{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T06:07:13Z","timestamp":1790230033430,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,5,27]],"date-time":"2015-05-27T00:00:00Z","timestamp":1432684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2015,9]]},"abstract":"\n Objectives\/Hypothesis<\/jats:title>\n This study investigated financial and treatment implications of a speech\u2010language pathologist (SLP) performing a voice evaluation at the initial laryngologic visit.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Retrospective chart review.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Medical records from 75 consecutive adult voice therapy patients during a 3\u2010month period were categorized into two groups: group 1 (n\u2009=\u200937) represented patients who underwent a medical speech evaluation (MSE) at the initial voice assessment with the laryngologist (+SLP), and group 2 (n\u2009=\u200938) represented patients who did not receive an MSE (\u2212SLP). Data collected included age, gender, voice diagnosis, number of therapy sessions attended and cancelled, reason for discharge, and pre\u2013 and post\u2013voice therapy Voice Handicap Index\u201010 (VHI\u201010) scores.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Patients in the +SLP group had fewer cancellations (\n P<\/jats:italic>\n \u2009=\u20090.001), greater change in VHI\u201010 from pre\u2010 to post\u2010therapy (\n P<\/jats:italic>\n \u2009=\u2009.001), and were more likely to be discharged from therapy having met therapeutic goals (\n P<\/jats:italic>\n \u2009=\u2009.007) than patients in the \u2212SLP group. In addition, lost revenue over 3 months due to cancellations\/no\u2010shows was $2,260 in the +SLP group compared to $7,030 in the \u2212SLP group (\n P<\/jats:italic>\n \u2009<\u2009.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Concurrent voice evaluation by an SLP and laryngologist at initial diagnostic visit affects therapy attendance, voice therapy outcomes, and ultimately SLP and departmental billing revenue. Results may be due to more appropriate therapy referrals from SLP assessment of patients in conjunction with a laryngologist.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n \n 4\n Laryngoscope<\/jats:italic>\n , 125:2139\u20132142, 2015\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.25349","type":"journal-article","created":{"date-parts":[[2015,5,27]],"date-time":"2015-05-27T12:58:08Z","timestamp":1432731488000},"page":"2139-2142","source":"Crossref","is-referenced-by-count":36,"title":["Impact of laryngologist and speech pathologist coassessment on outcomes and billing revenue"],"prefix":"10.1002","volume":"125","author":[{"given":"Juliana K.","family":"Litts","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Colorado School of Medicine Aurora Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackie L.","family":"Gartner\u2010Schmidt","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh Voice Center University of Pittsburgh School of Medicine University of Pittsburgh Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew S.","family":"Clary","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Colorado School of Medicine Aurora Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda I.","family":"Gillespie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh Voice Center University of Pittsburgh School of Medicine University of Pittsburgh Pittsburgh Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,27]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"The Otolaryngologic Clinics of North America","author":"Rosen CA","year":"2000"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2007.10.009"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2008.12.009"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414523708"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9924(96)00012-3"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9924(96)00018-4"},{"key":"e_1_2_6_8_1","unstructured":".Centers for Medicare & Medicaid Services. License for use of Current Procedural Terminology fourth edition. Available at:http:\/\/www.cms.gov\/apps\/physician\u2010fee\u2010schedule\/license\u2010agreement.aspx. Accessed December 11 2014."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215514562591"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2014.967298"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2014.06.005"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2014.06.001"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2013.10.012"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12170"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40138-013-0031-5"},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","unstructured":"HabbabL AlfaraidiH LamyA.Surviving catastrophic disintegration of a large left atrial myxoma: the importance of multi\u2010disciplinary team.J Surg Case Rep2014;2014(9).","DOI":"10.1093\/jscr\/rju093"},{"key":"e_1_2_6_17_1","volume-title":"Bailey's Head and Neck Surgery\u2010Otolaryngology","author":"Gartner\u2010Schmidt J","year":"2013"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25349","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.25349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T23:49:58Z","timestamp":1696376998000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.25349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,27]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1002\/lary.25349"],"URL":"https:\/\/doi.org\/10.1002\/lary.25349","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,27]]}}}