Evidence map›Paper›PMID 38039911›Full record

ArticleAmerican journal of otolaryngology

Perceptions and practices of people with a total laryngectomy during COVID-19 pandemic: A mixed methods analysis.

Jeff Searl, Kathryn Genoa, Alyssa Fritz, Ann Kearney, Vinciya Pandian, Michael J Brenner, Philip Doyle

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of otolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026
    Article
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Jeff SearlDepartment of Communicative Sciences and Disorders, Michigan State University, East Lansing, MI, USA. Electronic address: searljef@msu.edu.
Kathryn GenoaDepartment of Communicative Sciences and Disorders, Michigan State University, East Lansing, MI, USA. Electronic address: genoakat@msu.edu.
Alyssa FritzDepartment of Communicative Sciences and Disorders, Michigan State University, East Lansing, MI, USA. Electronic address: fritzal3@msu.edu.
Ann KearneyDivision of Laryngology, Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: annkearney@stanford.edu.
Vinciya PandianCenter for Immersive Learning and Digital Innovation, Johns Hopkins School of Nursing, Baltimore, MD, USA.; Outcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, MD, USA; Global Tracheostomy Collaborative, Raleigh, NC, USA. Electronic address: vpandia1@jhu.edu.
Michael J BrennerDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, USA; Global Tracheostomy Collaborative, Raleigh, NC, USA. Electronic address: mbren@med.umich.edu.
Philip DoyleDivision of Laryngology, Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: pdoyle2@stanford.edu.
Michigan State University · USStanford Medicine · USJohns Hopkins University · USUniversity of Michigan · US

Funding

Tracheostomy and Laryngectomy Care: Virtual Reality Training for Health ProfessionalsR25CA254846 · NCI · MICHIGAN STATE UNIVERSITY · PI SEARL, JEFFREY P. · 2022 to 2023
$324k
NCI NIH HHS R25 CA254846
6 · The paper itself

Abstract

purposePeople with a total laryngectomy (PTL) confront safety threats related to altered airway anatomy and risk of adverse events is amplified during healthcare crises, as exemplified by COVID-19 pandemic. Understanding these challenges, how they are navigated by PTL, and what resources can be deployed to alleviate risk can improve interprofessional care by speech-language pathologists (SLPs), otolaryngologists, and other professionals. MATERIALS AND

methodsAn online survey was disseminated to PTL in the United States during the COVID-19 pandemic, querying participants about safety concerns and sources of information accessed to address care. Descriptive statistics and Chi-square were used to analyze information sources consumed by tracheoesophageal, esophageal, and electrolaryngeal speakers. Content analysis was completed to identify themes and quantify responses by subtheme.

resultsAmong 173 respondent PTL, tracheoesophageal speakers preferentially sought otolaryngologist input, whereas esophageal and electrolaryngeal speakers more often chose SLPs (p < .01). Overall, tracheoesophageal speakers had more SLP or otolaryngologist contact. Many PTL reported stringent handwashing, neck cleaning, and hygienic risk mitigation strategies. Six themes emerged in content analysis involving risk of infection/transmission, heightened vigilance, changes to alaryngeal communication, modified tracheostoma coverage, diagnostic testing, and risk from comorbid conditions. Limited provider contact suggested pandemic barriers to healthcare access.

conclusionsPTL have a range of laryngectomy-specific needs and concerns, and type of alaryngeal communication was associated with source of information sought. Collaborations among healthcare professionals need to be optimized to improve patient navigation and overall access to specialized care.

Indexed as

COVID-19Speech, AlaryngealCommunicationHumansLaryngectomyPandemicsAdvocacyAlaryngealAnxietyClinical careCommunicationComorbiditiesCoronavirusCOVID-19Head and neck cancerHealthcare accessHealth care professionalsInformation sourcesLaryngectomyNursingOtolaryngologyPatient-centered carePatient experienceQuality improvementRespiratory care practitionerSARS-CoV-2Speech language pathologyTracheoesophageal speechTracheostomy

Identifiers

PMID38039911
PMCPMC10939873
OpenAlexW4389011158

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.