Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Otolaryngol Head Neck Surg · Mar 2014
ReviewIndividualized clinical practice guidelines: the next step in the evidence-based health care evolution?
Clinical practice guidelines (CPGs) are playing an increasing role in the evolution of evidence-based health care. CPGs involve a process in which the best evidence in translated into best practice principles that are then applied on a wide range of patients. ⋯ The individualized guideline (IG) is an approach that builds on the concept of the CPG by specifying treatment recommendation based on important individual baseline characteristics. The IG approach could potentially lead to superior outcomes but necessitates a substantial increase in complexity to the CPG development process.
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Otolaryngol Head Neck Surg · Mar 2014
Usefulness of sleep endoscopy in predicting positional obstructive sleep apnea.
The aim of the study was to (1) evaluate whether position affects drug-induced sleep endoscopy (DISE) findings in positional and nonpositional patients and (2) determine which areas of the upper airway obstruct in different body positions. ⋯ Sleep position can change upper airway morphology on DISE, particularly positional OSA patients. Hypopharyngeal collapse was the primary site that improved with change in position. DISE in multiple sleep positions should be considered as part of a minimally invasive approach to surgical therapy of OSA.
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Otolaryngol Head Neck Surg · Mar 2014
Regional differences in gender promotion and scholarly productivity in otolaryngology.
To identify whether regional differences exist in gender disparities in scholarly productivity and faculty rank among academic otolaryngologists. ⋯ Gender disparities in academic rank and scholarly productivity exist most notably in the Northeast, where women in otolaryngology are most underrepresented relative to men at senior academic ranks and in scholarly productivity.