Speech Pathology Utilization and Stroboscopy Before and After Adult Medialization Laryngoplasty
| Autor: | Dale C. Ekbom, Holly K. Van Houten, Diana M. Orbelo, Semirra L. Bayan, Karthik Balakrishnan |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Speech-Language Pathology Adolescent Voice Quality Logistic regression Laryngoplasty 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing 0302 clinical medicine medicine Humans Vocal cord paralysis Stroboscopy 030223 otorhinolaryngology Retrospective Studies Medialization Laryngoplasty business.industry Odds ratio LPN and LVN medicine.disease Confidence interval Treatment Outcome Otorhinolaryngology Cohort National database 0305 other medical science business |
| Zdroj: | Journal of Voice. 36:423-433 |
| ISSN: | 0892-1997 |
| DOI: | 10.1016/j.jvoice.2020.06.024 |
| Popis: | Summary Objectives Evaluation of trends and utilization of speech-language-pathology (SLP) services, including stroboscopy, before and after medialization laryngoplasty (ML) over 11 years. Methods Retrospective national US database study conducted using OptumLabs Data Warehouse. Study cohort included patients (age ≥18 years) who underwent ML between January 2007 and December 2016. Primary outcomes were rates of SLP visits in the 12 months before and 12 months after ML. Linear regression analysis was performed assessing for trends utilization across years. Secondary outcomes were predictors of utilization After-ML using multivariable logistic regression. Results 1114 patients met criteria. Services, including stroboscopy, were utilized by 774 (69%) Before-ML and 697 (63%) After-ML. SLP services, excluding stroboscopy, were utilized by 512 (46%) Before-ML and 478 (43%) After-ML. Vocal cord paralysis was the most common diagnosis, 945 (84.8%) patients. Other service billed were stroboscopy, [Before-ML 676 (60.7%); After-ML 567 (50.9%)], voice evaluation [Before-ML 431(38.7%); After-ML 366 (32.9%)], voice therapy [Before-ML 309 (27.7%); After-ML 339 (30.4%)], laryngeal function studies, [Before-ML 175 (15.7%); After-ML 164 (14.7%)], swallow evaluations [Before-ML 150 (13.5%); After-ML 90 (8.1%)], and swallow therapy [Before-ML 53 (4.8%); After-ML 47 (4.2%)]. SLP utilization Before-ML predicted SLP utilization After-ML [Odds Ratio (95% Confidence Interval): 9.31 (6.78, 12.77)]. Nearly half (49%) of visits occurred in the 6 months around ML. Of those who had voice therapy, the majority (73.7%) had a total of 1 to 5 sessions. Conclusion Based on this retrospective US national database study, SLP services and stroboscopy are a complementary component of assessment and treatment of patients who undergo ML with the majority of services occurring in the 3 months before and after ML. Future work would benefit from outcome data. |
| Databáze: | OpenAIRE |
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