Association Between Meniere Disease and Migraine

Smoking Is Positively Related and Alcohol Consumption Is Negatively Related to an Increased Risk of Meniere’s Disease

“…The exclusion criteria were as previously described [ 12 ]. In brief, participants who had histories of head trauma, ≥2 times with head and neck CT, brain tumors, disorders of acoustic nerves, and benign neoplasms of cranial nerves were excluded.…”

“…MD was defined if the participants were diagnosed with ICD-10 codes H810 (MD), ≥2 times of treatment histories, and with audiometric examination [ 12 ]. The diagnosis of MD was made by a physician, mostly by an otology specialist.…”

Reducing Surgical Instruments In Otolaryngology Instrument Trays—Realized Cost Savings Remain Uncertain—Reply

“…To the Editor We read with great interest the article titled "Association Between Meniere Disease and Migraine" by Kim et al 1 In this large case-control study, the authors aimed to investigate the possibility of bidirectional association between Meniere disease (MD) and migraine. Their findings demonstrated a higher occurrence of migraine in patients with MD and vice versa, implying a bidirectional relationship between MD and migraine.…”

“…To the Editor Yalamanchi et al 1 identify "direct cost savings" associated with reducing numbers of surgical instruments in otolaryngology instrument trays. The authors calculate savings by dividing the Michigan Medicine's Sterile Processing Department's (SPC's) annual labor and supplies budget (approximately $3.3 million) by the annual number of instruments processed (approximately 3.9 million) to generate a processing cost estimate of $0.84 per instrument.…”

“…Unlike cost-effectiveness studies, which offer the predicted value of an intervention, the cost savings described from 2017 to 2022 were realized, direct instrument processing savings experienced by the institution's Sterile Processing Department (SPD). 1 Weeks and Weinstein suggest that an "annual cost savings" estimate would have been more interpretable. Given that this streamlined surgical tray intervention has both persisted in the otolaryngology department over the past 5 years and expanded to 5 other surgical services at our institution, the cumulative change in direct costs over time offers insight into the durable nature of this initiative and overall effect since implementation.…”