions means assessing the trade-off between effectiveness, efficiency and equity. When rationing becomes inevitable, calculation of utility values is a valuable decision-making tool. This paper reviews objective measures of patient benefit, such as quality of life, and focuses on their application within otolaryngology.
February 2014: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/24457635/cadaveric-feasibility-study-of-da-vinci-si-assisted-cochlear-implant-with-augmented-visual-navigation-for-otologic-surgery
#15
COMPARATIVE STUDY
Wen P Liu, Mahdi Azizian, Jonathan Sorger, Russell H Taylor, Brian K Reilly, Kevin Cleary, Diego Preciado
IMPORTANCE: To our knowledge, this is the first reported cadaveric feasibility study of a master-slave-assisted cochlear implant procedure in the otolaryngology-head and neck surgery field using the da Vinci Si system (da Vinci Surgical System; Intuitive Surgical, Inc). We describe the surgical workflow adaptations using a minimally invasive system and image guidance integrating intraoperative cone beam computed tomography through augmented reality. OBJECTIVE: To test the feasibility of da Vinci Si-assisted cochlear implant surgery with augmented reality, with visualization of critical structures and facilitation with precise cochleostomy for electrode insertion...
March 2014: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/24338913/health-care-service-utilization-among-patients-with-chronic-rhinosinusitis-a-population-based-study
#16
COMPARATIVE STUDY
Shiu-Dong Chung, Shih-Han Hung, Herng-Ching Lin, Ching-Chun Lin
OBJECTIVES/HYPOTHESIS: Previous studies showed that chronic rhinosinusitis (CRS) accounts for billions of dollars in healthcare resource utilization. However, all such study estimates of the economic burden of CRS were based on subpopulations in Western societies. This study aimed to investigate differences in the utilization of healthcare services between subjects with CRS and comparison subjects using Taiwan's National Health Insurance database. STUDY DESIGN: A cross-sectional study...
June 2014: Laryngoscope
https://www.readbyqxmd.com/read/23969985/the-diagnostic-yield-of-pediatric-polysomnography-based-on-the-professional-background-of-referring-physicians
#17
Umakanth Khatwa, Sriram Ramgopal, Kanwaljit Singh, Tobias Loddenkemper, Marcin Zarowski, Sanjeev V Kothare
INTRODUCTION: Polysomnography (PSG) is the gold standard in diagnosis of sleep-disordered breathing but is labor intensive and expensive. We assessed PSG outcomes based on physician specialty and whether prior referral to sleep clinics reduces costs for children with sleep problems. METHODS: Retrospective analysis of PSGs was performed by demographics, physician specialization, PSG indication, and results. Average costs of evaluating PSGs ordered by primary care physicians (PCPs) versus initial referral to sleep specialists were compared...
December 2013: Clinical Pediatrics
https://www.readbyqxmd.com/read/23967881/patterns-and-expenditures-of-multi-morbidity-in-an-insured-working-population-in-the-united-states-insights-for-a-sustainable-health-care-system-and-building-healthier-lives
#18
Robert Greene, Edwin Dasso, Sam Ho, Jerry Frank, Graeme Scandrett, Ash Genaidy
The U.S. health care system is currently heading toward unsustainable health care expenditures and increased dissatisfaction with health outcomes. The objective of this population-based study is to uncover practical insights regarding patients with 1 or more chronic illnesses. A cross-sectional investigation was designed to gather data from health records drawn from diverse US geographic markets. A database of 9.74 million fully-insured, working individuals was used, together with members in the same households...
December 2013: Population Health Management
https://www.readbyqxmd.com/read/23860066/tonsillectomy-vasoconstrictive-hydrolytic-cold-dissection-method
#19
COMPARATIVE STUDY
Titus S Ibekwe, Godwin Obasikene, Ekeng Offiong
BACKGROUND: Tonsillectomy, a common paediatric otolaryngology procedure, has undergone several evolutionary trends in the surgical techniques aimed at minimizing complications and improving patients' satisfaction. Despite the technological advancements in this respect, search for an ideal method is still ongoing, and some authorities are reverting back to the conventional methods. We wish to introduce the "Vasoconstrictive hydrolytic cold dissection" (VHCD) method. PATIENTS AND METHODS: The VHCD method was described, and the outcome measures in one hundred and thirty-five patients who had the procedures were presented in ...
April 2013: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/23625708/-briefing-and-accusation-of-medical-malpractice-the-second-victim
#20
A Wienke
In June 2012, the German Medical Association (Bundesärztekammer) published the statistics of medical malpractice for 2011 [1]. Still ENT-specific accusations of medical malpractice are by far the fewest in the field of hospitals and actually even in the outpatient context. Clearly most of the unforeseen incidents still occur in the disciplines of trauma surgery and orthopedics. In total, however, an increasing number of errors in treatment can be noticed on the multidisciplinary level: in 25.5% of the registered cases, an error in treatment was found to be the origin of damage to health justifying a claim for compensation of the patient...
April 2013: Laryngo- Rhino- Otologie
keyword
keyword
78725
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"