ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Literature Review: A Roundup of Important Recent Studies

June 1, 2013

  • Tweet
  • Email
Print-Friendly Version

Bottom line: Because there is a relatively high rate of hearing loss progression in unilateral EVA patients, otolaryngologists should consider offering patients close audiometric monitoring and SLC26A4 genetic testing.

You Might Also Like

  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
Explore This Issue
June 2013

Citation: Greinwald J, deAlarcon A, Cohen A, et al. Significance of unilateral enlarged vestibular aqueduct. Laryngoscope. 2013;123:1537-1546.

—Reviewed by Amy Eckner

Patients with VFP After Thyroidectomy Incur High Cost of Care

Do patients with vocal fold paralysis (VFP) after thyroid surgery incur higher health care costs than those without and, if so, how much?

Background: Thyroidectomies are common in the United States, with bilateral and unilateral VFP occurring at a rate as high as 18.6 percent. The additional treatment that is required incurs a higher cost for patients and insurers that could be avoided without VFP. Actual figures for this cost have not been previously reported.

Study design: Retrospective cohort study of 76 VFP patients and 238 control patients without paralysis through December 2010. Charge analysis ended at 90 days post-operative. Only medical group medical records were used to record charges rather than actual amounts paid.

Setting: Henry Ford Health System, Detroit, Michigan.

Synopsis: Mean tumor weight and

average BMI were not statistically different between VFP and control patients. Proportionally, more VFP patients (8/76) received revision surgeries than control patients (10/238). Serious post-operative morbidity markers (post-operative intubation, tracheotomy, indwelling feeding tube placement, respiratory failure, swallowing study/seophagram) were more common in VFP patients. Length of stay was significantly longer for VFP patients (6.33 days/3.12 days in ICU vs. 2.80 days/0.87 days in ICU). The geometric mean charge for hospitalization for VFP patients was $34,200, compared with $21,600 for the control group, with VFP patients accruing more charges in follow-up costs. Bilateral VFP patients had significantly higher charges than those for unilateral VFP patients only at the 30-day mark. The most expensive hospitalization among VFP patients was $259,480. There were some very expensive charges in the control group but only three bills higher than $100,000. Study limitations included the fact that charge data ended at post-operative day 90 (most surgery related to VFP took place much later), a possibility of coding errors and likely underreporting of transient VFP.

Bottom line: VFP patients incurred a much greater cost for health care in the first 90 days after surgery than those without VFP. The likelihood of VFP was not related to malignancy, BMI or gland weight in this study.

Pages: 1 2 3 4 5 6 | Single Page

Filed Under: Uncategorized Tagged With: adenotonsillectomy, clinical research, endoscopic sinus surgery, ESS, hearing loss, OSAIssue: June 2013

You Might Also Like:

  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies
  • Literature Review: A Roundup of Important Recent Studies

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Weaning Patients Off of PPIs
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Podcasts Becoming More Popular Method of Education for Otolaryngologists
    • How to Embrace Optimism in the Midst of the COVID-19 Pandemic
    • Tips on How to Approach Conversations with Patients about the COVID-19 Vaccine
    • Steps You Should Take to Protect Your Voice and Hearing During Telemedicine Sessions
    • Routine Postoperative Adjunct Treatments Unnecessary for Idiopathic Cerebrospinal Fluid Leaks

Polls

Have you spoken with your patients about receiving the COVID-19 vaccine?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.