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  1. Article ; Online: In Response to Is Bilateral Cochlear Implantation Cost-Effective Compared to Unilateral…?

    Pattisapu, Prasanth

    The Laryngoscope

    2021  Volume 131, Issue 5, Page(s) E1699

    MeSH term(s) Cochlear Implantation ; Cochlear Implants ; Cost-Benefit Analysis ; Deafness/surgery ; Humans
    Language English
    Publishing date 2021-02-26
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.29468
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  2. Article ; Online: Validation of Sinusitis in the Pediatric Health Information System.

    Pattisapu, Prasanth / Chisolm, Deena J / Bridges, John F P / Minneci, Peter C

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2024  

    Language English
    Publishing date 2024-03-14
    Publishing country England
    Document type Letter
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1002/ohn.707
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  3. Article ; Online: Healthcare Equity in Pediatric Otolaryngology.

    Pattisapu, Prasanth / Raol, Nikhila P

    Otolaryngologic clinics of North America

    2022  Volume 55, Issue 6, Page(s) 1287–1299

    Abstract: In almost all areas that have been studied, racial, ethnic, socioeconomic, and other disparities have been identified throughout pediatric otolaryngology. This article focuses on some of the most studied areas, including the use of tonsillectomy, ear ... ...

    Abstract In almost all areas that have been studied, racial, ethnic, socioeconomic, and other disparities have been identified throughout pediatric otolaryngology. This article focuses on some of the most studied areas, including the use of tonsillectomy, ear tubes, cochlear implants, and tracheostomies. Disparities are best reduced through multilevel interventions that address policy and upstream determinants of health. However, in some cases, standardization of care through clinical practice guidelines or can reduce disparities in care delivery. Future research in pediatric otolaryngology should specifically study disparities, their causes, and how to reduce them.
    MeSH term(s) Child ; Humans ; United States ; Healthcare Disparities ; Racial Groups ; Ethnicity ; Otolaryngology ; Tonsillectomy
    Language English
    Publishing date 2022-11-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 417489-6
    ISSN 1557-8259 ; 0030-6665
    ISSN (online) 1557-8259
    ISSN 0030-6665
    DOI 10.1016/j.otc.2022.07.006
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  4. Article ; Online: Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media.

    Pattisapu, Prasanth / Findlen, Ursula M / Lindsey, Spencer E

    The New England journal of medicine

    2021  Volume 385, Issue 9, Page(s) 860

    MeSH term(s) Chronic Disease ; Humans ; Middle Ear Ventilation ; Otitis Media/drug therapy ; Otitis Media with Effusion
    Language English
    Publishing date 2021-08-11
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2109725
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  5. Article ; Online: Persistent OSA After Adenotonsillectomy in CPAP-Intolerant Children: What To Do Next?

    Evans, Sean S / Pattisapu, Prasanth / Parikh, Sanjay R

    The Laryngoscope

    2020  Volume 131, Issue 5, Page(s) 950–951

    MeSH term(s) Adenoidectomy/adverse effects ; Child ; Clinical Decision-Making/methods ; Continuous Positive Airway Pressure/adverse effects ; Endoscopy/methods ; Humans ; Magnetic Resonance Imaging/methods ; Polysomnography ; Severity of Illness Index ; Sleep Apnea, Obstructive/diagnosis ; Sleep Apnea, Obstructive/therapy ; Tonsillectomy/adverse effects ; Treatment Failure
    Keywords covid19
    Language English
    Publishing date 2020-07-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.28839
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  6. Article ; Online: Evidence-Based Medicine in Otolaryngology Part 16: Qualitative and Quantitative Methods-Contrasting and Complementary Approaches.

    Ikeda, Allison K / Suarez-Goris, Dany / Reich, Amanda J / Pattisapu, Prasanth / Raol, Nikhila P / Randolph, Gregory W / Shin, Jennifer J

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2023  

    Abstract: Qualitative methods have been increasingly applied in our literature, providing richness to data and incorporating the nuances of patient and family perspectives. These qualitative research techniques provide breadth and depth beyond what can be gleaned ... ...

    Abstract Qualitative methods have been increasingly applied in our literature, providing richness to data and incorporating the nuances of patient and family perspectives. These qualitative research techniques provide breadth and depth beyond what can be gleaned through quantitative methods alone. When both quantitative and qualitative approaches are coupled, their findings provide complementary information which can further substantiate study conclusions. We thus aim to provide insight into qualitative and quantitative methods in comparison and contrast to each other, as well as guidance on when each approach is most apt. In relation, we also describe mixed methods and the theory supporting their framework. In doing so, we provide the foundation for an ensuing, more detailed exposition of qualitative methods.
    Language English
    Publishing date 2023-09-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1002/ohn.469
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  7. Article ; Online: The December Effect in Pediatric Elective Surgery Utilization: Differences Between Privately and Publicly Insured Children.

    Gil, Lindsay A / McLeod, Daryl / Pattisapu, Prasanth / Minneci, Peter C / Cooper, Jennifer N

    The Journal of pediatrics

    2022  Volume 253, Page(s) 213–218.e11

    Abstract: Objectives: The objective of this study was to identify differences in December elective surgery utilization between privately and publicly insured children, given that increases in the prevalence and size of annual deductibles may be driving more ... ...

    Abstract Objectives: The objective of this study was to identify differences in December elective surgery utilization between privately and publicly insured children, given that increases in the prevalence and size of annual deductibles may be driving more families with commercial health insurance to delay elective pediatric surgical procedures until later in the calendar year.
    Study design: We identified patients aged <18 years who underwent myringotomy, tonsillectomy ± adenoidectomy, tympanoplasty, hydrocelectomy, orchidopexy, distal hypospadias repair, or repair of inguinal, umbilical, or epigastric hernia using the 2012-2019 state inpatient and ambulatory surgery and services databases of 9 states. Log-binomial regression models were used to compare relative probabilities of procedures being performed each month. Linear regression models were used to evaluate temporal trends in the proportions of procedures performed in December.
    Results: Our study cohort (n = 1 001 728) consisted of 56.7% privately insured and 41.8% publicly insured children. Peak procedure utilization among privately and publicly insured children was in December (10.1%) and June (9.6%), respectively. Privately insured children were 24% (95% CI 22%-26%) more likely to undergo surgery in December (P < .001), with a significant increase seen for 8 of 9 procedures. There was no trend over time in the percentage of procedures performed in December, except for hydrocelectomies, which increased by 0.4 percentage points/year among privately insured children (P = .02).
    Conclusions: Privately insured children are >20% more likely than publicly insured children to undergo elective surgery in December. However, despite increases in the prevalence of high deductibles, the proportion of procedures performed in December has not increased over recent years.
    MeSH term(s) Male ; Child ; Humans ; United States ; Medicaid ; Insurance, Health ; Tonsillectomy ; Adenoidectomy ; Linear Models
    Language English
    Publishing date 2022-10-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3102-1
    ISSN 1097-6833 ; 0022-3476
    ISSN (online) 1097-6833
    ISSN 0022-3476
    DOI 10.1016/j.jpeds.2022.09.045
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  8. Article ; Online: Sphincter Pharyngoplasty for Velopharyngeal Dysfunction: Impact of 22q11.2 Deletion Syndrome.

    Pattisapu, Prasanth / Kinter, Sara / Bly, Randall A / Dahl, John P / Perkins, Jonathan A / Wang, Xing / Sie, Kathleen C Y

    The Laryngoscope

    2023  Volume 133, Issue 10, Page(s) 2813–2820

    Abstract: Objective: Patients with 22q11.2 deletion syndrome (22q11DelS) often present with velopharyngeal dysfunction (VPD). VPD in patients with 22q11DelS is multifactorial beyond velopharyngeal insufficiency (VPI) alone, and differences in surgical outcomes ... ...

    Abstract Objective: Patients with 22q11.2 deletion syndrome (22q11DelS) often present with velopharyngeal dysfunction (VPD). VPD in patients with 22q11DelS is multifactorial beyond velopharyngeal insufficiency (VPI) alone, and differences in surgical outcomes are poorly understood. Our objective was to determine whether patients with 22q11DelS have an increased risk for persistent VPI after sphincter pharyngoplasty compared to patients without 22q11DelS.
    Methods: We completed a retrospective cohort study of patients with 22q11DelS undergoing sphincter pharyngoplasty between 1995 and 2019 using a VPD clinic database. Patients with 22q11DelS were compared to a cohort of 2:1 frequency-matched (age, degree of velopharyngeal closure) patients without 22q11DelS. Variables included patient characteristics, surgical history, perceptual speech evaluation, and degree of closure on nasopharyngoscopic evaluations. Primary outcomes included postoperative VPI severity and hypernasality. Speech and nasopharyngoscopic characteristics were compared using Fisher's exact test. Postoperative VPI severity and hypernasality were compared between groups via relative risks (RR) from mixed effects Poisson regression models, with random effects of age and velopharyngeal closure.
    Results: 134 patients (51 22q11DelS, 83 matched) were included, with mean age of 7.3 years (standard deviation 3.0) and 50% male. Cohorts had similar preoperative speech characteristics and nasopharyngoscopic findings. Patients with 22q11DelS had similar postoperative VP function as patients without 22q11DelS (RR 0.85, CI 0.46-1.57 for VPI severity, RR 0.83, CI 0.45-1.53 for hypernasality). Even after adjusting by preoperative variables, no differences were seen between both groups.
    Conclusion: Matched for age and pre-operative velopharyngeal closure, patients with and without 22q11DelS and VPI had similar benefits after sphincter pharyngoplasty.
    Level of evidence: Non-randomized controlled cohort study, 3 Laryngoscope, 133:2813-2820, 2023.
    MeSH term(s) Humans ; Male ; Child ; Female ; DiGeorge Syndrome/complications ; DiGeorge Syndrome/surgery ; Cohort Studies ; Retrospective Studies ; Treatment Outcome ; Pharynx/surgery ; Velopharyngeal Insufficiency/genetics ; Velopharyngeal Insufficiency/surgery ; Voice Disorders/surgery ; Cleft Palate/surgery ; Velopharyngeal Sphincter/surgery
    Language English
    Publishing date 2023-01-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.30579
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  9. Article ; Online: Multi-institutional Assessment of Otitis Media Epidemiology Using Real-world Data.

    Dedhia, Kavita / Maltenfort, Mitch / Elden, Lisa / Horn, David / Magnusen, Brianna / Pattisapu, Prasanth / Pritchett, Cedric V / Wine, Todd / Utidjian, Levon / Forrest, Christopher B

    International journal of pediatric otorhinolaryngology

    2024  Volume 179, Page(s) 111921

    Abstract: Objectives: To determine rates and risk factors of pediatric otitis media (OM) using real-world electronic health record (PEDSnet) data from January 2009 through May 2021.: Study design: Retrospective cohort study.: Setting: Seven pediatric ... ...

    Abstract Objectives: To determine rates and risk factors of pediatric otitis media (OM) using real-world electronic health record (PEDSnet) data from January 2009 through May 2021.
    Study design: Retrospective cohort study.
    Setting: Seven pediatric academic health systems that participate in PEDSnet.
    Methods: Children <6 months-old at time of first outpatient, Emergency Department, or inpatient visit were included and followed longitudinally. A time-to-event analysis was performed using a Cox proportional hazards model to estimate hazard ratios for OM incidence based on sociodemographic factors and specific health conditions.
    Results: The PEDSnet cohort included 910,265 children, 54.3% male, mean age (months) 1.3 [standard deviation (SD) 1.6] and mean follow up (years) 4.3 (SD 3.2). By age 3 years, 39.6% of children had evidence of one OM episode. OM rates decreased following pneumococcal-13 vaccination (PCV-13) and the COVID-19 pandemic. Along with young age, non-Hispanic Black/African American or Hispanic race/ethnicity, public insurance, higher family income, and male sex had higher incidence rates. Health conditions that increased OM risk included cleft palate [adjusted hazard ratio (aHR) 4.0 [95% confidence interval (CI) 3.9-4.2], primary ciliary dyskinesia [aHR 2.5 (95% CI 1.8-3.5)], trisomy 21 [aHR 2.0 (95% CI 1.9-2.1)], atopic dermatitis [aHR 1.4 (95% CI 1.4-1.4)], and gastroesophageal reflux [aHR1.5 (95% CI 1.5-1.5)].
    Conclusions: Approximately 20% of children by age 1 and 40% of children by age 3 years will have experienced an OM episode. OM rates decreased after PCV-13 and COVID-19. Children with abnormal ciliary function or craniofacial conditions, specifically cleft palate, carry the highest risk of OM.
    MeSH term(s) Child ; Humans ; Male ; Infant ; Child, Preschool ; Female ; Retrospective Studies ; Cleft Palate/complications ; Pandemics ; Otitis Media/etiology ; Risk Factors
    Language English
    Publishing date 2024-03-21
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 754501-0
    ISSN 1872-8464 ; 0165-5876
    ISSN (online) 1872-8464
    ISSN 0165-5876
    DOI 10.1016/j.ijporl.2024.111921
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