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Otolaryngology-Head and Neck Surgery 163(1S)
Presentation schedule is subject to change. The Official Program Abstracts supplement does not reflect changes made after August 10, 2020.
Obtained data were analyzed with the Statistical Package for
the Social Sciences.
Results: Sixty-five lawsuits were evaluated across 24 states.
The median age of patients from 2000 to 2010 was 50 years
compared with 59 years from 2011 to 2019. A total of 58.8% of
cases from 2000 to 2010 and 74.2% of cases from 2011 to 2019
had allegations of failure to diagnose. A total of 8.8% of cases
from 2000 to 2010 had failure to biopsy compared with 32.3%
from 2011 to 2019. A total of 8.8% of cases had failure to refer
compared with 35.5% from 2011 to 2019. Adjusting for inflation, the average amount awarded from 2000 to 2010 was
$1,721,068 and from 2011 to 2019 was $3,925,504.
Conclusions: Although failure to diagnose continues to be
the leading cause of litigation for oral cavity cancer patients,
litigation from 2011 to 2019 showed a significant rise in the
number of allegations of failure to biopsy and failure to refer
compared with the previous decade's litigation (P < .05).
Although at face value the award amounts appear different
between decades, because of variations in amounts awarded,
there was no significant difference (P = .248). Malpractice
case outcomes are complex, and future education for physicians and other health professionals should focus on early
diagnosis, prompt biopsy, and referral to physicians who routinely care for this patient population.
Business
Peritonisillar Abscess Transfers to a Tertiary
Care Center: Opportunity for Health Care
Savings?
Jeffrey Petrusek, MD (Presenter); Nadeem El-Kouri;
Eric Thorpe, MD
Objectives: We examine the treatment course and outcomes
of patients transferred to our institution for peritonsillar
abscess (PTA) in an attempt to identify potentials for more
cost-effective transfer practices.
Methods: A retrospective chart review was performed of
outside facility transfers for PTA from November 2016 to July
2019. Collected information includes timeline of transfer,
transfer distance, workup and treatment at transferring facility, and treatment course at our facility.
Results: A total of 128 patients were transferred with a
diagnosis of PTA. Average distance traveled for transfer was
16.5 miles, with distances ranging from 3 to 66 miles. The
average time from transfer request to arrival at our institution
was 2.5 hours. Ninety-eight percent of patients were transferred via ambulance (59% advanced life support, 39% basic
life support). Sixty-three percent of transfers arrived between
6 pm and 6 am. Fifty-three percent of patients were discharged
from our emergency department, 43% were admitted to
observation, and 5% were admitted to an intensive care unit.
Six percent of patients underwent flexible pharyngolaryngoscopy for airway evaluation. No patients required intubation
or tracheostomy. No patients presented with sepsis. There
were no unexpected complications. Total average charges for
management of transferred patients were $8200 per patient.
Conclusions: The vast majority of emergency PTA transfers
to our institution are low acuity. There may be opportunities
for health care cost savings by more closely evaluating transfer practices. Options such as close outpatient follow-up with
an otolaryngologist, medical management for antibiotic-naive
patients with small/questionable abscesses while awaiting
otolaryngology evaluation, or telephone consults with shared
imaging may help mitigate the costs associated with transfers
for nonacute patients.
Predictors for Clinic No-Shows of Patients
in a Tertiary Care Pediatric Otolaryngology
Practice
Taher Valika, MD (Presenter); Nicholas Giancola;
Nina Srdanovic; Bharat Bhushan, PhD
Objectives: Missed appointments are a pervasive problem
with deleterious economic effects and negative health consequences. Patients who miss their appointments reduce a clinic's capacity to maximize the amount of service provided. It is
evident that a comprehensive understanding of the incidence
of missed appointments in pediatric clinics is lacking. We aim
to identify the predictors of missed appointments in an urban,
outpatient pediatric otolaryngology (ENT) clinic.
Methods: A retrospective chart review was conducted of
patients scheduled for outpatient clinic appointment at single
academic pediatric ENT practice over a 12-month period.
No-show patients were identified as those who did not attend
their appointments/did not communicate to our office their
intent on missing the appointment. Variables gathered included
distance from clinic to residence, insurance status, appointment, language, day, season, and so forth.
Results: Over the study period, 670 new patients were seen;
242 of these patients (36.1%) were a no-show. The median distance required to travel was 10.45 miles. Most patients (91.5%)
who were not seen reported English as their preferred language.
A total of 70.1% of the patients were on Illinois Medicaid. A
negative predictor was an appointment at a satellite clinic in lieu
of the hospital (P < .0001). Most missed appointments were on
Friday and during the winter months (48%).
Conclusions: Our study is the first in identifying factors for
missed appointments in an academic pediatric ENT practice.
Our review demonstrates that the strongest positive predictor
for no-show appointments was public health insurance.
Addressing these factors and improving lines of communication can help improve patient compliance with scheduled clinic
appointments and improve the use of health care resources.
Top US #PlasticSurgery Influencers on
Instagram: Are You Following?
Cindy P. Neighbors, MD (Presenter); Bovey Z. Zhu, MD
Objectives: Instagram is the fastest rising social media platform, with an estimated usage of 28 minutes daily per user
with 1 billion users each month. The mobile application ties
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Table of Contents for the Digital Edition of Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Contents
Accreditation Information
2020 President Duane J. Taylor, MD
2020 Annual Meeting Program Committee
2020 Star Reviewers
2020 Distinguished Service Award Recipients
2020 Honor Award Recipients
Honorary Guest Lecturers 2020
Panel Presentations
Oral Presentations
Poster Presentations
Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Intro
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A1
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Contents
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A5
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A6
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Accreditation Information
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 President Duane J. Taylor, MD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Annual Meeting Program Committee
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P4
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Star Reviewers
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Honor Award Recipients
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P7
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Honorary Guest Lecturers 2020
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Panel Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P276
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P277
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P278
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P279
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P281
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P282
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P283
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P284
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P285
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P286
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P287
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P288
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P289
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P290
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P291
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P292
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P293
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P294
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P295
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P296
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P297
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P298
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P299
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P300
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P301
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P302
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P303
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P304
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P305
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P306
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P307
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P308
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P309
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P310
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P311
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P312
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P316
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P317
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P318
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P319
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P320
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P321
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P322
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P323
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P324
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P325
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P326
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P327
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P328
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P329
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P330
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P331
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P332
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover4
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