Clinical Practice Guideline: Hoarseness (Dysphonia)

Schwartz, Seth; Cohen, Seth M.; Dailey, Seth H.; Rosenfeld, Richard M.; Deutsch, Ellen S.; Gillespie, M. Boyd; Granieri, Evelyn; Hapner, Edie R.; Kimball, C. Eve; Krouse, Helene J.; McMurray, J. Scott; Medina, Safdar; O’Brien, Karen M.; Ouellette, Daniel R.; Messinger‐Rapport, Barbara J.; Stachler, Robert J.; Strode, Steven W.; Thompson, Dana M.; Stemple, Joseph C.; Willging, J. Paul; Cowley, Terrie; McCoy, Scott; Bernad, Peter G.; Patel, Molini M.

doi:10.1016/j.otohns.2009.06.744

Cited by 354 publications

(271 citation statements)

References 330 publications

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“…In contrast, there is generally a lesser role of imaging in the initial evaluation of hoarseness. In fact, according to guidelines from the AAO-HNS, 43 imaging should only be considered after a clinical examination with direct laryngoscopy.…”

Section: Appropriate Neuroimaging Guidelinesmentioning

confidence: 99%

Neuroimaging Wisely

Buethe

Nazarian

Kalisz

et al. 2016

AJNR Am J Neuroradiol

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SUMMARY: Diagnostic imaging is the most rapidly growing physician service in the Medicare and privately insured population. The growing share of medical costs devoted to imaging procedures has led to increasing concerns among the key federal agencies and private payers. In an attempt to educate health care providers, patients, and families on the importance of making optimal clinical decisions, the American Board of Internal Medicine Foundation organized the Choosing Wisely initiative with strong collaboration from specialty societies representing nearly all medical disciplines. Among 45 tests and treatments listed on the Choosing Wisely Web site, 24 are directly related to imaging. Eleven of the 24 are associated with neuroimaging. The listing of imaging tests in the Choosing Wisely program by multiple medical societies other than the radiology societies acknowledges that appropriate use of medical imaging is a shared responsibility between radiologists and referring physicians. In this article, we highlight why radiologists are uniquely positioned to support the appropriate use of imaging. We review some of the strategies that radiologists can use to help their referring physicians with appropriate ordering of neuroimaging in real-world practice and address some the challenges and pitfalls in implementing patient-centered imaging decision-making and shifting to a value-based focus in radiology. ABBREVIATIONS: AAFP

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Section: Appropriate Neuroimaging Guidelinesmentioning

confidence: 99%

Neuroimaging Wisely

Buethe

Nazarian

Kalisz

et al. 2016

AJNR Am J Neuroradiol

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“…The fact that Occupational Voice Disorders occur often in teachers, their severity and their social repercussions all contribute to making it a significant Public Health and Labor Health issue, especially considering the large number of workers in this industry in Brazil and worldwide 7 .…”

Section: Contextualizing Occupational Voice Disorders In Teachers Andmentioning

confidence: 99%

O distúrbio de voz relacionado ao trabalho do professor e a legislação atual

Ferracciu

Almeida

2014

Rev. CEFAC

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Considering voice is the teacher's work tool and its role in teaching process, this study intend to explore the fact vocal disturbances related to teacher's work has not been defined as a worker's health grievance, despite its relevance and legal basis evidences. The group seeks to relate the occupational category's labor bonds and the communication/notification in case of accidents and/or diseases related to work, besides a reflection over major questions and needs arising from the absence of technical and legal procedures from Health, Labor, Employment and Social Security Ministries in cases of disorders resulting from alterations in teacher's voice.

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“…Usually, voice disorders indicate benign conditions and may be transitory (2) ; however, a voice deviation has psychological elements that can affect the individual's well-being and quality of life on a personal, social and professional level. Ideally, the voice examination includes a clinical history and a complete otolaryngological and voice evaluation.…”

Section: Introductionmentioning

confidence: 99%