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Selected Publications


Association of vision impairment and hearing impairment with encounters in the criminal justice system among children and young people: a systematic review and meta-analysis.

Journal Article EClinicalMedicine · November 2025 BackgroundMore than 250,000 children <18 years were incarcerated globally in 2020, and 1.5 million cycle through custody annually. We reviewed studies reporting associations of vision/hearing impairment with the criminal justice encounters among y ... Full text Cite

Global Barriers to Otolaryngology Care.

Journal Article JAMA Otolaryngol Head Neck Surg · June 1, 2025 IMPORTANCE: Understanding the global barriers to otolaryngology-head and neck surgery (OHNS) care is crucial in addressing disparities in access to care, particularly in low-income and middle-income countries (LMICs). OBJECTIVE: To characterize barriers to ... Full text Link to item Cite

Global Authorship Representation in Otolaryngology Clinical Trials.

Journal Article Laryngoscope investigative otolaryngology · April 2025 ObjectiveTo investigate global authorship representation in clinical trials published in major general otolaryngology journals over the past two decades.MethodsWe conducted a bibliometric analysis of clinical trials published in four majo ... Full text Cite

Access to Ear and Hearing Care Globally: A Survey of Stakeholder Perceptions from the Lancet Commission on Global Hearing Loss.

Journal Article Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · March 2025 ObjectiveCharacterize global access to ear and hearing care (EHC) to inform future policy recommendations.Study designSurvey using convenience sampling.SettingSubjects were surveyed via contact lists of the World Health Organizat ... Full text Cite

Essential Equipment for Baseline Otolaryngology-Head and Neck Surgery Care: A Global Cross-Sectional Survey.

Journal Article Laryngoscope Investig Otolaryngol · February 2025 OBJECTIVE: Availability of surgical equipment and access to essential clinical services remains an important barrier to surgical care delivery, particularly in low- and middle-income countries (LMICs). This study aims to characterize the relative availabil ... Full text Link to item Cite

Otolaryngology-Head and Neck Surgery Training and Service Delivery: An International Survey.

Journal Article Laryngoscope Investig Otolaryngol · February 2025 IMPORTANCE: Highlighting the global disparities in otolaryngology training and, ultimately, service delivery, emphasizing the need for equitable access to training resources and programs. OBJECTIVE: To describe the relationship between the quality, content ... Full text Link to item Cite

Barriers to Research Faced by High-Income Versus Low- and Middle-Income Country Otolaryngologists and Otolaryngology Residents.

Journal Article OTO open · January 2025 ObjectiveThis study aims to compare research productivity and barriers to research between high-income countries (HICs) and low- and middle-income countries (LMICs) otolaryngologists.Study designCross-sectional survey.SettingInte ... Full text Cite

Time to Measure: A Proposed Theoretical Model for Head and Neck Cancer Intervals of Care

Journal Article World Journal of Otorhinolaryngology Head and Neck Surgery · January 1, 2025 Head and neck cancer care delays are challenging, given the complexity of cancer care pathways, which leads to delays throughout the patient journey, from the symptom onset to treatment completion. Current models and literature addressing cancer care are l ... Full text Cite

A Comparative Analysis of Otolaryngology Journal Characteristics and Metrics Across World Bank Income Groups.

Journal Article Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · October 2024 Study background and aimsThere are marked barriers to research and publishing for low- and middle- income country (LMIC) ENT researchers. This could be reflected in LMIC journal characteristics and research, which has never been investigated. We a ... Full text Cite

Preventing pediatric accidental decannulation events: A quality improvement initiative.

Journal Article Int J Pediatr Otorhinolaryngol · August 2024 OBJECTIVE: To describe a quality improvement (QI) method to decrease pediatric accidental decannulation (AD) in the early postoperative period for children under age 3. METHODS: A retrospective chart review was conducted on children under age 3 who underwe ... Full text Link to item Cite

Towards universal access: A review of global efforts in ear and hearing care.

Journal Article Hear Res · April 2024 Hearing loss affects 1.6 billion people worldwide and disproportionately affects those in low- and middle-income countries. Despite being largely preventable or treatable, ear and hearing conditions result in significant and lifelong morbidity such as dela ... Full text Link to item Cite

Addressing inequities in the otolaryngology academic publishing: A call to action.

Journal Article Journal of the colleges of medicine of South Africa · January 2024 Article processing charges (APCs) for open access (OA) journals perpetuate inequities in scientific knowledge. High APCs systematically restrict low- and middle-income country (LMIC) researchers from contributing to research knowledge, preventing the disse ... Full text Cite

The Global Otolaryngology-Head and Neck Surgery Workforce.

Journal Article JAMA otolaryngology-- head & neck surgery · October 2023 ImportanceA core component of delivering care of head and neck diseases is an adequate workforce. The World Health Organization report, Multi-Country Assessment of National Capacity to Provide Hearing Care, captured primary workforce estimates fro ... Full text Cite

An analysis of the inclusion of ear and hearing care in national health policies, strategies and plans.

Journal Article Health Policy Plan · June 16, 2023 Ear- and hearing-related conditions pose a significant global health burden, yet public health policy surrounding ear and hearing care (EHC) in low- and middle-income countries is poorly understood. The present study aims to characterize the inclusion of E ... Full text Link to item Cite

Essential equipment and services for otolaryngology care: a proposal by the Global Otolaryngology-Head and Neck Surgery Initiative.

Journal Article Current opinion in otolaryngology & head and neck surgery · June 2023 Purpose of reviewTo highlight the need for comprehensive resource lists to provide baseline care of otolaryngologic conditions; to present a proposed list of essential equipment and services that may be applied toward surgical systems research, po ... Full text Cite

Response to Letter to the Editor Regarding "Delphi Method Consensus on Priority Global Otolaryngology-Head and Neck Surgery Conditions and Procedures".

Journal Article Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · February 2023 Full text Cite

Medical students' knowledge of HPV, HPV vaccine, and HPV-associated head and neck cancer.

Journal Article Hum Vaccin Immunother · November 30, 2022 On the basis of their training, medical students are considered "the best case scenario" among university students in knowledge of the human papillomavirus (HPV). We evaluated differences in knowledge of HPV, HPV vaccine, and head and neck cancer (HNC) amo ... Full text Link to item Cite

Delphi Method Consensus on Priority Global Otolaryngology-Head and Neck Surgery Conditions and Procedures.

Journal Article Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · October 2022 ObjectiveThe objective of this study was to develop an international expert consensus on priority otolaryngology-head and neck surgery conditions and procedures globally for which national health systems should be capable of caring.Study desig ... Full text Cite

Expanding Clinical Trials Designs to Extend Equitable Hearing Care.

Journal Article Ear and hearing · July 2022 Clinical trials are critically important to translate scientific innovations into clinical practice. Hearing healthcare depends on this translational approach to improve outcomes and quality of life. Across the spectrum of healthcare, there is a lack of di ... Full text Cite

Impact of out-of-pocket expenses for surgical care on households in rural Haiti: a mixed-methods study.

Journal Article BMJ open · May 2022 ObjectivesThis study aimed to report household catastrophic spending on surgery and the experiences of patients and families seeking surgical care in rural Haiti.DesignThe study used an explanatory, sequential mixed-methods approach. We c ... Full text Cite

Differences in outcomes of mandatory motorcycle helmet legislation by country income level: A systematic review and meta-analysis.

Journal Article PLoS medicine · September 2021 BackgroundThe recent Lancet Commission on Legal Determinants of Global Health argues that governance can provide the framework for achieving sustainable development goals. Even though over 90% of fatal road traffic injuries occur in low- and middl ... Full text Cite

Gender-Based Microaggressions in Surgery: A Scoping Review of the Global Literature.

Journal Article World journal of surgery · May 2021 BackgroundIn addition to systemic gender disparities, women in surgery encounter interpersonal microaggressions. The objective of this study is to describe the most common forms of microaggressions reported by women in surgery.MethodsWe c ... Full text Cite

Research Equity in Otolaryngology-Head and Neck Surgery.

Journal Article OTO open · April 2021 Equitable research collaborations benefit the quality and relevance of global otolaryngology-head and neck surgery research. However, analyses of existing global health literature have shown disproportionate representation by foreign authors. To avert this ... Full text Cite

Challenges facing otolaryngologists in low- and middle-income countries during the COVID-19 pandemic.

Journal Article International journal of pediatric otorhinolaryngology · November 2020 The COVID-19 pandemic poses significant challenges for otolaryngologists practicing in low- and middle-income countries (LMICs). This commentary highlights some of the particular challenges in low resource settings, including limited testing, insufficient ... Full text Cite

Oral and Maxillofacial Surgery: An Opportunity to Improve Surgical Care and Advance Sustainable Development Globally.

Journal Article Oral and maxillofacial surgery clinics of North America · August 2020 Featured Publication Global health has evolved to focus on reducing health inequity and obtaining the highest attainable standard of health for all people. To do this, a range of actors now pursue interventions and policy with an eye toward global targets that place strong emp ... Full text Cite

Global Burden of Head and Neck Cancer: Economic Consequences, Health, and the Role of Surgery.

Journal Article Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · March 2020 Featured Publication ObjectiveWe aimed to describe the mortality burden and macroeconomic effects of head and neck cancer as well as delineate the role of surgical workforce in improving head and neck cancer outcomes.Study designStatistical and economic analy ... Full text Cite

Global surgery and the World Health Organization: indispensable partners to achieve triple billion goals.

Journal Article Canadian journal of anaesthesia = Journal canadien d'anesthesie · December 2019 Featured Publication Full text Cite

Access to Surgical Care and Late-Presenting Disease in Rural Haiti

Conference Journal of the American College of Surgeons · October 2019 Full text Cite

What Are Criteria for Considering Technologies' Uses and Influences in LMICs' Health Care Infrastructures?

Journal Article AMA journal of ethics · September 2019 A lack of health technology is an obstacle to health system growth in low- and middle-income countries (LMICs). US-based clinicians participating in global health efforts might sometimes wonder about clinical and ethical standards by which they should judg ... Full text Cite

The Impact of Increasing Surgical Capacity at a Tertiary Hospital in Southern Haiti.

Journal Article The Journal of surgical research · July 2019 BackgroundSt. Boniface Hospital (SBH) plays a critical role in providing safe, accessible surgery in rural southern Haiti. We examine the impact of SBH increasing surgical capacity on case volume, patient complexity, and inpatient mortality across ... Full text Cite

Towards resilient health systems: opportunities to align surgical and disaster planning.

Journal Article BMJ global health · January 2019 Featured Publication Natural disasters significantly contribute to human death and suffering. Moreover, they exacerbate pre-existing health inequalities by imposing an additional burden on the most vulnerable populations. Robust local health systems can greatly mitigate this b ... Full text Cite

Capacity Building: Provision of Pediatric Surgery in Southern Haiti

Conference Journal of the American College of Surgeons · October 2018 Full text Cite