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Usage Patterns of CT and MRI in the Evaluation of Otologic Disease
Usage Patterns of CT and MRI in the Evaluation of Otologic Disease
- Source :
- Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 42(6)
- Publication Year :
- 2021
-
Abstract
- 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.Cross-sectional study.Survey of physicians.General Otolaryngologists and Otologists/Neurotologists (O/N) of the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS).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.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 practice20 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 practicing20 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.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.
- Subjects :
- Adult
medicine.medical_specialty
Pediatrics
Specialty
MEDLINE
Disease
Subspecialty
03 medical and health sciences
Otolaryngology
0302 clinical medicine
Surveys and Questionnaires
Medicine
Humans
Practice Patterns, Physicians'
030223 otorhinolaryngology
Child
Ear Diseases
Response rate (survey)
business.industry
Magnetic Resonance Imaging
Sensory Systems
United States
Cross-Sectional Studies
Otorhinolaryngology
Private practice
Head and neck surgery
Neurology (clinical)
business
Tomography, X-Ray Computed
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15374505
- Volume :
- 42
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
- Accession number :
- edsair.doi.dedup.....8682781ba29559f7bfd68bbdccbc3d2f