{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T07:44:19Z","timestamp":1778139859373,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,3,12]],"date-time":"2016-03-12T00:00:00Z","timestamp":1457740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"crossref","award":["R01 DC004428"],"award-info":[{"award-number":["R01 DC004428"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"crossref","award":["R01 DC010777"],"award-info":[{"award-number":["R01 DC010777"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"crossref","award":["R01 DC10777-S1"],"award-info":[{"award-number":["R01 DC10777-S1"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Health Innovation Program at the University of Wisconsin School of Medicine and Public Health"},{"name":"Wisconsin Partnership Program"},{"name":"Community-Academic Partnerships core of the University of Wisconsin Institute for Clinical and Translational Research","award":["UL1 TR000427"],"award-info":[{"award-number":["UL1 TR000427"]}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To characterize initial voice treatment selection following vocal fold mucosal resection in a Medicare population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective analysis of a large, nationally representative Medicare claims database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with &gt; 12 months of continuous Medicare coverage who underwent a leukoplakia\u2010 or cancer\u2010related vocal fold mucosal resection (index) procedure during calendar years 2004 to 2009 were studied. The primary outcome of interest was receipt of initial voice treatment (thyroplasty, vocal fold injection, or speech therapy) following the index procedure. We evaluated the cumulative incidence of each postindex treatment type, treating the other treatment types as competing risks, and further evaluated postindex treatment utilization using the proportional hazards model for the subdistribution of a competing risk. Patient age, sex, and Medicaid eligibility were used as predictors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2,041 patients underwent 2,427 index procedures during the study period. In 14% of cases, an initial voice treatment event was identified. Women were significantly less likely to receive surgical or behavioral treatment compared to men. From age 65 to 75 years, the likelihood of undergoing surgical treatment increased significantly with each 5\u2010year age increase; after age 75 years, the likelihood of undergoing either surgical or behavioral treatment decreased significantly every 5 years. Patients with low socioeconomic status were significantly less likely to undergo speech therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The majority of Medicare patients do not undergo voice treatment following vocal fold mucosal resection. Further, the treatments analyzed here appear disproportionally utilized based on patient sex, age, and socioeconomic status. Additional research is needed to determine whether these observations reflect clinically explainable differences or disparities in care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2c. <jats:italic>Laryngoscope<\/jats:italic>, 126:2505\u20132512, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25911","type":"journal-article","created":{"date-parts":[[2016,3,14]],"date-time":"2016-03-14T05:38:24Z","timestamp":1457933904000},"page":"2505-2512","source":"Crossref","is-referenced-by-count":3,"title":["Practice variations in voice treatment selection following vocal fold mucosal resection"],"prefix":"10.1002","volume":"126","author":[{"given":"Jaime E.","family":"Moore","sequence":"first","affiliation":[{"name":"Division of Otolaryngology Department of Surgery  University of Wisconsin School of Medicine and Public Health Madison Wisconsin U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul 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and Public Health Madison Wisconsin U.S.A."},{"name":"Wisconsin Surgical Outcomes Research Program University of Wisconsin School of Medicine and Public Health Madison Wisconsin U.S.A."},{"name":"Health Innovation Program University of Wisconsin School of Medicine and Public Health Madison Wisconsin U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences University of Wisconsin School of Medicine and Public Health Madison Wisconsin U.S.A."},{"name":"Health Innovation Program University of Wisconsin School of Medicine and Public Health Madison Wisconsin U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caprice C.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Division of General Surgery Department of Surgery  University of Wisconsin School of Medicine and Public Health Madison Wisconsin 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