Critical Evaluation of Trends in Otolaryngology Resident Caseload by Subspecialty from 2005 to 2019

Welschmeyer, Alexandra; Coerdt, Kathleen M; Crossley, Jason R.; Malekzadeh, Sonya

doi:10.1177/0003489420987217

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Although ENT performs a larger number of cases annually, the most common pediatric ENT procedure is myringotomy/tympanostomy, which is a relatively short procedure. 25 This means that plastic surgeons are at higher risk of losing a greater amount of block time when the risk/benefit analysis falls in favor of delaying a nonurgent case without detriment to the patient.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Plastic Surgery Operating Room Block-Time Utilization: A Casualty of Illness

Maliha

Bruce

Anstadt

et al. 2022

Journal of Craniofacial Surgery

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Background: Optimizing operating room (OR) utilization is a critical component of health care system efficiency. The purpose of our study was to analyze the extent of OR cancellation and its effect on raw utilization of OR block time allotted to surgeons in the pediatric plastic surgery department. Methods: The authors retrospectively reviewed the cases of 4 plastic surgeons at a tertiary pediatric hospital between 2018 and 2019. Data collected included patient demographics, type of surgery, time of cancellation, reason for cancellation, length of surgery, and minutes of block time allotted to each surgeon per year. Percent of cases canceled, scheduled times lost, and block times lost were calculated. Results: Surgeons A, B, C, and D scheduled 170, 416, 305, and 474 cases, respectively. Overall, 7% of cases were canceled, 9.1% of scheduled time was lost, and a total of 5.1% of block time was lost due to cancellation. Patients of surgeon A and D were more likely to cancel due to reasons classified as ‘‘other,’’ including causes such as failure of nil per os or a family’s last-minute decision to forego elective surgery (33.3% and 37.2%, respectively), whereas patients of surgeon B and C were more likely to cancel due to illness (67.9% and 36.4%, respectively). Conclusions: Cancellations negatively impact raw utilization times; if fewer cases are performed, allotted block times are redistributed. Communication with patients in the week prior to surgery may allow for earlier identification of likely cancellations. Future directions include exploring whether particular surgeon characteristics are linked to rate of cancellations.

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Section: Discussionmentioning

confidence: 99%

Pediatric Plastic Surgery Operating Room Block-Time Utilization: A Casualty of Illness

Maliha

Bruce

Anstadt

et al. 2022

Journal of Craniofacial Surgery

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Ten-Year Trends in Otolaryngological Surgery Volumes and the Impact of Infection Prevention During the COVID-19 Pandemic—A National Study

Valajärvi,

Lamminmäki,

Lundberg

et al. 2024

JCM

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Background/Objectives: This register study elucidates the national trends in the otolaryngologic surgery volume in Finland over a ten-year period. In particular, we investigated whether the pandemic, which had a marked effect on communicable diseases, had an impact on infection-related ear, nose, and throat (ENT) procedures. For reference, we used noninfectious ENT procedures. Methods: The data of this study consisted of the volumes of different otolaryngological surgical procedures in Finland from 2012 to 2022. A linear regression model was applied to calculate long-term trends in surgery volumes. The annual predicted and observed surgical volumes of each procedure were compared. In addition, different procedures were compared based on whether they were mostly infection-related, non-infection-related, or both. Results: The results revealed that the pandemic altered the trends of many ENT procedures, and during the pandemic, infection-related surgeries declined more than non-infection-related surgeries did. The decline in infection-related surgery volumes seems to have lasted longer than the coronavirus disease 2019 (COVID-19) pandemic itself, as only tympanostomies and mastoidectomies of all the infection-related procedures included in this study have returned to the pre-pandemic trend. Some non-infection-related procedures and procedures with mixed indications also declined during the pandemic and sustained their reduction even in 2022. Conclusions: This study provides a nationwide insight into ENT surgery volumes in Finland over a ten-year period. Although causative reasoning cannot be conducted based on this study, it still provides a good indication of how the absence of respiratory viruses and multifactorial societal restriction measures could have a long-lasting effect on the epidemiology and management of many ENT diseases.

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Critical Evaluation of Trends in Otolaryngology Resident Caseload by Subspecialty from 2005 to 2019

Cited by 2 publications

References 13 publications

Pediatric Plastic Surgery Operating Room Block-Time Utilization: A Casualty of Illness

Pediatric Plastic Surgery Operating Room Block-Time Utilization: A Casualty of Illness

Ten-Year Trends in Otolaryngological Surgery Volumes and the Impact of Infection Prevention During the COVID-19 Pandemic—A National Study

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