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Cost effectiveness otolaryngology

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https://www.readbyqxmd.com/read/28418271/use-of-a-novel-airway-kit-and-simulation-in-resident-training-on-emergent-pediatric-airways
#1
Jonathan M Melzer, Erin R S Hamersley, Thomas Q Gallagher
Objective Development of a novel pediatric airway kit and implementation with simulation to improve resident response to emergencies with the goal of improving patient safety. Methods Prospective study with 9 otolaryngology residents (postgraduate years 1-5) from our tertiary care institution. Nine simulated pediatric emergency airway drills were carried out with the existing system and a novel portable airway kit. Response times and time to successful airway control were noted with both the extant airway system and the new handheld kit...
April 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28397566/a-preliminary-case-report-of-a-high-quality-cost-effective-rigid-laryngoscopy-setup
#2
Fan Zhang, J Scott McMurray, Erin E Devine, Chao Xue, Timothy M McCulloch, Jack J Jiang
OBJECTIVE: To evaluate a cost-effective modified rigid laryngoscopy setup with a portable light source and high-resolution commercially available digital camera for use in smaller otolaryngology and family practice clinics. METHODS: The modified setup was used to obtain images of the larynx using both a traditional light source and a portable light source. Varying shutter speeds and ISOs were evaluated, and the optimal settings were determined for the modified setup...
May 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/28231369/estimation-of-partitioning-of-airflow-in-septal-surgery-a-prospective-study-with-reference-to-the-nose-scale
#3
Indranil Sen, Mainak Dutta, Dibakar Haldar, Ramanuj Sinha
Improper patient selection for septal surgery often has been found to result in therapeutic failure, and there needs to be an objective assessment of nasal obstruction before the surgery and for postoperative follow-up that can be applied in the routine otolaryngology practice. The purpose of this study is to assess the usefulness of a cost-effective device for objective measurement of the nasal airway partitioning in selecting patients for septal surgery and for postoperative outcome evaluation. A hospital-based, prospective, observational study was carried out in a tertiary-care teaching institution involving 74 patients waiting for septal surgery...
February 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/27926758/association-between-surgeon-scorecard-use-and-operating-room-costs
#4
Corinna C Zygourakis, Victoria Valencia, Christopher Moriates, Christy K Boscardin, Sereina Catschegn, Alvin Rajkomar, Kevin J Bozic, Kent Soo Hoo, Andrew N Goldberg, Lawrence Pitts, Michael T Lawton, R Adams Dudley, Ralph Gonzales
Importance: Despite the significant contribution of surgical spending to health care costs, most surgeons are unaware of their operating room costs. Objective: To examine the association between providing surgeons with individualized cost feedback and surgical supply costs in the operating room. Design, Setting, and Participants: The OR Surgical Cost Reduction (OR SCORE) project was a single-health system, multihospital, multidepartmental prospective controlled study in an urban academic setting...
March 1, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/27755363/the-role-of-telemedicine-in-auditory-rehabilitation-a-systematic-review
#5
Matthew L Bush, Robin Thompson, Catherine Irungu, John Ayugi
OBJECTIVE: The purpose of this study was to assess the feasibility and effectiveness of live telemedicine applications in hearing amplification and cochlear implantation. DATA SOURCES AND STUDY SELECTION: A systematic search was performed in PubMed, MEDLINE, PsychINFO, CINALH, and Web of Science to identify peer-reviewed research. Inclusion criteria were titles containing words from the search terms 1) audiology, otolaryngology, and hearing impairment, 2) rehabilitative methods, and 3) telemedicine...
December 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27730649/pediatric-laryngeal-simulator-using-3d-printed-models-a-novel-technique
#6
Katherine R Kavanagh, Valerie Cote, Yvonne Tsui, Simon Kudernatsch, Donald R Peterson, Tulio A Valdez
OBJECTIVE: Simulation to acquire and test technical skills is an essential component of medical education and residency training in both surgical and nonsurgical specialties. High-quality simulation education relies on the availability, accessibility, and reliability of models. The objective of this work was to describe a practical pediatric laryngeal model for use in otolaryngology residency training. Ideally, this model would be low-cost, have tactile properties resembling human tissue, and be reliably reproducible...
April 2017: Laryngoscope
https://www.readbyqxmd.com/read/27623822/patient-safety-in-otolaryngology-a-descriptive-review
#7
REVIEW
Julian Danino, Jameel Muzaffar, Chris Metcalfe, Chris Coulson
Human evaluation and judgement may include errors that can have disastrous results. Within medicine and healthcare there has been slow progress towards major changes in safety. Healthcare lags behind other specialised industries, such as aviation and nuclear power, where there have been significant improvements in overall safety, especially in reducing risk of errors. Following several high profile cases in the USA during the 1990s, a report titled "To Err Is Human: Building a Safer Health System" was published...
March 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27578299/surgical-management-of-bilateral-vocal-fold-paralysis-a-cost-effectiveness-comparison-of-two-treatments
#8
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...
March 2017: Laryngoscope
https://www.readbyqxmd.com/read/27107403/phonomicrosurgery-simulation-a-low-cost-teaching-model-using-easily-accessible-materials
#9
Elizabeth A Zambricki, Jennifer L Bergeron, Elizabeth E DiRenzo, C Kwang Sung
OBJECTIVES/HYPOTHESIS: To introduce the use of a new phonomicrosurgical trainer using easily accessible materials, and to establish the effectiveness of the model. STUDY DESIGN: The model uses a grape imbedded in gelatin, a microscope, and microlaryngeal instruments. The study was designed to test baseline differences in training levels, as well as improvement in performance after training with the simulation model. METHODS: Thirty subjects enrolled in the Stanford University School of Medicine otolaryngology training program performed microlaryngeal surgery tasks on a grape...
April 23, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27048675/a-low-cost-method-of-ciliary-beat-frequency-measurement-using-iphone-and-matlab-rabbit-study
#10
Jason J Chen, Bryan T Lemieux, Brian J F Wong
OBJECTIVES: (1) To determine ciliary beat frequency (CBF) using a consumer-grade cellphone camera and MATLAB and (2) to evaluate the effectiveness and accuracy of the proposed method. STUDY DESIGN: Prospective animal study. SETTING: Academic otolaryngology department research laboratory. METHODS: Five ex vivo tracheal samples were extracted from 3 freshly euthanized (<3 hours postmortem) New Zealand white rabbits and incubated for 30 minutes in buffer at 23°C, buffer at 37°C, or 10% formalin at 23°C...
August 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26880679/a-randomized-controlled-trial-of-the-effect-of-a-photographic-display-with-and-without-music-on-pre-operative-anxiety
#11
Jose L Gómez-Urquiza, César Hueso-Montoro, Josefa Urquiza-Olmo, Rocío Ibarrondo-Crespo, Emilio González-Jiménez, Jacqueline Schmidt-Riovalle
AIMS: To determine the effectiveness of photographic display at reducing pre-operative anxiety in an ear, nose and throat surgery unit; alone and in combination with music. BACKGROUND: The waiting time prior to the surgery is often unpleasant and a time of anxiety for patients. Anxiety can affect physical recovery and psychological well-being; lengthening convalescence and hospital stay after the surgery. Improving pre-operative anxiety is a challenge with potential impacts on improving patients' satisfaction and well-being and decreasing the cost of care...
July 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/26686204/universal-sinus-computed-tomography-protocol-for-diagnostic-imaging-and-intraoperative-navigation
#12
Joseph M Hoxworth, Devyani Lal
BACKGROUND: Sinus computed tomography (CT) is performed for the diagnosis of paranasal sinus disease and to assess response to medical therapy. In addition, sinus CT is used for intraoperative imaging guidance. Multiple CTs increase cost and radiation exposure. OBJECTIVE: To determine potential cost savings and radiation dose reduction that result from the use of a single universal sinus CT protocol for diagnostic imaging and intraoperative navigation. MATERIALS AND METHODS: For sinus CT at the authors' institution, a single imaging protocol was begun and deemed acceptable by neuroradiologists and surgeons for diagnostic imaging and intraoperative guidance...
January 2015: Allergy & Rhinology
https://www.readbyqxmd.com/read/26548697/decrease-of-nasal-airway-resistance-and-alleviations-of-symptoms-after-balloon-sinuplasty-in-patients-with-isolated-chronic-rhinosinusitis-a-prospective-randomised-clinical-study
#13
A J Bizaki, J Numminen, R Taulu, M Rautiainen
OBJECTIVES: The aim of this study was to evaluate and compare the clinical outcome of balloon sinuplasty and uncinectomy for patients suffering from isolated chronic rhinosinusitis of the maxillary sinus. DESIGN: A prospective, randomised, non-blinded, controlled trial was conducted. SETTING: The study was carried out at the Department of Otolaryngology, Tampere University Hospital, Finland. PARTICIPANTS: Adult patients with symptomatic isolated chronic or recurrent rhinosinusitis without severe findings in the sinuses, as documented in the sinus' Computer Tomography scan and clinical examination, were randomised into two groups: uncinectomy and balloon sinuplasty...
December 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/26429334/diagnostic-evaluation-of-children-with-sensorineural-hearing-loss
#14
REVIEW
John Drew Prosser, Aliza P Cohen, John H Greinwald
The cause of pediatric sensorineural hearing loss is diverse, comprising genetic, acquired, and idiopathic conditions. Identifying the specific cause requires that children undergo thorough otolaryngologic and audiometric evaluations, which generally include laboratory tests and temporal bone imaging studies. Clinical genetics and ophthalmologic consultations are also frequently warranted. A sequential diagnostic approach has been shown to be both prudent and cost-effective. Although a definitive cause is being established, amplification and a comprehensive treatment strategy should be initiated to ensure that developmental, auditory, and speech and language delays are minimized...
December 2015: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/26257262/novel-mouse-model-for-simulating-microsurgical-tumor-excision-with-facial-nerve-preservation
#15
Jae H Lim, Glen M Boyle, Benedict Panizza
OBJECTIVES/HYPOTHESIS: To determine the feasibility of using a mouse tumor model as a microsurgical training tool for otolaryngology-head and neck surgery (OHNS) trainees. STUDY DESIGN: Animal study. METHODS: We injected athymic nude mice with human cutaneous squamous cell carcinoma (A431 cell line) deep to the parotid region overlying the masseter muscle. We sacrificed the animals 1 to 3 weeks postinjection, once a visible tumor growth was confirmed...
January 2016: Laryngoscope
https://www.readbyqxmd.com/read/26216887/sensorineural-hearing-loss-a-changing-paradigm-for-its-evaluation
#16
Asitha D L Jayawardena, A Eliot Shearer, Richard J H Smith
OBJECTIVE: To determine how practicing clinicians evaluate patients with sensorineural hearing loss (SNHL) and to analyze the cost-effectiveness of current algorithms in the evaluation of these patients. STUDY DESIGN/SETTING: An interactive online survey allowing respondents to order diagnostic testing in the evaluation of 4 simulated patients with SNHL across 2 testing encounters per patient. SUBJECTS AND METHODS: The survey was distributed to clinician members of the American Society of Pediatric Otolaryngology and the American Society of Human Genetics between May and August 2014...
November 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
#17
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/26090368/improving-efficiency-and-saving-money-in-an-otolaryngology-urgent-referral-clinic
#18
REVIEW
Nader Ibrahim, Jagdeep Virk, Jason George, Behrad Elmiyeh, Arvind Singh
A closed loop audit of the ear nose and throat (ENT) urgent referral clinic at a London hospital was conducted assessing the number of patients reviewed, referral source, appropriateness of referral, presenting complaint and assigned follow-up appointments. Data was sourced from clinic letters and the patient appointment system over a 3-mo period. The initial cycle analysed 490 patients and the subsequent cycle 396. The initial audit yielded clinically relevant and cost effective recommendations which were implemented, and the audit cycle was subsequently repeated...
June 16, 2015: World Journal of Clinical Cases
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
#19
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/26034098/practice-arrangement-and-medicare-physician-payment-in-otolaryngology
#20
Jennifer Cracchiolo, John A Ridge, Brian Egleston, Miriam Lango
OBJECTIVE: Medicare Part B physician payment indicates a cost to Medicare beneficiaries for a physician service and connotes physician clinical productivity. The objective of this study was to determine whether there was an association between practice arrangement and Medicare physician payment. STUDY DESIGN: Cross-sectional study. SETTING: Medicare provider utilization and payment data. SUBJECTS AND METHODS: Otolaryngologists from 1 metropolitan area were included as part of a pilot study...
June 2015: Otolaryngology—Head and Neck Surgery
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