Evidence map›Paper›PMID 39958946›Full record

ArticleLaryngoscope investigative otolaryngology2025

Otolaryngology-Head and Neck Surgery Training and Service Delivery: An International Survey.

Sarah Nuss, Doreen Nakku, Akansha Pandey, Zachary Elwell, David Fei-Zhang, Tarika Srinivasan, Rolvix H Patterson, Adebolajo Adeyemo, Alexander Cherches, Ali Haider Bangash and 26 more

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

36 authors.

Sarah NussMassachusetts Eye and Ear Infirmary Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-8608-6874
Doreen NakkuDepartment of Otolaryngology-Head and Neck Surgery Mbarara University of Science and Technology Uganda.
Akansha PandeyWarren Alpert Medical School of Brown University Rhode Island USA.
Zachary ElwellUniversity of Arizona College of Medicine Tucson Arizona USA.
David Fei-ZhangNorthwestern University Feinberg School of Medicine Chicago Illinois USA.ORCID https://orcid.org/0000-0002-4485-8274
Tarika SrinivasanHarvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0001-5206-1401
Rolvix H PattersonDepartment of Head and Neck Surgery & Communication Sciences Duke University School of Medicine Durham North Carolina USA.
Adebolajo AdeyemoCollege of Medicine, University of Ibadan Nigeria.
Alexander CherchesDepartment of Otolaryngology-Head and Neck Surgery University of Colorado Anschutz Colorado USA.
Ali Haider BangashDepartment of Otolaryngology and Head and Neck Surgery Hhaider5 Research Group Rawalpindi Pakistan.ORCID https://orcid.org/0000-0002-8256-3194
Allan MukuziDepartment of Otorhinolaryngology Head and Neck Surgery University of Nairobi Kenya.
Amina SeguyaDepartment of Otolaryngology-Head and Neck Surgery Mulago National Referral Hospital Uganda.
Aveline Aloyce KahingaMuhimbili University of Health and Allied Sciences Dar es Salaam Tanzania.
Beatriz PetrucciUnified Health System, Ministry of Health Brazil.
Carolina Der MussaDepartment of Noncommunicable Diseases World Health Organization Geneva Switzerland.
Carolina PietrobonUniversidade do Vale do Taquari-UNIVATES Brazil.
Christopher James WaterworthThe University of Melbourne Melbourne Australia.
Davina DauduFaculty of Surgery, University of Western Australia Perth Western Australia Australia.
David ShayeMassachusetts Eye and Ear Infirmary Boston Massachusetts USA.
Emily SmithDepartment of Emergency Medicine Duke University School of Medicine Durham North Carolina USA.
Gabrielle CahillDepartment of Head and Neck Surgery University of California Los Angeles California USA.
Holly SprowWashington University School of Medicine St. Louis Missouri USA.
Ivy MainaDepartment of Otorhinolaryngology-Head & Neck Surgery University of Pennsylvania Pennsylvania USA.
Johannes J FaganUniversity of Cape Town Cape Town South Africa.ORCID https://orcid.org/0000-0001-7924-7265
Joshua WiedermannDepartment of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.
Mary Jue XuDepartment of Otolaryngology-Head and Neck Surgery University of California San Francisco California USA.
Nader ZalaquettGlobal Otolaryngology-Head and Neck Surgery Initiative USA.
Nar Maya ThapaTribhuvan University Teaching Hospital Kathmandu Nepal.
Racheal HapundaDepartment of Surgery-Otolaryngology University of Zambia Lusaka Zambia.
Samuel OkerosiEar Nose and Throat Department, Kenyatta National Hospital Nairobi Kenya.
Sharon Ovnat TamirFaculty of Health Sciences, Ben Gurion University Israel.ORCID https://orcid.org/0000-0002-5093-9310
Titus IbekweUniversity of Abuja Abuja Nigeria.
Blake AlkireMassachusetts Eye and Ear Infirmary Boston Massachusetts USA.
Valerie SalanoNyahururu County Referral Hospital Nyahururu Kenya.
Taseer DinSidra Medicine Doha Qatar.
Global OHNS Initiative

Funding

World Health Organization 001
6 · The paper itself

Abstract

Importance: Highlighting the global disparities in otolaryngology training and, ultimately, service delivery, emphasizing the need for equitable access to training resources and programs. Objective: To describe the relationship between the quality, content, and location of otolaryngology-head and neck surgery training and education and the resulting impact on the delivery of otolaryngology care globally. Design: An online cross-sectional survey to otolaryngologists, gathering information on their training and education experiences, and factors influencing their choice of training location and practice. Setting: The online survey was available in multiple languages, distributed via national and international professional otolaryngology societies, snowballing and social media. Participants: The respondents were practicing otolaryngologists representing all seven World Health Organization regions. Exposures: World Bank income groups classification. Main Outcomes and Measures: Our expected outcome was that subspecialty training and access to educational resources were significantly readily available to respondents from high-income countries, leading to more confidence in performing complex procedures post training. Results: A total of 91 participants were included in the analysis, with 47 (52%) practicing in high-income countries and 44 (48%) in low- and middle-income countries. Sixty-one participants (67%) were male. Subspecialty training and access to educational resources were significantly less available in low- and middle-income countries, leading to lower confidence among low- and middle-income countries physicians in performing complex procedures. High-income country respondents reported better access to diverse training resources and felt more prepared for a broader range of procedures. Conclusion and Relevance: Significant disparities exist in OHNS training resources and subspecialty training opportunities between high- and low-middle-income countries. There is a critical need to integrate complementary training and educational modalities into local systems. Addressing the shortage of educational resources and promoting open-access initiatives in low-middle-income countries are essential steps toward enhancing surgical education and improving global otolaryngology healthcare outcomes.

Identifiers

PMID39958946
PMCPMC11826220

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.