Evaluation of Compliance for Treatment of Sudden Hearing Loss: A CHEER Network Study.

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Clinical Guidelines
Authored By
Witsell DL, Khoury T, Schulz KA, Stachler R, Tucci DL, Wojdyla D
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ENT
Emergency Medicine
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Emergency Medicine
ENT
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volume
155
ISSN
1097-6817
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ISSN
1097-6817
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true
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Additional Info
["Witsell DL, Khoury T, Schulz KA, Stachler R, Tucci DL, Wojdyla D","Publisher: Wiley Country of Publication: England NLM ID: 8508176 Publication Model: Print Cited Medium: Internet ISSN: 1097-6817 (Electronic) Linking ISSN: 01945998 NLM ISO Abbreviation: Otolaryngol Head Neck Surg Subsets: MEDLINE","Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't","2016-07-01","Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2016 Jul; Vol. 155 (1), pp. 48-55.","English","1097-6817","Patient Compliance*, Hearing Loss, Sensorineural\/*diagnosis , Hearing Loss, Sensorineural\/*therapy , Hearing Loss, Sudden\/*diagnosis , Hearing Loss, Sudden\/*therapy , Hearing Tests\/*methods, Aged ; Cross-Sectional Studies ; Databases, Factual ; Female ; Health Services Research ; Hearing Loss, Sensorineural\/epidemiology ; Hearing Loss, Sudden\/epidemiology ; Humans ; International Classification of Diseases ; Male ; Middle Aged ; Otolaryngology\/organization & administration ; Practice Guidelines as Topic ; Practice Patterns, Physicians'\/statistics & numerical data ; Surveys and Questionnaires ; United States\/epidemiology","Aged, Cross-Sectional Studies, Databases, Factual, Female, Health Services Research, Hearing Loss, Sensorineural epidemiology, Hearing Loss, Sudden epidemiology, Humans, International Classification of Diseases, Male, Middle Aged, Otolaryngology organization & administration, Practice Guidelines as Topic, Practice Patterns, Physicians' statistics & numerical data, Surveys and Questionnaires, United States epidemiology, Hearing Loss, Sensorineural diagnosis, Hearing Loss, Sensorineural therapy, Hearing Loss, Sudden diagnosis, Hearing Loss, Sudden therapy, Hearing Tests methods, Patient Compliance","Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery","155"]
Description
Objective: The objective of this study is to describe the presentation and management of sudden sensorineural hearing loss for patients seen in academic and community-based practices within the context of the American Academy of Otolaryngology-Head and Neck Surgery Foundation's "Clinical Practice Guideline: Sudden Hearing Loss." The intention is to use these findings to guide implementation strategies and quality improvement initiatives and as pilot data for the development of clinical research initiatives.<br />Study Design: A cross-sectional study of patients with sudden hearing loss.<br />Setting: Patients were recruited from practices within the Creating Healthcare Excellence through Education and Research (CHEER) network. The CHEER network is an National Institutes of Health-funded network of 30 otolaryngology sites across the country, half of which are community based and half of which are academic practices.<br />Subjects and Methods: A total of 173 patients were recruited. Data were gathered via custom questionnaires collected by study site coordinators and entered into a secure online platform. Descriptive analyses and correlation statistics were run with SAS 9.3.1.<br />Results: Of the 13 guideline statements in the American Academy of Otolaryngology-Head and Neck Surgery Foundation's clinical practice guideline on sudden hearing loss, 11 statements were evaluable through this study. Compliance for otolaryngologists was &gt;95% for key action statements (KASs) 1, 3, and 6; 90% to 95% for KASs 5 and 10; and &lt;90% for KASs 7 and 13. Compliance was &lt;45% for nonotolaryngologists for KASs 3 and 5-7.<br />Conclusions: There is opportunity for nonotolaryngologists to improve for statements 3 and 5-7. Otolaryngologists are compliant with many of the KASs overall, but there is significant room for improvement.<br /> (© American Academy of Otolaryngology—Head and Neck Surgery Foundation 2016.)
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