Evidence map›Paper›PMID 42534644›Full record

ArticleLaryngoscope investigative otolaryngology2026

The Impact of Rurality on Durable Medical Equipment Access and Discharge Planning for Tracheostomy and Ventilation Care in Nebraska.

Karissa Nichols, Kayley Anderson, Morgan Bintner, Teresa Rodriguez, Jana Wardian, Jayme R Dowdall

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

6 authors.

Karissa NicholsCollege of Medicine University of Nebraska Medical Center Omaha Nebraska USA.ORCID https://orcid.org/0009-0000-6553-6082
Kayley AndersonCollege of Medicine University of Nebraska Medical Center Omaha Nebraska USA.
Morgan BintnerDepartment of Respiratory Therapy Children's Nebraska Omaha Nebraska USA.
Teresa RodriguezDepartment of Respiratory Therapy Nebraska Medicine Omaha Nebraska USA.
Jana WardianDepartment of Internal Medicine University of Nebraska Medical Center Omaha Nebraska USA.
Jayme R DowdallDepartment of Otolaryngology, Head and Neck Surgery University of Nebraska Medical Center Omaha Nebraska USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Recognize how rurality impacts safe discharge planning and home management for complex airway patients. This study explores the distribution of durable medical equipment (DME) companies for patients with tracheostomies and/or ventilators, aiming to identify patterns in service access statewide. Methods: Key informant phone surveys assessed active DME companies statewide. DME companies were identified through hospital referral lists, discharge directories, and online searches. Data collected included service radius, respiratory supplies, and ventilation types. Geographic information system (GIS) mapping visualized coverage. Rural-urban status was classified using rural-urban commuting area (RUCA) codes. Results: Of 16 companies identified, 6 were closed, leaving 50 active locations. Among these, 22% ( Conclusion: Geographic disparities limit DME access for rural patients requiring tracheostomy and invasive ventilation. Surgeons should be aware that patients may live over 1.5 h from a capable DME company. Presence of a DME company does not ensure a specific location offers specialized supplies or equipment. Realistic discharge planning is essential to ensure care continuity, reduce emergency department visits, hospital readmissions, and preventable complications. Level of Evidence: 4.

Indexed as

discharge planningdurable medical equipment (DME)geographic access to carerural health disparitiestracheostomy and ventilation

Identifiers

PMID42534644
PMCPMC13421794

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.