Which treatment for Tis/T1 glottic carcinoma among adult patients, transoral CO2 laser excision (TOL) or external beam radiation (XRT), is superior in terms of cost utility? Background: Cancer of the larynx […]
Link Between Mortality and Post-Surgery Complications Unclear
Is there a correlation between rates of complications after inpatient surgery and mortality? Background: Hospital mortality associated with inpatient surgery varies widely. Hospitals, regulatory agencies and payers have focused on reducing […]
Purpura Formation a Poor Clinical Endpoint for Laser Treatment
How effective are subjective clinical endpoints in determining the effectiveness of laser therapy in the treatment of capillary malformations, also commonly referred to as port wine stains (PWS)? Background: PWS arise […]
Mission Accomplished?: Measuring success on humanitarian trips
The first time Gayle Woodson, MD, went on an international otolaryngology outreach mission 15 years ago, she was “a little afraid to go.” The chair of otolaryngology at Southern Illinois University in Springfield was traveling to Tanzania, a country prone to violence and war, and there was no telling what kind of environment she was entering.
Experimental Tort Reform: States take different approaches to implement change
The health care reform law passed in March created a $50 million demonstration program to test alternatives to the current medical liability system. But reaction is mixed as to whether the new project will help fix what the physician and medical liability insurance communities view as a flawed and inefficient system.
Advertise with Caution: State laws restrict how physicians can market themselves
In this economy, investing in advertising as a way to increase profits is an attractive idea. But, before you reach out to a marketing firm, let me tell you about a recent scenario that happened to one of my physician clients.
A New Direction for Sleep: New OSA guidelines fuel another evidence-based medicine debate
Recent publication of practice parameters for surgery in adults with obstructive sleep apnea (OSA) by the American Academy of Sleep Medicine (AASM) has set off another round of debate on the need for otolaryngologists to get involved in generating their own guidelines. Although otolaryngologists have yet to agree on whether or not the time is right for guidelines on surgical treatment for sleep apnea, consensus can be claimed regarding the need perceived by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) to get on the evidence-based bandwagon.
A Coping Mechanism: Child life specialists can ease hospital stays for pediatric patients
Seven-year-old Michael is scheduled to have a hemangioma removed from his face at the Arkansas Children’s Hospital (ACH) Ambulatory Surgery Center in Little Rock. The morning of surgery, he and his mother meet with child life specialists Cassandra C. James, MS, CCLS, and Camille Dante, MS, CCLS, who show him pictures of the operating room. They let him play with an anesthesia mask and a pulse oximeter, and talk about what to expect when he goes to sleep.
Safety Net: With violence on the rise, otolaryngologists implement prevention strategies
The shooting of a doctor and two patients at Johns Hopkins Hospital in Baltimore in September sent a shudder of fear through all physicians, but for those who knew the late otolaryngologist John Kemink, MD, it was particularly saddening.
Disposable Sterile Sheaths Effective Against Cross-Contamination
What is the efficacy of sterile sheath use to prevent cross-contamination when using a fiberoptic nasopharyngolaryngoscope (FNPL) in an otolaryngology clinic? Background: After each use of FNPL, the endoscope must be […]
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