Evidence map›Paper›PMID 42057909›Full record

ArticleLaryngoscope investigative otolaryngology2026

National Trends in Utilization of Speech-Language Pathology and Otolaryngology Services for Dysphonia.

Vicki Liu, Kyle Cook, Dori Smith, Helena Yip

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 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

4 authors.

Vicki LiuUniversity of Arizona College of Medicine - Tucson Tucson Arizona USA.ORCID https://orcid.org/0000-0003-3194-4584
Kyle CookUniversity of Arizona College of Medicine - Tucson Tucson Arizona USA.
Dori SmithDepartment of Otolaryngology - Head and Neck Surgery University of Arizona College of Medicine - Tucson Tucson Arizona USA.
Helena YipDepartment of Otolaryngology - Head and Neck Surgery University of Arizona College of Medicine - Tucson Tucson Arizona USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Dysphonia affects a growing number of individuals in the United States, but many do not receive targeted care. This study explores trends in speech-language pathology (SLP) and otolaryngology utilization in a large, national cohort of individuals with dysphonia. Methods: Of 287,012 participants with EHR data who enrolled in the NIH All of Us Research Program between May 2018 and July 2022, those with dysphonia were identified using ICD codes. SLP and otolaryngology utilization rates were determined using CPT codes for relevant diagnostic and therapeutic interventions. Multivariate logistic regression analyses evaluated associations between sociodemographic characteristics and specialist care. Results: Of 8308 individuals with dysphonia, 4136 (49.8%) received specialist care, with 1740 (20.9%) having utilized SLP services and 3973 (47.8%) having utilized otolaryngology services. In adjusted analyses, older age, female sex, and lower education were associated with decreased SLP utilization, while female sex and lower income were associated with decreased otolaryngology utilization. Higher rates of otolaryngology utilization were seen in individuals identifying as Black or Other versus Non-Hispanic White. Insurance status and rural location did not independently correlate with specialist utilization. Conclusion: 49.8% of individuals with dysphonia accessed specialist care, with 20.9% of the individuals with dysphonia receiving SLP services and 47.8% receiving otolaryngology services. Utilization rates varied significantly across age, sex, race and ethnicity, education level, and annual income, but not insurance status or geographical setting. Level of Evidence: 3.

Indexed as

dysphoniahealthcare utilizationsocial determinantsspeech‐language pathologyspeech therapy

Identifiers

PMID42057909
PMCPMC13122261

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.