The impact of social determinants of health and clinical comorbidities on post-tympanotomy tube otorrhea

Thomas, Abigail; Flanary, Valerie A.; Friedland, David R.; Adams, Jazzmyne; Tong, Ling; Osinski, Kristen; Luo, Jake

doi:10.1016/j.ijporl.2021.110986

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…The inequality of socioecomic status may exacerbate health care disparities. The disparities also exist in many clinical fields [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , departments, and countries, but no evidence shows the disparity in the oncology department currently. In this study, we demonstrated patient's forms of care adoption is associated with socioeconomic characteristics during the transition.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine and health disparities: Association between patient characteristics and telemedicine, in-person, telephone and message-based care during the COVID-19 pandemic

Tong

George²,

Crotty³

et al. 2022

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Section: Introductionmentioning

confidence: 99%

Telemedicine and health disparities: Association between patient characteristics and telemedicine, in-person, telephone and message-based care during the COVID-19 pandemic

Tong

George²,

Crotty³

et al. 2022

IPEM-Translation

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“…This project was approved under our department-wide OTO Clinomics outcomes assessment platform, which facilitates retrospective chart reviews of our entire health system (institutional review board no. 1538127) (12,13). Using a cohort interrogation tool, i2b2, current procedural terminology codes 225.1 and D33.3 (benign intracranial tumors) were used to identify patients in our health system seen by the neurotology service between January 2009 and December 2019.…”

Section: Data Sourcementioning

confidence: 99%

Impact of Demographics and Clinical Features on Initial Treatment Pathway for Vestibular Schwannoma

et al. 2022

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Objective: To identify demographic and clinical features impacting initial treatment pathway for vestibular schwannoma. Study Design: Retrospective chart review. Setting: Tertiary care academic medical center. Patients: Patients diagnosed with vestibular schwannoma between 2009 and 2019. Interventions: Observation, stereotactic radiosurgery, or microsurgical resection. Main Outcome Measures: χ 2 Test, one-way analysis of variance, and multivariate logistic regression were used to correlate demographic and clinical factors with initial treatment pathway for 197 newly diagnosed vestibular schwannoma patients. Results: Among 197 patients, 93 (47%) were initially treated with observation, 60 (30%) with stereotactic radiation (Gamma Knife) and 44 (22%) with surgical resection. Age univariately had no statistically significant impact on initial pathway, but those undergoing surgery trended toward a younger demographic (49.1 yr [surgery] versus 57.2 yr [observation] versus 59.0 yr [Gamma Knife]).Men were more likely to be initially observed than women ( p = 0.04). Patients initially observed were more likely to have a lower Koos classification ( p < 0.001) and have better tumor-ear hearing ( p = 0.03). Only 34.4% of patients living outside the local geographic region were initially observed compared with 53.0% living locally ( p = 0.055). Surgeon correlated with initial treatment ( p = 0.04) but did not maintain significance when adjusting for hearing level or tumor size. A multiple linear regression model found age, maximum tumor diameter, and Koos class to correlate with initial treatment pathway ( p < 0.0001, r 2 = 0.42). Conclusion: Initial treatment pathway for newly diagnosed vestibular schwannoma is impacted by demographic factors such as age, sex, and geographic proximity to the medical center. Clinical features including hearing level and tumor size also correlated with initial treatment modality.

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Clinical decision making in paediatric otitis media: A pilot quality improvement study

Cleere

Crotty

Lang

et al. 2023

International Journal of Pediatric Otorhinolaryngology

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The impact of social determinants of health and clinical comorbidities on post-tympanotomy tube otorrhea

Cited by 5 publications

References 12 publications

Telemedicine and health disparities: Association between patient characteristics and telemedicine, in-person, telephone and message-based care during the COVID-19 pandemic

Telemedicine and health disparities: Association between patient characteristics and telemedicine, in-person, telephone and message-based care during the COVID-19 pandemic

Impact of Demographics and Clinical Features on Initial Treatment Pathway for Vestibular Schwannoma

Clinical decision making in paediatric otitis media: A pilot quality improvement study

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