Utility of Telemedicine for Diagnosis and Management of Laryngology‐Related Complaints during COVID ‐19
Article Swipe
Janet S. Choi
,
Victoria Yin
,
Franklin Wu
,
Neel K. Bhatt
,
Karla O’Dell
,
Michael M. Johns
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/lary.29838
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1002/lary.29838
Objectives/Hypothesis To investigate the concordance in diagnosis and management between initial telemedicine visits and subsequent in‐person visits with laryngoscopy for laryngology‐related complaints during COVID‐19. Study Design Retrospective cohort study. Methods Patients who presented to a tertiary care center with laryngology‐related complaints (voice, swallowing, airway, general throat complaints and others) and completed initial telemedicine visits and subsequent in‐person visits with laryngoscopy between March and October 2020 were included (n = 250). Preliminary diagnoses and managements provided during initial telemedicine visits were compared with the diagnoses and managements during subsequent in‐person visits with laryngoscopy. Multivariable logistic regression analysis was performed to compare concordance rates in diagnosis and management by chief complaint categories after adjusting for relevant demographic and clinical factors. Results Overall concordance rates in diagnosis and management between the initial telemedicine visit and subsequent laryngoscopy exam were 86.1% and 93.7%, respectively. Mean (standard deviation) days until laryngoscopy from the initial visit were 21.2 (23.0). Concordance rates were not associated with patient's age, gender, preferred language, provider, telemedicine visit duration, or days until laryngoscopy. Management concordance rate was relatively lower among patients with general throat complaints in comparison with voice‐related complaints (odds ratio: 0.27; 95% confidence interval: 0.08–0.90). Management changes after laryngoscopy included need for further imaging, procedures, voice therapy, and referral to other specialists. Conclusion Concordance rates in diagnosis and management remained high between the initial telemedicine visit and subsequent in‐person visit with laryngoscopy for new patients presenting with laryngology‐related complaints during the COVID‐19 pandemic. While laryngoscopy is still essential to confirm diagnosis and provide appropriate management, telemedicine may be a feasible alternative to provide suitable empiric therapy until laryngoscopy can be safely performed. Level of Evidence 4 Laryngoscope , 132:831–837, 2022
Related Topics
Concepts
Telemedicine
Coronavirus disease 2019 (COVID-19)
Laryngology
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
2019-20 coronavirus outbreak
Medicine
Virology
Health care
Internal medicine
Surgery
Disease
Infectious disease (medical specialty)
Economic growth
Economics
Outbreak
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/lary.29838
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lary.29838
- OA Status
- bronze
- Cited By
- 17
- References
- 40
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3193415398
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3193415398Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/lary.29838Digital Object Identifier
- Title
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Utility of Telemedicine for Diagnosis and Management of Laryngology‐Related Complaints during
COVID ‐19Work title - Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-08-17Full publication date if available
- Authors
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Janet S. Choi, Victoria Yin, Franklin Wu, Neel K. Bhatt, Karla O’Dell, Michael M. JohnsList of authors in order
- Landing page
-
https://doi.org/10.1002/lary.29838Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lary.29838Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lary.29838Direct OA link when available
- Concepts
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Telemedicine, Coronavirus disease 2019 (COVID-19), Laryngology, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), 2019-20 coronavirus outbreak, Medicine, Virology, Health care, Internal medicine, Surgery, Disease, Infectious disease (medical specialty), Economic growth, Economics, OutbreakTop concepts (fields/topics) attached by OpenAlex
- Cited by
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17Total citation count in OpenAlex
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2025: 1, 2024: 2, 2023: 5, 2022: 9Per-year citation counts (last 5 years)
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40Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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