ArticleThe Laryngoscope2022
Utility of Telemedicine for Diagnosis and Management of Laryngology-Related Complaints during COVID-19.
Article in The Laryngoscope, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 17 citations in OpenAlex.
- Acoustic and Perceptual Characteristics of Compressed Dysarthric Speech: Implications for Teleassessment.Journal of speech, language, and hearing research : JSLHR · 2026Article
- From voice biomarkers to telemedicine screening: developing and evaluating a voice-based AI model for laryngeal lesion detection using the Bridge2AI-Voice dataset.Frontiers in digital health · 2026Article
- Comparison of Voice Stimulability Testing in Telehealth and In-Person Formats.Journal of voice : official journal of the Voice Foundation · 2025Article
- The Use of Digital Health Services Among Patients and Citizens Living at Home: Scoping Review.Journal of medical Internet research · 2023Article
- Article
- Utility of telemedicine in tracheostomy-dependent children.Laryngoscope investigative otolaryngology · 2022Article
- COVID-19 and the resurgence of telehealth in otolaryngology.Operative techniques in otolaryngology--head and neck surgery · 2022Article
- Clinical signs, telemedicine and online consultations in head and neck diseases during the SARS CoV-2 pandemic: an Italian experience.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2022Article
- Addressing disparities in speech-language pathology and laryngology services with telehealth.Journal of communication disordersArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectives/hypothesisTo investigate the concordance in diagnosis and management between initial telemedicine visits and subsequent in-person visits with laryngoscopy for laryngology-related complaints during COVID-19. STUDY
designRetrospective cohort study.
methodsPatients who presented to a tertiary care center with laryngology-related complaints (voice, swallowing, airway, general throat complaints and others) and completed initial telemedicine visits and subsequent in-person visits with laryngoscopy between March and October 2020 were included (n = 250). Preliminary diagnoses and managements provided during initial telemedicine visits were compared with the diagnoses and managements during subsequent in-person visits with laryngoscopy. Multivariable logistic regression analysis was performed to compare concordance rates in diagnosis and management by chief complaint categories after adjusting for relevant demographic and clinical factors.
resultsOverall concordance rates in diagnosis and management between the initial telemedicine visit and subsequent laryngoscopy exam were 86.1% and 93.7%, respectively. Mean (standard deviation) days until laryngoscopy from the initial visit were 21.2 (23.0). Concordance rates were not associated with patient's age, gender, preferred language, provider, telemedicine visit duration, or days until laryngoscopy. Management concordance rate was relatively lower among patients with general throat complaints in comparison with voice-related complaints (odds ratio: 0.27; 95% confidence interval: 0.08-0.90). Management changes after laryngoscopy included need for further imaging, procedures, voice therapy, and referral to other specialists.
conclusionConcordance rates in diagnosis and management remained high between the initial telemedicine visit and subsequent in-person visit with laryngoscopy for new patients presenting with laryngology-related complaints during the COVID-19 pandemic. While laryngoscopy is still essential to confirm diagnosis and provide appropriate management, telemedicine may be a feasible alternative to provide suitable empiric therapy until laryngoscopy can be safely performed. LEVEL OF EVIDENCE: 4 Laryngoscope, 132:831-837, 2022.
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