Evidence map›Paper›PMID 41479949›Full record

ArticleLaryngoscope investigative otolaryngology2026

Geospatial Analysis of Rural-Urban Access of Otolaryngology-Head and Neck Surgeons and Clinics in Vermont.

Christopher P Kruglik, Josephine Yalovitser, John L Rustad, Sara F Santagostino, Erin T Ostby, Heather C Herrington, Mirabelle B Sajisevi

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Christopher P KruglikLarner College of Medicine at the University of Vermont Burlington Vermont USA.ORCID https://orcid.org/0009-0008-6148-6194
Josephine YalovitserLarner College of Medicine at the University of Vermont Burlington Vermont USA.
John L RustadLarner College of Medicine at the University of Vermont Burlington Vermont USA.ORCID https://orcid.org/0000-0001-6166-0414
Sara F SantagostinoLarner College of Medicine at the University of Vermont Burlington Vermont USA.
Erin T OstbyDivision of Otolaryngology University of Vermont Medical Center Burlington Vermont USA.
Heather C HerringtonDivision of Otolaryngology University of Vermont Medical Center Burlington Vermont USA.
Mirabelle B SajiseviDivision of Otolaryngology University of Vermont Medical Center Burlington Vermont USA.ORCID https://orcid.org/0000-0003-3126-7739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study examines the distribution of Otolaryngology-Head and Neck Surgeons (OHNS) in Vermont to identify gaps in OHNS clinic accessibility between rural and urban areas and better understand the disparities faced by Vermonters. Methods: A geospatial, population-based cross-sectional study was conducted, and the OHNS workforce was assessed using public databases. The ArcGIS Pro Near Analysis tool was used to assess the travel burden to OHNS clinics. Wilcoxon rank sum tests were used to compare the average distances to Comprehensive Otolaryngology Care Centers (COCC) and General Otolaryngology Clinics (GOC) between rural and urban towns. Results: Vermonters have access to 15 OHNS clinics in Vermont, with 10 additional clinics in counties of bordering states. Nearly 43% of counties in Vermont lacked any OHNS clinic. While urban areas of Vermont had the fewest OHNS clinics, they had the largest number of practicing otolaryngologists. On average, Vermonters in urban towns were 31.0 km from a COCC, while those in rural towns were 68.7 km away ( Conclusion: Rural residents in Vermont must travel farther distances to obtain OHNS services. However, rural Vermonters face significantly less travel burden to GOCs than urban residents, suggesting that GOCs are well-positioned to reduce disparities in travel burden to OHNS for rural populations. GOCs tend to provide less comprehensive care than COCCs and may, therefore, incompletely improve the distribution and availability of comprehensive otolaryngology services in rural areas.

Indexed as

health services accessibilityotolaryngologypopulation healthrural healthspatial analysis

Identifiers

PMID41479949
PMCPMC12754085

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.