JAMA otolaryngology-- head & neck surgery
-
JAMA Otolaryngol Head Neck Surg · Jul 2018
Randomized Controlled Trial Observational StudyAssociation of Continuous Positive Airway Pressure Treatment With Sexual Quality of Life in Patients With Sleep Apnea: Follow-up Study of a Randomized Clinical Trial.
Obstructive sleep apnea reduces sexual quality of life (QOL) as a result of reduced libido and intimacy, erectile dysfunction, and several other mechanisms. Treatment for obstructive sleep apnea may improve sexual QOL. ⋯ Successful CPAP use may be associated with improved sexual QOL. Subgroup analysis revealed a large improvement in women but no improvement in men. Further study is warranted to test other measures of sexual QOL and other treatments.
-
JAMA Otolaryngol Head Neck Surg · Jun 2016
Effect of a Documentation Improvement Program for an Academic Otolaryngology Practice.
Physicians recognize the value of accurate documentation to facilitate patient care, communication, and the distribution of professional fees. However, the association between inpatient documentation, hospital billing, and quality metrics is less clear. ⋯ After educational sessions, multiple measures of patient acuity increased significantly owing to improved documentation of common comorbid conditions. Although physicians intuitively appreciate the importance of good documentation, education on the technical aspects of coding can significantly improve the quality and accuracy of clinical records.
-
JAMA Otolaryngol Head Neck Surg · Apr 2016
Usefulness of Upper Airway Endoscopy in the Evaluation of Pediatric Pulmonary Aspiration.
There is no consensus on the evaluation of pediatric patients with aspiration. ⋯ In children with chronic aspiration who warrant further evaluation, flexible laryngoscopy alone is not sufficient. There is a high incidence of aspiration-related airway lesions identified on DLB and not seen on flexible laryngoscopy, with 66.3% (110 of 166) of those lesions eventually requiring surgical intervention. Patients 1 year or older with a history of recurrent pneumonia or intubation are more likely to have an aspiration-related airway lesion.