Health Disparities in Otology: A PRISMA‐Based Systematic Review

Lovett, Braeden L; Welschmeyer, Alexandra; Johns, J. Dixon; Mowry, Sarah E.; Hoa, Michael

doi:10.1177/01945998211039490

Cited by 12 publications

(11 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Within the last few years, numerous studies have compiled extensive data documenting differences in delivery or outcome of otolaryngologic care due to racial or socioeconomic factors. [11][12][13][14][15][16][17][18] For example, some studies have found that patients with public insurance experienced longer delays when obtaining appointments for obstructive sleep apnea and otitis media, non-white pediatric patients were more likely to experience delays for cleft palate repair, and patients with low SES were more likely to experience complications from adenotonsillectomies. [12][13][14] This growing body of evidence across a diverse spectrum of otolaryngologic care suggests that significant research and advocacy efforts are needed to intervene on disparities within otolaryngology.…”

Section: Introductionmentioning

confidence: 99%

The Use of Race and Socioeconomic Status Variables in Published Otolaryngologic Research

Prakash

Ward

Jaleel

et al. 2022

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Objective: To characterize the use of race and socioeconomic status (SES) variables in clinical otolarynogologic research. Methods: Databases were queried for all articles published in 2016 issues of 5 major otolaryngologic journals. One thousand, one hundred and forty of 1593 articles abstracted met inclusion criteria for analysis. Results: In total, 244 (21.4%) studies specified race as a variable. The subspecialty of Head and Neck cancer specified race at statistically higher rates compared to other subspecialties ( P = .002). Two hundred nine (34.0%) domestic studies specified race compared to 35 (6.7%) international studies. Of the 244 studies that specified race, 79 (32.4%) defined race using racial and ethnic categories interchangeably. Two hundred twenty-four (91.8%) studies reported data by race, 145 (59.4%) analyzed the data, and 112 (45.9%) discussed race-based results. In total, 94 (8.2%) studies specified SES. All subspecialties specified SES at statistically similar rates. Seventy (11.4%) domestic studies specified SES compared to 24 (4.6%) international studies. Of the 94 studies that specified SES, 42 (44.7%) defined SES using insurance status, 35 (37.2%) used education, and 32 (34.0%) used income. Seventy-eight (83.0%) studies reported data by SES, 71 (75.5%) analyzed the data, and 68 (72.3%) discussed SES-based results. Conclusion: In clinical otolaryngologic research, the study of race and SES is limited. To improve quality of research and patient care for all patients, investigators should clearly justify their use of race and SES variables, carefully select their measures of race and SES (if the use of these variables is justified), and study race/SES-based data beyond just a superficial level.

show abstract

Section: Introductionmentioning

confidence: 99%

The Use of Race and Socioeconomic Status Variables in Published Otolaryngologic Research

Prakash

Ward

Jaleel

et al. 2022

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

show abstract

“…Within otolaryngology, scoping and systematic reviews have characterized health care disparities in pediatric otolaryngology, 2,3 head and neck cancer, 4-6 rhinology, 7-9 laryngology, 10 and otology. 11-13 While studies on socioeconomic status, education, and ethnic disparities are relatively well represented, rurality is often left out of these reviews completely 3-9,11 or only narrowly addressed. 2,10,13 Rural regions experience inequities in cancer care, 14 higher rates of suicide, 15 higher infant mortality, 16 and higher premature and all-cause mortality.…”

mentioning

confidence: 99%

“…11-13 While studies on socioeconomic status, education, and ethnic disparities are relatively well represented, rurality is often left out of these reviews completely 3-9,11 or only narrowly addressed. 2,10,13 Rural regions experience inequities in cancer care, 14 higher rates of suicide, 15 higher infant mortality, 16 and higher premature and all-cause mortality. 17,18…”

mentioning

confidence: 99%

“…Social determinants of health (SDOHs) as defined by the Centers for Disease Control and Prevention (CDC), are the “conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes.” 1 The effects of SDOHs on health care have been increasingly recognized in recent literature. Within otolaryngology, scoping and systematic reviews have characterized health care disparities in pediatric otolaryngology, 2 , 3 head and neck cancer, 4–6 rhinology, 7–9 laryngology, 10 and otology 11–13 . While studies on socioeconomic status, education, and ethnic disparities are relatively well represented, rurality is often left out of these reviews completely 3–9,11 or only narrowly addressed 2,10,13 .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Rural Otolaryngology Care Disparities: A Scoping Review

Urban

Shimomura

Shah

et al. 2022

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective To broadly synthesize the literature regarding rural health disparities in otolaryngology, categorize findings, and identify research gaps to stimulate future work. Study Design Scoping review. Data Sources A comprehensive literature search was performed in the following databases: PubMed/MEDLINE, Scopus, Cochrane Central Register of Controlled Trials, Google Scholar, and CINAHL. Review Methods The methods were developed in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist. Peer-reviewed, English-language, US-based studies examining a rural disparity in otolaryngology-related disease incidence, prevalence, diagnosis, treatment, or outcome were included. Descriptive studies, commentaries, reviews, and letters to the editor were excluded. Studies published prior to 1980 were excluded. Results The literature search resulted in 1536 unique abstracts and yielded 79 studies that met final criteria for inclusion. Seventy-five percent were published after 2010. The distribution of literature was as follows: otology (34.2%), head and neck cancer (20.3%), endocrine surgery (13.9%), rhinology and allergy (8.9%), trauma (5.1%), laryngology (3.8%), other pediatrics (2.5%), and adult sleep (1.3%). Studies on otolaryngology health care systems also accounted for 10.1%. The most common topics studied were practice patterns (41%) and epidemiology (27%), while the Southeast (47%) was the most common US region represented, and database study (42%) was the most common study design. Conclusion Overall, there was low-quality evidence with large gaps in the literature in all subspecialties, most notably facial plastic surgery, laryngology, adult sleep, and pediatrics. Importantly, there were few studies on intervention and zero studies on resident exposure to rural populations, which will be critical to making rural otolaryngology care more equitable in the future.

show abstract

“…In addition to the Call for Papers, we planned this special supplement of Ear and Hearing to be dedicated to advancing IDEA in research on hearing and hearing healthcare. Even though we know that disparities exist in hearing healthcare (Lovett et al 2021), many researchers have not incorporated IDEA issues when planning, implementing, or reporting their research. For example, a recent systematic review (Pittman et al 2021) showed that from January 1990 to July 2020 only 12.8% of the 125 US-based clinical trials investigating hearing loss management reported the race/ethnicity of participants.…”

mentioning

confidence: 99%