Evidence map›Paper›PMID 41607852›Full record

ArticleTracheostomy (Warrenville, Ill.)2025

Addressing Education and Care Gaps in Tracheostomy Management: Insights from a Multi-Stakeholder Global Survey.

Michael J Brenner, Smita Sahay, Rachael M Silveira, Chandler Moser, Michelle E Morrison, Nicole K Zeitler, Christina J Yang, Maria Colandrea, Kylie McElroy, Vinciya Pandian

Registry-linked trialAbstract read
In one paragraph

Article in Tracheostomy (Warrenville, Ill.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07481435 (TRacheostomy in DElphi for iNTensive Care'), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT07481435 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

TRacheostomy in DElphi for iNTensive Care' (TRiDENT)

TypeobservationalSponsorUniversita degli Studi di GenovaRan2026 to 2026Enrolled40ConditionsDelphi Process, Delphi StudyArmsDelphi Consensus Process
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Standardizing Tracheostomy Discharge Education Using an Interdisciplinary Hand-off Form: A Quality Improvement Study.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026
    Article
  3. Review
  4. 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

10 authors.

Michael J BrennerDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan-Ann Arbor.
Smita SahayDepartment of Neurosciences and Psychiatry, University of Toledo College of Medicine and Life Sciences.
Rachael M SilveiraDepartment of Rehabilitation - Speech Language Pathology, Jackson Memorial Hospital.
Chandler MoserCenter for Nursing Science and Clinical Inquiry, Madigan Army Medical Center.
Michelle E MorrisonPatient and Family, Global Tracheostomy Collaborative.
Nicole K ZeitlerCivil Rights Division, U.S. Department of Justice.
Christina J YangDepartment of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center.
Maria ColandreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Durham Veterans Affairs Healthcare System.
Kylie McElroyTracheostomy Patient Family Advisory Council, Children's Mercy.
Vinciya PandianRoss and Carol Nese College of Nursing, Pennsylvania State University.

Funding

AHRQ HHS R18 HS029124
6 · The paper itself

Abstract

Objective: To identify gaps in tracheostomy care related to education, workforce competency, access, affordability, and caregiver empowerment, and to provide actionable insights for improving global tracheostomy practices. Design: Cross-sectional, descriptive study utilizing a global multi-stakeholder survey. Methods: A 19-item survey, developed collaboratively with healthcare professionals (HCPs), patients, and caregivers, was distributed to members of the Global Tracheostomy Collaborative. Respondents rated tracheostomy care challenges on a severity scale and provided qualitative insights. Quantitative data were analyzed descriptively, while qualitative data were stratified by stakeholder group and thematically synthesized. Results: A total of 170 respondents from 14 countries and diverse professional roles, including speech-language pathologists (30%), nurses (24%), and respiratory care practitioners (24%), identified major challenges. The most critical issues included limited availability of HCPs with tracheostomy expertise (median severity score: 8), inequities in access to care (7), and affordability concerns (6). Key themes included inadequate education and training, inconsistent suctioning and stoma care techniques, and insufficient caregiver empowerment. Barriers specific to underserved populations and resource-limited settings included geographic access limitations, financial strain, and workforce shortages. Respondents emphasized the need for standardized training, simulation-based education, telehealth solutions, and equitable resource allocation to improve care delivery. Conclusion: This study highlights significant challenges in global tracheostomy care and emphasizes the need for targeted interventions, such as innovative training frameworks, standardized care pathways, and policy-level changes to address systemic inequities. Enhanced interdisciplinary collaboration and patient-centered approaches are critical for improving outcomes and reducing caregiver burden. Future efforts must prioritize scalable solutions to bridge gaps in underserved and resource-constrained settings.

Indexed as

Access and Affordability in HealthcareCaregiver EmpowermentGlobal HealthHealthcare DisparitiesHealth Workforce EducationInterprofessional CollaborationPatient-Centered CareSimulation-Based TrainingTracheostomy CareWorkforce Competency

Identifiers

PMID41607852
PMCPMC12841422

What OpenQuestion holds

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Registered trials

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.