TY - JOUR
T1 - Usage Patterns of CT and MRI in the Evaluation of Otologic Disease
AU - Moroco, Annie E.
AU - Saadi, Robert A.
AU - Baker, Aaron R.
AU - Zhu, Junjia
AU - Isildak, Huseyin
N1 - Funding Information:
This work is funded by Science and Engineering Research Board, the Department of Science and Technology, under the Govt. India under the Fast Track Young Scientist Scheme). Nilotpal Das likes to thank the assistance received from Council for Scientific and Industrial Research - India for financial assistance as JRF [09/796(0052)/2012-EMR-1]. We acknowledge the help received for the cation analysis by IC, to the project ?Physico-chemical characterization of aerosol and source apportionment in the mid-Brahmaputra plain in Assam: A modeling approach? funded by the Ministry of Earth Sciences, India: MoES/16/16/10-RDEAS. Lastly, We would like to thank Ms Aparna Das for being associated with all the work on arsenic in the lab directly or indirectly.
Publisher Copyright:
Copyright © 2020, Otology & Neurotology, Inc.
PY - 2021/7/1
Y1 - 2021/7/1
N2 - OBJECTIVE: To evaluate the current trends and usage patterns of radiographic imaging for otologic disease by specialty, length of practice, practice setting, geographic region, and pediatric volume. STUDY DESIGN: Cross-sectional study. SETTING: Survey of physicians. SUBJECTS: General Otolaryngologists and Otologists/Neurotologists (O/N) of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS). METHODS AND OUTCOME MEASURES: An electronic questionnaire was distributed to AAO-HNS members. Respondents were separated into groups by specialty, length of practice, practice setting, region, and pediatric exposure. Chi-square tests were performed for the determination of significance. RESULTS: The survey was sent to 5,168 members of AAO-HNS. The response rate was 10.6% (n = 546) and 18.1% for only O/N (n = 143). Most respondents were generalists (74%), in practice >20 years (51%), with a primarily adult practice (95%). O/N were more often academics (44 versus 17% combined, 40% private; p < 0.001) and saw fewer children (80 fewer than 25%; p < 0.001). Compared with generalists, O/N were more likely to respond with more frequent and earlier magnetic resonance imaging (MRI) utilization in the workup of the majority of otologic diseases. Significant differences in usage patterns for various conditions were demonstrated across all categories, but specialty training was the most common. Generalists (34 versus 12% of O/N; p < 0.001), physicians practicing >20 years (32 versus 18% of < 5 yrs; p = 0.006), and private practice physicians (34 versus 14-20% of others; p < 0.001) relied more heavily on the radiology report to interpret MRI scans. CONCLUSION: Subspecialty training seems to be the main variable correlating with significant differences in the use of MRI and computed tomography imaging in patients with otologic disease.
AB - OBJECTIVE: To evaluate the current trends and usage patterns of radiographic imaging for otologic disease by specialty, length of practice, practice setting, geographic region, and pediatric volume. STUDY DESIGN: Cross-sectional study. SETTING: Survey of physicians. SUBJECTS: General Otolaryngologists and Otologists/Neurotologists (O/N) of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS). METHODS AND OUTCOME MEASURES: An electronic questionnaire was distributed to AAO-HNS members. Respondents were separated into groups by specialty, length of practice, practice setting, region, and pediatric exposure. Chi-square tests were performed for the determination of significance. RESULTS: The survey was sent to 5,168 members of AAO-HNS. The response rate was 10.6% (n = 546) and 18.1% for only O/N (n = 143). Most respondents were generalists (74%), in practice >20 years (51%), with a primarily adult practice (95%). O/N were more often academics (44 versus 17% combined, 40% private; p < 0.001) and saw fewer children (80 fewer than 25%; p < 0.001). Compared with generalists, O/N were more likely to respond with more frequent and earlier magnetic resonance imaging (MRI) utilization in the workup of the majority of otologic diseases. Significant differences in usage patterns for various conditions were demonstrated across all categories, but specialty training was the most common. Generalists (34 versus 12% of O/N; p < 0.001), physicians practicing >20 years (32 versus 18% of < 5 yrs; p = 0.006), and private practice physicians (34 versus 14-20% of others; p < 0.001) relied more heavily on the radiology report to interpret MRI scans. CONCLUSION: Subspecialty training seems to be the main variable correlating with significant differences in the use of MRI and computed tomography imaging in patients with otologic disease.
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U2 - 10.1097/MAO.0000000000003095
DO - 10.1097/MAO.0000000000003095
M3 - Article
C2 - 33606467
AN - SCOPUS:85108123967
VL - 42
SP - e698-e708
JO - American Journal of Otology
JF - American Journal of Otology
SN - 1531-7129
IS - 6
ER -