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Chronicity of Voice-Related Health Care Utilization in the General Medicine Community.

Publication ,  Journal Article
Cohen, SM; Lee, H-J; Roy, N; Misono, S
Published in: Otolaryngol Head Neck Surg
April 2017

Objectives To examine voice-related health care utilization of patients in the general medical community without otolaryngology evaluation and explore factors associated with prolonged voice-related health care. Study Design Retrospective cohort analysis. Setting Large, national administrative US claims database. Subjects and Methods Patients with voice disorders per International Classification of Diseases, Ninth Revision, Clinical Modification ( ICD-9-CM) codes from January 1, 2010, to December 31, 2012, seen by a general medical physician, and who did not see an otolaryngologist in the subsequent year were included. Voice-related health care utilization, patient demographics, comorbid conditions, and index laryngeal diagnosis were collected. Logistic regression with variable selection was performed to evaluate the association between predictors and ≥30 days of voice-related health care use. Results In total, 46,205 unique voice-disordered patients met inclusion criteria. Of these patients, 8.5%, 10.0%, and 12.5% had voice-related health care use of ≥90, ≥60, and ≥30 days, respectively. Of the ≥30-day subset, 80.3% and 68.5%, respectively, had ≥60 and ≥90 days of voice-related health care utilization. The ≥30-day subset had more general medicine and nonotolaryngology specialty physician visits, more prescriptions and procedures, and 4 times the voice-related health care costs compared with those in the <30-day subset. Age, sex, employment status, initial voice disorder diagnosis, and comorbid conditions were related to ≥30 days of voice-related health care utilization. Conclusions Thirty days of nonotolaryngology-based care for a voice disorder may represent a threshold beyond which patients are more likely to experience prolonged voice-related health care utilization. Specific factors were associated with extended voice-related health care.

Duke Scholars

Published In

Otolaryngol Head Neck Surg

DOI

EISSN

1097-6817

Publication Date

April 2017

Volume

156

Issue

4

Start / End Page

693 / 701

Location

England

Related Subject Headings

  • Young Adult
  • Voice Disorders
  • United States
  • Retrospective Studies
  • Patient Acceptance of Health Care
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Logistic Models
  • Laryngeal Diseases
 

Citation

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Chicago
ICMJE
MLA
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Cohen, S. M., Lee, H.-J., Roy, N., & Misono, S. (2017). Chronicity of Voice-Related Health Care Utilization in the General Medicine Community. Otolaryngol Head Neck Surg, 156(4), 693–701. https://doi.org/10.1177/0194599816688203
Cohen, Seth M., Hui-Jie Lee, Nelson Roy, and Stephanie Misono. “Chronicity of Voice-Related Health Care Utilization in the General Medicine Community.Otolaryngol Head Neck Surg 156, no. 4 (April 2017): 693–701. https://doi.org/10.1177/0194599816688203.
Cohen SM, Lee H-J, Roy N, Misono S. Chronicity of Voice-Related Health Care Utilization in the General Medicine Community. Otolaryngol Head Neck Surg. 2017 Apr;156(4):693–701.
Cohen, Seth M., et al. “Chronicity of Voice-Related Health Care Utilization in the General Medicine Community.Otolaryngol Head Neck Surg, vol. 156, no. 4, Apr. 2017, pp. 693–701. Pubmed, doi:10.1177/0194599816688203.
Cohen SM, Lee H-J, Roy N, Misono S. Chronicity of Voice-Related Health Care Utilization in the General Medicine Community. Otolaryngol Head Neck Surg. 2017 Apr;156(4):693–701.
Journal cover image

Published In

Otolaryngol Head Neck Surg

DOI

EISSN

1097-6817

Publication Date

April 2017

Volume

156

Issue

4

Start / End Page

693 / 701

Location

England

Related Subject Headings

  • Young Adult
  • Voice Disorders
  • United States
  • Retrospective Studies
  • Patient Acceptance of Health Care
  • Otorhinolaryngology
  • Middle Aged
  • Male
  • Logistic Models
  • Laryngeal Diseases